1,721,009 research outputs found
Tuberculous neck lymphadenopathy: A diagnostic challenge
No full textTuberculosis (TB) continues to be a major health problem for the developing world and a rise in the number of cases has been noted in the western hemisphere too. TB can affect most organs in the head and neck region, such as the lymph nodes, larynx, middle ear, oral cavity and pharynx. In particular, as for cervical tuberculosis lymphadenopathy, a predominant involvement of the posterior triangle, supraclavicular, and internal jugular group of nodes bilaterally can be observed. As the early manifestation of Head and Neck TB is often similar to neoplasms, clinical consideration usually occurs only after an ineffective anti-inflammatory treatment, fine-needle aspiration, or biopsy/resection. In fact, this type of presentation often represents a diagnostic and therapeutic challenge to the clinician. Therefore, the aim of the present article is to present and discuss the management of a case of cervical tuberculosis lymphadenopathy
Bilateral rigid fixation of combined angle and body/symphysis fractures of the mandible
No full textBACKGROUND: Combined angle and contralateral body/symphysis fractures would require the application of hardware with increased rigidity and strength on at least one of the fractures. The purpose of this study was to examine a sample of patients treated with rigid fixation for this common mandibular fracture. METHODS: All dentate patients treated for combined fractures of the mandibular angle and contralateral body or symphysis that were treated by open reduction and internal fixation by bilateral rigid fixation were included in this study. RESULTS: A total of 35 patients were included in the study. The re-establishment of the pretraumatic normal occlusal relationship at last follow-up visit was observed in all patients. Only 4 patients showed minor complications. CONCLUSIONS: A bilateral rigid fixation in patients with bifocal mandibular fractures may still be considered a valuable treatment option, especially in patients with a poor compliance or when a postoperative maxillo-mandibular fixation has to be avoided
Psychological profiles in patients undergoing orthognathic surgery or rhinoplasty: a preoperative and preliminary comparison
No full textThe use of optical scanner for the fabrication of maxillary obturator prostheses
No full textIntroduction: Maxillectomy following tumors or, more rarely, traumatic injuries may result in maxillary defects that may determine physical dysfunctions and functional impairment of speech and swallowing. The aim of our study was to present our experience in the management of post-maxillectomy patients by the use of obturator prostheses that were obtained by 3D digital casts via an intraoral scanner. Methods: Patients with maxillary defects following maxillary and/or palatal resection or maxillary traumatic avulsion were selected for this clinical study between 2015 and 2018. Five to 6 months after surgery, a definitive obturator prosthesis was fabricated thanks to an intraoral scanner. The following parameters of clinical outcome were considered: the absence of fluid leakage, the recovery of phonation, the recovery of swallowing, and personal satisfaction. Results: Twenty-eight patients (20 males, 8 females) fulfilled the inclusion criteria and were included in the study. Most patients had a maxillary and/or palatal defect because of a malignant tumor. On the whole, 93% of patients reported a complete absence of fluid leakage between maxillary sinuses or nasal fossa and oral cavity; most patients reported a good or complete recovery of phonation and swallowing. Conclusions: Digital technology for the fabrication of maxillary obturator prosthesis may be effective and useful. The reduced laboratory working time, the avoidance of the risk of aspiration of impression materials, and the overcome of the difficulties associated with whole tissue undercut impression are just some of the most important advantages that have been encountered thanks to this promising technology
Giant antrochoanal polyp protruding into the nasopharynx
No full textChoanal polyps are benign, unilateral, soft tissue masses that grow towards the choana and that may further extend into the nasopharynx or even down to the oropharynx. The main symptoms in patients with an antrochoanal polyp are progressive nasal obstruction, rhinorrhea, snoring, and nasal discharge. Large choanal polyps reaching the nasopharynx or oropharynx are rare. Therefore, the aim of this article is to present and discuss a case of large choanal polyp that extended and occluded the nasopharynx
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