Sinus

  • 文章类型: Case Reports
    牙源性角化囊肿是牙源性起源的良性骨内病变,其特征在于其侵袭性。它通常存在于下颌后部区域,虽然它也可以在上颌骨找到,特别是在犬科地区。我们讨论了上颌窦中涉及27和28区域的OKC的独特示例。由于类似的临床症状,这种病变更容易被误认为是上颌窦的其他病变,如鼻窦炎或息肉。在另一边,这种良性疾病有可能发展为成釉细胞瘤或鳞状细胞癌。因此,良好的预后取决于早期识别,精确诊断,适当的治疗,和后续行动。
    Odontogenic keratocyst is a benign intraosseous lesion of odontogenic origin which is characterized by its aggressive nature. It is usually present in the mandibular posterior area, although it can also be found in the maxilla, particularly in the canine region. We discuss a unique example of OKC in the maxillary sinus involving the 27&28 region. Due to comparable clinical signs, this lesion is more prone to be mistaken for other lesions of the maxillary sinus, such as sinusitis or polyps. On the other side, this benign disease has the potential to develop into Ameloblastoma or squamous cell carcinoma. A favorable prognosis thus depends on early identification, precise diagnosis, appropriate treatment, and follow-ups.
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  • 文章类型: Case Reports
    神经根囊肿,也称为根尖周囊肿或根端囊肿,通常与恒牙有关,与乳牙的联系很少见。根性囊肿通常起因于非重要牙齿的牙髓和根尖周组织的炎症。本文介绍了一例6岁女性的病例报告,其中根尖牙周囊肿与颌骨上颌后部的乳牙和恒牙有关。病变的早期诊断可能导致保守的治疗计划。本文的目的是强调pedodontist在早期分析此类病变中的作用。
    A radicular cyst, also known as a periapical cyst or root end cyst, is usually associated with permanent dentition and its association with deciduous teeth is an infrequent phenomenon. Radicular cyst typically arises from inflammation of the pulp and periapical tissues of a non-vital tooth. This article presents a case report of a six-year-old female with an apical periodontal cyst associated with deciduous and permanent teeth in the maxillary posterior region of the jaw. Early diagnosis of the lesion might have resulted in a conservative treatment plan. This text\'s purpose is to emphasize the pedodontist\'s role in the early analysis of such lesions.
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  • 文章类型: Journal Article
    泪腺结石(LGSs)很少见,通常无症状。LGSs应与dacryoliths区分开,因为前者出现在泪腺。在许多情况下,LGSs的病因可能与对泪腺睑叶内毛发的反应有关。眼睛摩擦可能有助于头发迁移到泪腺中。该病例报告描述了在一名39岁男性中罕见的具有中央毛干(纤毛)和相关窦形成的LGS,表现为持续发红,并从右眼排出4周。检查发现右泪腺睑叶的鼻下表面有一个鼻窦开口。病人接受了鼻窦手术切除治疗,他的症状得到了迅速彻底的缓解.
    Lacrimal gland stone(s) (LGSs) are rare and usually asymptomatic. LGSs should be distinguished from dacryoliths, as the former arise in the lacrimal gland. The aetiology of LGSs in many cases is likely related to a reaction to a hair within the palpebral lobe of lacrimal gland. Eye rubbing may contribute to the migration of the hair into the lacrimal gland. This case report describes the rare occurrence of an LGS with a central hair shaft (cilium) and associated sinus formation in a 39-year-old male presenting with persistent redness of, and discharge from the right eye for 4 weeks. Examination revealed a sinus opening onto the inferonasal surface of the palpebral lobe of the right lacrimal gland. The patient was treated with surgical excision of the sinus, with rapid and complete resolution of his symptoms.
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  • 文章类型: Case Reports
    背景:肺泡软组织肉瘤(ASPS)是一种罕见的恶性肉瘤,仅在鼻窦和头颈部报告少数病例。它显示了强大的女性优势。从未报告激素依赖性复发。
    方法:一名35岁女性在第一次怀孕期间出现鼻腔ASPS,第二次中耳ASPS,在任何围产期之外的鼻窦进行第三次ASPS,伴随不利的进展和转移,终结于死亡。
    结论:肿瘤的病理分析显示,在两次围产期中,孕激素受体免疫标记阳性。因此,这是具有强孕酮敏感性的ASPS围产期复发的第一份报告,加强ASPS和孕酮之间的可疑生物学联系。此病例报告可能是一项初步发现,表明孕酮阻滞剂可作为复发性ASPS的新疗法。
    BACKGROUND: Alveolar soft-part sarcoma (ASPS) is a rare malignant sarcoma with only a few cases reported in the sinus and head and neck region. It shows strong female predominance. Hormone-dependent recurrence was never reported.
    METHODS: A 35 year-old woman presented nasal cavity ASPS during her first pregnancy, middle-ear ASPS during the second, and a third ASPS in the sinus outside of any peripartum period, with unfavorable progression and metastasis, terminating in death.
    CONCLUSIONS: Pathology analysis of the tumors showed positive immunolabeling for progesterone receptors in the two peripartum episodes. This was thus the first report of peripartum recurrence of ASPS with strong progesterone sensitivity, reinforcing the suspected biological link between ASPS and progesterone. This case report may be a preliminary finding suggesting progesterone blockers as a novel treatment for recurrent ASPS.
