1.An Extensive Cervical Vagal Nerve Schwannoma: A Case Report
Chiun Kian Chai ; Ing Ping Tang ; Narayanan Prepageran ; Pailor Jayalakshmi
The Medical Journal of Malaysia 2012;67(3):342-344
Vagal nerve schwannoma is extremely rare. The majority of
cases present with a slow growing neck swelling without
neurological deficit. Magnetic resonance imaging is the gold standard investigation to establish a pre-operative diagnosis.
We report a case of a 32-year-old man with an extensive
right vagal nerve schwannoma involving the right jugular
foramen and parapharyngeal space. The tumour was
resected via a transcervical approach. Complete excision of
the tumour is the key to prevent recurrence.
2.A Review Of Ear, Nose And Throat Foreign Bodies In Sarawak General Hospital. A Five Year Experience
Chiun Kian Chai ; Ing Ping Tang ; Tee Yong Tan ; Doris Evelyn Yah Hui Jong
The Medical Journal of Malaysia 2012;67(1):17-20
Objective: Ear, nose and throat foreign bodies are common in
ENT clinical practice. This study was designed to establish
the local data of otorhinolaryngeal foreign bodies in term of
prevalence among paediatric and adult groups, the clinical
features, types of foreign body at different sites, and
laterality of foreign bodies.
Method: This study was carried out at ENT department,
Sarawak General Hospital, Malaysia, from 1st January 2005
to 31st December 2009. A total of 1084 cases were included
and statistically analyzed.
Result: Ear foreign bodies showed the highest incidence
which was consisted of 480 (44.3%) cases, followed by nose
in 270 (24.9%) cases, pharynx in 251(23.2%) cases, esophagus in 57 (5.3%) cases and laryngo-tracheobronchial tree in 26 (2.4%) cases. Otorhinolaryngeal foreign bodies occurred more frequently in 0-10 year old age group which
constituted 651 (60.1%) cases. The descending order of
frequency for foreign body sites in adult was pharynx
(17.2%), ear (12.8%), esophagus (3.1%), nose (1.7%) and
laryngo-tracheobronchial tree (1.1%). The type of foreign
bodies varies with age group and site of foreign body
lodgement. In general, common foreign bodies in both adult
and children were food related, with the additional of small objects such as plastic toy in paediatric group.
Conclusion: Otorhinolaryngeal foreign bodies were found
more frequently in children. The types of foreign body were
different from age group and sites of foreign body
lodgement. The local food constituted the highest incidence
of ear, nose, and throat foreign bodies with additional of
plastic toys in paediatric group.
3.Infrasellar Craniopharyngioma of The Posterior Nasal Septum: A Rare Entity
Chiun Kian Chai ; Ing Ping Tang ; Vikneswaran Tharumalingam ; Nurshaline Pauline Hj Kipli
The Medical Journal of Malaysia 2012;67(1):131-132
Objective: To report an unusual location of infrasellar
craniopharyngioma in a peadiatric patient.
Case Report: A six-year-old boy presented with persistent
bilateral nasal obstruction for one year. Clinical examination revealed a posterior choanal mass arising from septum and the finding was confirmed by paranasal sinuses computed tomography scan. He then underwent wide local excision. Histopathological examination confirmed the diagnosis of craniopharyngioma (adamantinomatous type). There were no signs and symptoms of recurrence after a year of followup.
Conclusion: Infracranial craniopharyngioma without sellar
involvement is extremely rare. Persistent nasal obstruction
without endocrine dysfunction is the common presentation.
Radiological imaging is important to diagnose and assess the extent. The mainstay of treatment for infrasellar
craniopharyngioma is surgery. Regular follow up is
mandatory.