1.Unilateral pedunculated polyp of the palatine tonsil.
Daniel Jose C. Mendoza ; Antonio H. Chua ; Samantha S. Castañ ; eda
Philippine Journal of Otolaryngology Head and Neck Surgery 2015;30(1):51-53
OBJECTIVES: To report a benign tonsillar lesion presenting as a pedunculated polyp and discuss its diagnosis and management.
METHODS:
Design: Case Report
Setting: Tertiary Government Hospital
Patient: One
RESULTS: A 14-year-old lad presented with a seven-year history of an elongated right tonsillar mass without associated bleeding, pain, dysphagia or obstructive sleep apnea. Physical examination revealed a pedunculated mass about 2 x 1 x 0.5cm in size located in the superior pole. After unilateral tonsillectomy, histopathological examination revealed lymphangectatic lipomatous fibrotic polyp.
CONCLUSION: Lymphangiomatous polyp of the palatine tonsils is an unusual benign lesion of the head and neck. These are commonly present as unilateral, polypoidal mass that cannot be clinically differentiated from other benign tonsillar lesions. Tonsillectomy is the recommended surgical approach for both diagnostic and therapeutic purposes. Histopathological study must be done to confirm diagnosis.
Human ; Male ; Adolescent ; Palatine Tonsil ; Hamartoma ; Tonsillectomy ; Lymphangioma ; Deglutition Disorders ; Neck ; Head ; Sleep Apnea, Obstructive ; Polyps ; Pain ; Physical Examination
2.Transorbital removal of foreign body in the sphenoid sinus
Daniel Jose C. Mendoza ; Antonio H. Chua ; Samantha S. Castañ ; eda
Philippine Journal of Otolaryngology Head and Neck Surgery 2014;29(2):19-21
OBJECTIVES: To report a case of foreign lodged within the sphenoid sinus and its extraction.METHODS:Design: Case report Setting: Tertiary Government Hospital Patient: OneRESULTS: An 11-year-old girl was hit in the eye by an unknown object from an improvised slingshot. She had loss of vision of the left eye and headache without loss of consciousness. A plain craniofacial Computed Tomography (CT) scan showed a round opaque foreign body abutting the left sphenoid sinus, left posterior ethmoid cells and medial aspect of the left orbital region with adjacent soft tissue densities extending into the apparently ruptured, irregular left globe. The left posterior part of the lamina papyracea was not visualized probably fractured or ruptured. Transorbital enucleation of the left eye and endoscopy-assisted removal of the foreign body (a glass marble) were performed with no intra-operative and post - operative complications.CONCLUSION:Foreign body of the sphenoid sinus is a rare condition. Adequate imaging is important for localization and planning the optimal surgical approach. Endoscopic guidance may aid in extraction.
Human
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Female
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Child
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Sphenoid Sinus
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FOREIGN BODIES
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Tomography Scanners, X-Ray Computed
3.Intraoperative distance between the main trunk of the facial nerve and surgical landmarks used in parotidectomy: A prospective study
Daniel Jose C. Mendoza ; Samantha S. Castaneda ; Antonio H. Chua
Philippine Journal of Otolaryngology Head and Neck Surgery 2014;29(1):16-19
p style=text-align: justify;strongOBJECTIVE:/strong To determine the mean distance of the main trunk of the facial nerve from two commonly employed surgical landmarks (tragal pointer and tympanomastoid suture line) among a sample a Filipino adults undergoing parotidectomy.METHODS:br /Design:/strong Prospective descriptive studybr /strongSetting: /strongTertiary Government Training Studybr /strongSubjects:/strong 22 patients without facial paralysis undergoing surgery for parotid neoplasms were evaluated intraoperatively.RESULTS/strong: The main trunk of the facial nerve was found to be 9.0 mm (standard deviation of 2.8 mm) from the tragal pointer and 6.1 mm (standard deviation of 2.0 mm) from the tympanomastoid suture line.CONCLUSION/strong: The mean distance from the main trunk of the facial nerve to two of the most commonly utilized landmarks in identification of the nerve during parotidectomy was 9.0 mm (standard deviation of 2.8 mm) from the tragal pointer and 6.1 mm (standard deviation of 2.0 mm) from the tympanomastoid suture line. These may serve as reference values for surgeons in safer identification and preservation of the facial nerve during parotidectomy.
Human
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Male
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Female
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Adult
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Facial Nerve
;
Sutures
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Anatomic Landmarks
;
body regions
4.Late-onset anterolateral thigh free flap failure in buccal carcinoma reconstruction.
Daniel Jose C. MENDOZA ; Cristina S. NIEVES ; Samantha S. CASTANEDA
Philippine Journal of Otolaryngology Head and Neck Surgery 2017;32(2):47-50
OBJECTIVE: To report a case of late-onset anterolateral thigh free flap failure in reconstruction of a defect from excision of buccal carcinoma.
METHODS:
Design: Case Report
Setting: Tertiary Government Training Hospital
Patient: One
RESULTS: A 57-year-old man with well-differentiated buccal squamous cell carcinoma underwent wide excision with segmental mandibulectomy, bilateral neck dissection and anterolateral thigh free flap reconstruction. Complete failure of the anterolateral thigh free flap was documented on the 29th post-operative day.
CONCLUSION: Late-onset flap failure is mainly non-vascular in etiology. However, flap failure is more likely multifactorial. Frequent follow-up after hospital discharge is recommended to monitor flap viability.
Human ; Male ; Middle Aged ; Free Tissue Flaps ; Thigh ; Neck Dissection ; Mandibular Osteotomy ; Reconstructive Surgical Procedures ; Carcinoma, Squamous Cell