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Search Results: 1 - 10 of 1212 matches for " neck. "
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Pharyngeal gonorrhea presenting with isolated neck pain  [PDF]
Lourdes DelRosso, Jennifer Smith, Michael Harper, Romy Hoque
Case Reports in Clinical Medicine (CRCM) , 2013, DOI: 10.4236/crcm.2013.21012

We present a case of a 22-year-old man with isolated neck pain due to pharyngeal gonorrhea.

A Case of Late Diagnosed Multiple Pilar Leiomyoma Located on the Cheek and Neck  [PDF]
Nursel Dilek, Yunus Saral, ?zgür Sad?k Kotan, Recep Bedir
Pain Studies and Treatment (PST) , 2014, DOI: 10.4236/pst.2014.22006

Leiomyomas are benign soft tissue neoplasms that arise from muscles. Skin is the second most common location for leiomyoma and often localized on the trunk or extremities. Less than 1% of leiomyomas happen in the head and neck. Here we report a case of pilar leiomyoma which located on the face and neck in the form of multiple, large papulonodules plaque. The treatment by excision and grafting would be difficult because of the large surface area involved the patient was treated with nifedipine. We recommend that leiomyomas must be included in the clinical differential diagnosis of painful papulonodules.

Results of Femoral Neck Fractures Screwing in Adults at University Hospital of Brazzaville  [PDF]
Marius Monka, Carine Mboutol Mandavo, Kevin Bouhélo-Pam, Albert Ngatsé-Oko, Patrick W. H. Dakouré, Armand Moyikoua
Open Journal of Orthopedics (OJO) , 2018, DOI: 10.4236/ojo.2018.86026
Abstract: Purpose: The good of this survey was to analyze the epidemiological aspects and evaluate anatomical and functional results of the treatment by screwing of femoral neck fracture in adulthood at the Teaching Hospital of an underequipped country. Material and Methods: This is a retrospective study from January 1, 2011 to December 31, 2015, concerning patients hospitalized for fractures of femoral neck and having been operated by screwing. The variables studied were epidemiological and therapeutic aspects. Anatomical results were examined on standard x rays of the pelvis in front and the hip in profil, based on the consolidation of the bony axis. Functional results were analyzed according to the quotation of Postel Merle D’Aubigné. Results: Eleven screwings of femoral neck have been done to 11 patients (9 men and 2 women), average age was 47 years (29 and 60 years) from January 2011 to December 2015, at the mean recoil of 19 months (12 and 24 months). Amongst consolidated patients (n = 7), one patient presented a necrosis of femoral head at two years hindsight. Four patients presented an aseptic pseudarthrosis of femoral neck, or a bad anatomical result. Amidst this group of patients, one underwent a joint replacement type Moore and suggestion of intermediary prothesis was recommended to three patients. According to the quotation of Postel Merle D’Aubigné, results were very satisfactory to 5 patients, good to 2 patients and bad to 4 patients. According to the score of Parker, 7 patients presented a score of 9 and 4 patients a score of 7. Conclusion: The treatment of femoral neck fractures in adulthood requires a surgical approach by osteosynthesis and must be precocious before 24 hours in order to reduce risks of pseudarthrosis of femoral neck and necrosis of femoral head.
A new device for the identification of lymph nodes removed during different types of neck dissection  [PDF]
Imre Gerlinger, Tamás Ferenc Molnár, Tamás Járai, Péter Móricz, Gábor Ráth, Gyula G?bel
Health (Health) , 2010, DOI: 10.4236/health.2010.29161
Abstract: Meticulous mapping of the lymph node status is a general principle in present-day head and neck surgery. The removal of a certain number of lymphatic levels during neck dissection may well be therapeutic in intent, but it is also mandatory for correct tumour staging. We pre- sent a precise lymph node mapping during dif- ferent types of neck dissection in the course of major head and neck surgery by a sterile plastic tray moulded in the shape of the neck. This de- vice makes lymph node mapping simpler, safer, quicker and methodically more structured than any of the present methods. It facilitates the work of the pathologist and the flow of reliable information along the surgeon-pathologist- oncologist chain. With this device, a more stru- ctured, methodical means of lymph node removal has become possible.
