Langerhans cell histiocytosis (LCH) or histiocytosis X refers to a group of diseases that are characterized by the clonal proliferation of histiocyte with characteristics similar to Langerhans cells, which affect different organs of the human body, including the temporal bone. The present work describes the clinical case of a 42-year-old patient admitted to surgery for acute otomastoiditis on the right. Axial C...
Introduction: Necrotizing descending mediastinitis (NDM) represents a severe and rare form of mediastinal infection, which can be secondary to a contiguous dissemination of pharyngeal infections. Also infrequent, retropharyngeal abscess is associated with high complication and mortality rates, including NDM. Early diagnosis and treatment of these clinical entities represent a clinical challenge in hospital emer...
Inner ear haemorrhage is a rare disorder with disabling symptoms. Prognosis is generally considered to be poor with essentially no chance of functional recovery. The most common aetiologies are related to blood dyscrasias, anticoagulant therapy or local trauma. The association with autoimmune diseases is exceptional. The authors report a case of sudden deafness with vertigo in a patient with rheumatoid arthriti...
Facial nerve schwannomas are the second most common type of benign neoplasia of the middle ear after paragangliomas. When their origin is intratympanic, signs and symptoms develop earlier. The most frequent complaints are facial paralysis and hypoacusis. We report the case of a patient with unilateral conductive hypoacusis, an aural polyp and imagiologic changes suggesting a middle ear schwannoma. The diagnosis...
The laryngeal hematoma is a rare event in patients with hemophilia A that may compromise the airway and is usually associated with persistent cough as a result of a respiratory infection. If there is clinical stability, the treatment of the relying cause, the cough abolition, the reposition of the clotting factors and a tight surveillance are enough for the disappearing of the hematoma and normalization of the ...
Mucormycosis is a life-threatening fungal infection, commonly with fatal evolution. This fungus is a saprophytic organism which can become pathogenic in specific conditions, particularly in immunocompromised patients (diabetes mellitus, especially those with ketoacidosis; solid malignancies, haematologic malignancies, patients undergoing treatment with glucocorticosteroid). The disease process starts with inhal...
Given the complexity, deep location and significant morbidity of deep neck space infections, their diagnosis and treatment remain an important medico-surgical challenge. As these infections are frequently caused by tonsillar and pharyngeal infections, Otolaryngologists are often called to lead with difficult problems.Aiming to analyze deep neck space infections occurred during the last five years in Hospital de...
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