Transcervical excision

  • 文章类型: Journal Article
    颈动脉体瘤是由颈动脉分叉处的神经c细胞引起的缓慢生长的颈部肿块。大多数无症状,并被诊断为偶然。手术切除被认为是减少并发症的首选治疗方法。在本系列中,我们报告了10例颈动脉体瘤和我们的机构经验。所有患者均接受多普勒超声检查的放射学评估,对比增强计算机断层扫描和MR血管造影。6例经宫颈切除术。肿瘤全部切除。其中一例由于血管损伤而需要术中进行隐静脉移植,并且还患有术后声带麻痹。其余的恢复顺利。颈动脉体瘤虽然罕见且看似无痛,但如果不及时治疗,可能会引起实质性症状。诊断和治疗都需要迅速的多模态方法,以避免重大并发症。
    Carotid body tumors are slow growing neck masses that arise from the neural crest cells at the carotid bifurcation. Majority are asymptomatic and are diagnosed incidentally. Surgical excision is accepted as the treatment of choice to reduce complications. In the present series, we report 10 cases of carotid body tumors and our institutional experience. All patients underwent radiological evaluation with an ultrasonography with Doppler, contrast enhanced computed tomography and MR angiography. 6 cases were operated by a transcervical excision. The tumor was excised in tototranscervically. One of the cases required saphenous vein graft intraoperatively due to vascular injury and also had postoperative vocal cord palsy. The rest had an uneventful recovery. Carotid body tumors although rare and seemingly indolent can cause substantial symptoms if left untreated. A prompt multi modality approach is needed for both diagnosis and treatment to avoid major complications.
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  • 文章类型: Review
    报告一例嵌入舌头外在肌肉组织内的金属丝刷毛需要经颈途径去除的病例,并提供一种用于管理金属丝刷毛的修订算法。
    回顾了1例摄入烤架刷丝刷毛的患者的临床记录。还进行了文献综述,以完善用于管理摄入的金属丝刷毛的治疗算法。
    我们介绍了一个53岁男性的案例,该男性不小心摄入了烤刷金属丝刷毛。在多次尝试内窥镜移除失败后,金属丝刷毛深入到舌头的外在肌肉组织中,需要经颈入路以进行充分的可视化和检索。
    这是第一例报道的通过经宫颈入路成功切除的金属丝刷毛深入舌头肌肉组织的病例。我们提出的算法提供了一种全面的方法来管理摄入的金属丝刷毛,特别是在内窥镜检索不可行的情况下。
    UNASSIGNED: To report a case of ingested wire bristle embedded within the extrinsic musculature of the tongue requiring a transcervical approach for removal and to provide a revised algorithm for the management of ingested wire bristles.
    UNASSIGNED: The clinical record of 1 patient who ingested a grill brush wire bristle was reviewed. A literature review was also conducted to refine a treatment algorithm for managing ingested wire bristles.
    UNASSIGNED: We present a case of a 53-year-old male who accidentally ingested a grill brush wire bristle. After multiple unsuccessful endoscopic attempts at removal, the wire bristle migrated deep into the extrinsic musculature of the tongue, necessitating a transcervical approach for adequate visualization and retrieval.
    UNASSIGNED: This is the first case reported of a wire bristle migrating deep into the tongue musculature that was successfully removed via a transcervical approach. Our proposed algorithm provides a comprehensive approach to the management of ingested wire bristles, specifically in cases where endoscopic retrieval is not feasible.
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