Is Routine Bilateral Neck Dissection Absolutely Necessary in the Management of N0 CT Negative Neck in Patients with T4 Laryngeal Head and Neck Carcinoma?  [PDF]
Didier Dequanter, Delphine Geukens, Jean-Marie Bailly, Mohammad Shahla, Pascal Paulus, Philippe Lothaire
Journal of Cancer Therapy (JCT) , 2011, DOI: 10.4236/jct.2011.23044
Abstract: Objectives: Elective neck treatment of clinically N0 patients in patients with head and neck carcinomas is widely accepted as a standard approach. However, the issue whether elective neck treatment should routinely be directed on both sides of the neck is still controversial. The present study is aimed at determining whether T4 staged head and neck carcinomas required bilateral neck dissection in the management clinically No necks especially CT negative cervical nodes. Methods: We performed a retrospective analysis of patients with advanced head and neck disease who received bilateral neck dissection. All the patients had curative surgery as their initial treatment for the primary tumor and the neck. Results: All the 28 consecutive patients had T4 staged primary laryngeal cancer. Patients with clinically and radiologically N+ disease had invaded lymph node metastases in all cases. Patients staged clinically and radiologically N0 had no invaded cervical lymph nodes found by pathologic examination. Patients staged clinically N0 and radiologically N+ had invaded cervical lymph nodes in 8/12 cases and in 50% (4/8) of the cases bilaterally. Conclusion: This study showed the importance on adequate clinical and radiological staging. By patients with advanced disease clinically and radiologically N0, bilateral neck dissection should not be necessary. But in patients radiologically N+, routine bilateral neck dissection is beneficial.
Indirect Reduction and Intramedullary Pinning in Severely Displaced Radial Neck Fractures in Children  [PDF]
Ashish Devgan, Raj Singh, Suresh Kumar, Vinit Verma, NK Magu, RC Siwach
International Journal of Clinical Medicine (IJCM) , 2011, DOI: 10.4236/ijcm.2011.22014
Abstract: Fractures of the radial neck account for 5-10% of traumatic lesions of the elbow in the child. Conservative method of reduction may fail to reduce severely displaced fractures. Open reduction of severely displaced radial neck fractures is associated with a high incidence of complications. The present study describes the results achieved after closed and indirect reduction of the severely displaced radial head using a 2-mm K-wire passed intramedullary from near the radial styloid. The bent tip of the K-wire was used to manipulate the displaced head back to the shaft without opening the fracture site. The indirect reduction of the radial head using bent intramedullary K-wire is a simple, minimally invasive method, easy to perform, and obtains encouraging results with few complications. Intramedullary pin also achieves fixation of the radial head after reduction and prevents its secondary displacement.
Characteristics of Postoperative Bleeding after Neck Surgery  [PDF]
Junko Nambu, Keizo Sugino, Koichi Oishi, Masatsugu Yano, Masahiro Nishihara, Kiyohiko Dohi
Surgical Science (SS) , 2013, DOI: 10.4236/ss.2013.43036

Objective: To review the characteristics of and the procedure for preventing postoperative bleeding after neck surgery. Materials and Methods: A retrospective review of 9 patients (9/893; 1.0%) with postoperative bleeding who required reoperation was performed to analyze clinical findings. Results: There was no significant difference in the incidence of bleeding between types of surgical procedures. Postoperative bleeding occurred within 24 hours in all cases except 2, in which it occurred 7 days or more after the operation. Seven cases showed bleeding from the cut surface of the muscle. Other bleeding points included vessels and the Berry ligament. There were no additional complications after reoperation. Conclusion: When separating the muscles in neck surgery, it is important to sufficiently ligate vessels and induce coagulation with an ultrasonically activated scalpel to prevent postoperative bleeding.

