OBJECTIVES: This case report aims to (1) Present the differential diagnosis of chronic cough without neglecting uncommon causes (2) Increase awareness of diagnostic challenges that may arise in the face of a compromised airway (3) Elucidate the therapeutic complexity of airway management; (4) Emphasize the value of a multi-disciplinary team approach in such cases; Illustrate the vital role otolaryngologists play in the diagnosis and management of airway problems DESIGN: Case Report SETTING: Tertiary Care Hospital in Quezon City, Philippines PATIENTS: One Patient RESULTS: This is the case of an eleven-year old male that presented with chronic cough that was refractory to conventional empiric medical therapy. As his symptoms progressed, further evaluation revealed a mass that was obstructing a large portion of the airway. Timely and methodical investigation and intervention proved to be life-saving. CONCLUSION: A working knowledge of the differential diagnoses of chronic cough is crucial in the diagnosis and management of the compromised airway. A high index of suspicion, systematic and thorough investigation and a multi-disciplinary approach are vital components of the treatment plan. Bronchoscopy in the hands of a skilled practitioner is still a diagnostic and therapeutic mainstay. (Author)
CASE REPORTS [PUBLICATION TYPE]

OBJECTIVE: To present a case of arteriovenous malformation of the mandible in a young postpartum woman and discuss the diagnostic and therapeutic dilemmas involved.

METHODS:

          Design: Case Report

          Setting: Tertiary Private Teaching Hospital

          Participant: One (1)

RESULT: A 27-year-old woman with left mandibular swelling two weeks after tooth extraction was diagnosed and managed as a case of arteriovenous malformation. The extent of the lesion prevented surgical intervention and bleeding recurred despite three embolization attempts. Ultimately, the left external carotid artery and contralateral dorsal contributory vessel were sacrificed causing necrosis of the anterior tongue and its eventual detachment. Three sessions of stereotactic radiosurgery eventually controlled the bleeding with no recurrence to date.

CONCLUSION: On her second month following stereotactic radiosurgery, there appeared to be no complete resolution of the AVM but there was also no recanalization or regrowth of the lesion. Uncertain about whether her arteriovenous malformation will revascularize and how we may be able to help her in the event that it does, the waiting game continues for our patient.

 

 

Human ; Arteriovenous Malformations ; Mandible ; Vascular Malformations