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  • 文章类型: Case Reports
    上皮样血管内皮瘤(EHE)是由血管内皮细胞引起的罕见疾病。这是一种血管肿瘤,可能发生在全身任何地方。该肿瘤表现为良性肿瘤或侵袭性肉瘤。EHE肿瘤及其治疗取决于病变的位置和手术切除的可及性。这种情况是罕见的上颌侵袭性EHE肿瘤患者。在头部CT上偶然发现了该病变,以排除面部中部骨折,并偶然发现无症状的破坏性溶解性病变。将讨论位于中间面的重要区域中的该肿瘤的治疗。
    Epithelioid hemangioendothelioma (EHE) is a rare condition arising from endothelial cells of the blood vessels. This is a vascular tumor that may occur anywhere throughout the body. This tumor behaves on a spectrum as either a benign tumor or an aggressive sarcoma. The EHE tumor and its management depend on the location of the lesion and accessibility for surgical excision. This case is a rare example of a patient presenting with a maxillary aggressive EHE tumor. This lesion was incidentally found on head CT done for ruling out fractures of the mid-face with incidental findings of an asymptomatic destructive lytic lesion. The treatment of this tumor located in a vital region of the mid-face will be discussed.
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  • 文章类型: Case Reports
    Urachal sinus is a rare type of urachal abnormality. It happens because of blind focal dilation at the umbilical end and has increased risk of infection. We report the case of a 23-year-old female with abdominal pain and umbilical discharge. Ultrasound detected a possible infected urachal sinus which was initially treated with antibiotic therapy. Urachal sinus excision and laparoscopic bladder raffia was later performed with no recurrence at present. Diagnosis of this pathology is essential given that surgery is curative and avoids complications such as neoplastic transformation.
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  • 文章类型: Case Reports
    Dyke-Davidoff-Masson综合征(DDMS)是一种罕见的疾病,通常在生命早期出现并反复发作。它可以是先天性的,也可以是围产期缺氧获得的,感染,颅内出血.它的频率仍然未知。通常通过神经影像学诊断。经典的神经影像学特征是单侧大脑偏萎缩,体积损失,和鼻窦过度气化。我们介绍了一名22岁的男性,他患有复杂的部分癫痫持续状态,自6岁以来就有反复发作的病史。根据神经影像学诊断DDMS。
    Dyke-Davidoff-Masson syndrome (DDMS) is a rare condition that usually presents in early life with recurrent seizures. It can be congenital or can be acquired by perinatal hypoxia, infections, and intracranial hemorrhage. Its frequency remains unknown. It is usually diagnosed by neuroimaging. The classical neuroimaging features are unilateral cerebral hemiatrophy, volume loss, and hyperpneumatization of the sinus. We present the case of a 22-year-old male who presented with complex partial status epilepticus and had a history of recurrent seizures since he was six years old. The diagnosis of DDMS was made on neuroimaging.
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  • 文章类型: Case Reports
    鼻窦平滑肌肉瘤(LMS)是一种罕见的侵袭性间质瘤,具有平滑肌分化。鼻窦是LMS的一个不寻常的主要部位,因为这个地方缺乏平滑肌,英文文献中仅报告了75例病例,包括本文提供的病例。鼻窦LMS被认为是一种侵袭性头颈部肿瘤,具有明显的复发和转移潜力。由于复发率高,并且存在晚期转移的可能性,对这些患者进行终身随访将是有益的,尤其是那些有RB历史的人。
    Sinonasal leiomyosarcoma (LMS) is a rare and aggressive mesenchymal tumor with smooth muscle differentiation. The sinonasal tract is an unusual primary site for LMS, as scant smooth muscle exists in this location, with only 75 cases reported in the English literature including the case presented herein. Sinonasal LMS is considered an aggressive head and neck tumor with significant potential for recurrence and metastasis. Since recurrence is high and the potential for late metastasis exists, lifelong follow-up in these patients would be beneficial, especially among those with previous history of RB.
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  • 文章类型: Case Reports
    The term cholesteatoma refers to \"chole\": cholesterol, \"steat\": fat and \"oma,\": \"tumor\". This tumor has been reported to be the most common in the middle ear. The occurrence of such a tumor in the maxillary sinus is deemed to be very rare and hardly 4 cases were reported in India and 26 cases described worldwide. This case report intends to discuss the uniqueness and indolent nature of this lesion in terms of histopathology and radiography.
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  • 文章类型: Case Reports
    化脓性汗腺炎是一种慢性的,复发性基于卵泡的炎症通常发生在大汗腺分泌丰富的地区;通常受影响的地区包括肛门生殖器,腋窝,乳腺下,和腹股沟区域。很少,化脓性汗腺炎可发生在大汗腺缺乏或缺失的地方;在这种情况下,它被称为异位化脓性汗腺炎。描述了一名59岁的男子在右大腿后部患有异位化脓性汗腺炎的病例。假定的发病机制,治疗方式,并回顾了异位化脓性汗腺炎的各种报告位置。
    Hidradenitis suppurativa is a chronic, recurrent follicular-based inflammatory condition classically occurring in apocrine-rich areas; commonly affected areas include the anogenital, axillary, inframammary, and inguinal regions. Infrequently, hidradenitis suppurativa can occur in locations where apocrine glands are scant or absent; in this setting, it has been referred to as ectopic hidradenitis suppurativa. The case of a 59-year-old man with ectopic hidradenitis suppurativa on his right posterior thigh is described. The postulated pathogenesis, treatment modalities, and various reported locations of ectopic hidradenitis suppurativa are reviewed.
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