The Presenting Symptom of Metastatic Prostate Carcinoma: Case of a Large Supraclavicular Mass and Review of Literature  [PDF]
Cory A. Vaughn, Kaitlin R. Jaqua, Ryan K. Meacham, Fransisco Vieira
International Journal of Otolaryngology and Head & Neck Surgery (IJOHNS) , 2013, DOI: 10.4236/ijohns.2013.25043
Abstract: Prostate cancer is the most common noncutaneous malignancy of American males and typically presents with genitourinary symptoms, however, head and neck extension is a rare finding. We present a case of a 53-year-old male initially presenting with a large supraclavicular mass as the only complaint. After an initial non-diagnostic FNA biopsy, PSA levels, histology and immunohistochemical findings were consistent with metastatic prostatic adenocarcinoma. The patient was started on anti-hormonal treatment after diagnosis. Due to the increasing reports of such cases, we suggest PSA levels and appropriate immunohistochemical staining should be obtained on all unknown neck masses.
Roadmap of Otolaryngology—Head and Neck Surgery Clinic in a Tertiary Center: A Prospective Cohort Study of 1178 Patients  [PDF]
Ameen Z. Alherabi
International Journal of Otolaryngology and Head & Neck Surgery (IJOHNS) , 2016, DOI: 10.4236/ijohns.2016.51002
Abstract: Objectives: An Otolaryngology—Head and Neck Surgery clinic is an integral part of any modern tertiary center outpatient department. The objective of this article is to present our experience in developing a local electronic Makkah Otolaryngology—Head and Neck DATABASE (MO-HND) and provide a roadmap for the development of Otolaryngology—Head and Neck Surgery clinics in other tertiary centers. Methods: This is a prospective audit of all patients attending our clinic over 3 months period (July to September 2014). The data were recorded using our MO-HND. Results: A total of 1178 patients were included. The mean age was 27.7 ± 6.7 years. Participants included 586 males (49.7%) and 592 females (50.3%). There were 1139 (96.6%) Saudi and 39 (3.4%) non-Saudi patients. The specialist clinic undertook most of the workload (66%). The majority of surgery bookings (94%) were carried out through a consultant clinic. Of all participants, 80% were diagnosed with general ENT conditions, 21% underwent a procedure in the clinic, and 29% required further investigations. The surgical conversion rate was 16.3%. Conclusion: Electronic DATABASES have become important tools for improving medical services. Primary and secondary level medical centers and hospitals should increase their role in alleviating pressure from tertiary and quaternary level hospitals. In turn, a model concentrated on subspecialty clinics and services should be developed.
Congenital Cervical Teratoma  [PDF]
Fatogoma Issa Koné, Amal Hajjij, Naouma Cissé, Siaka Soumaoro, Abdoul Wahabhaidara, Samba Karim Timbo, Mohamed Amadou Keita
Surgical Science (SS) , 2019, DOI: 10.4236/ss.2019.101006
Abstract: Introduction: The word “Teratoma” derives from the Greek word “teratos” including the meaning show. Teratoid tumors derived from the transformation of multipotent germ cells. They are composed of ectodermal, endodermic and mesodermal tissues in variable proportions; hence the term “embryonic tumor”. Objectives: We are reporting the case of a mature teratoma discovered in a young child whose delivery was vaginally performed. Through this case we put in diagnostic and therapeutic highlight and we made a literature review. Case report: Patient 17 months admitted for the anterior compartment mass associated with inspiratory dyspnea. No anomaly/abnormality was detected during the follow-up of the pregnancy. The Patient with dyspnea grade 2 was admitted according to Chevaleir-Jackson classification. No abnormalities of stature ponderal developments were noted. Surgery of excision was our therapeutic alternative. Through the pathological examination a mature teratoma was found. Conclusion: Teratoma is a rare condition. Proper management of mature teratoma helps to prevent recurrence.
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