1.Ectopic internal carotid artery of the oropharynx: two cases report.
Sanlin XIE ; Shiyan CHEN ; Xianming CHEN
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2016;30(4):328-329
Ectopic internal carotid artery (ICA) is a very rare congenital variation. Unless the diagnosis is made before neck or tonsil surgery, massive hemorrhage and even death may result from injury to the vessel. Therefore, knowledge of the presence of ectopic ICAs may be important. We report two cases suffering from dysphagia associated with ectopic ICA manifesting itself as a pulsative protruding of the right lateral wall of the oropharynx.
Carotid Artery, Internal
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abnormalities
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Deglutition Disorders
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pathology
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Humans
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Oropharynx
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pathology
3.Botulinum Toxin Injection in the Treatment of Postextubation Dysphagia: A Case Report.
Byung Wook KIM ; Hee Ju KIM ; Jung Keun HYUN ; Seo Young KIM ; Tae Uk KIM
Annals of Rehabilitation Medicine 2018;42(2):358-362
Prolonged intubation is known to bring on postextubation dysphagia (PED) in some patients. We have noted that there were some studies to investigate specific type and pattern of PED, which showed large variety of different swallowing abnormalities as mechanisms of PED that are multifactorial. There are several options of treatment in accordance with the management of these abnormalities. A botulinum toxin (BoT) injection into the upper esophageal sphincter (UES) can improve swallowing functions for patients with this disorder, by working to help the muscle relax. In this case, the conventional treatment was not effective in patients with PED, whereas the BoT injection made a great improvement for these patients. This study suggests that the UES pathology could be the main cause of PED.
Botulinum Toxins*
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Deglutition
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Deglutition Disorders*
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Esophageal Sphincter, Upper
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Humans
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Intubation
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Intubation, Intratracheal
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Pathology
4.One case of giant hypopharyngeal and esophageal inflammtory fibroid polyp.
WANG JIARONG ; QIU LIANSHENG ; CHEN XIAOFANG
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2015;29(7):663-664
The clinical manifestations of the disease include dysphagia, foreign body sensation in pharyngeal, retrosternal pain and regurgitation. Physical examination showed a sausage-shaped mass hanging outside the mouth, sometimes. CT scan demonstrated a benign placeholder in upper segment of esophagus. Surgery is the only way to achieve radical cure. Pathological examination: inflammtory fibroid polyp.
Deglutition Disorders
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Esophagus
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pathology
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Humans
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Hypopharynx
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pathology
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Pharynx
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Polyps
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pathology
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Tomography, X-Ray Computed
5.Large mixed tumors of salivary: two cases reports.
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2014;28(21):1714-1715
It is rare that large mixed tumors of salivary gland located in the nose and uvula. The patient who had mixed tumors of salivary gland at nose found exophytic growth tumor for half a year. The other patient who had mixed tumors of salivary gland at uvula felt swallowing foreign body sensation for one year, and dysphagia for one month. After surgical resection, the symptoms disappear.
Adenoma, Pleomorphic
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complications
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pathology
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Deglutition
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Deglutition Disorders
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etiology
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Humans
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Nose Neoplasms
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pathology
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Palatal Neoplasms
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pathology
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Salivary Gland Neoplasms
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complications
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pathology
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Uvula
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pathology
7.One case of neck multiple schwannoma and merge meningioma.
Xian JIANG ; Shangjie BAI ; Yuanzhe JIN
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2013;27(21):1219-1220
UNLABELLED:
Patients with cervical painless mass for 3 months with swallowing not feeling a week for the chief complaint.
PHYSICAL EXAMINATION
top right sternocleidomastoid before hitting a 7.0 by 3.0 cm size, lower limb reached 2.0 cm x 1.8 cm, the size of the mass on the left side of the supraclavicular reached 3.0 cm x 2.5 cm of the size of the mass, the three homogeneous medium hard, focally border and clear, the activity can be puncture cytological examination in return for: left supraclavicular see more protein and blood samples and a small amount of sample are arranged heap of fiber cells. Nuclear magnetic resonance (NMR): on the right side of the neck, with three at the left supraclavicular neoplasm, between 2.5-5.5 cm in size, high in T2, T1 low mixed signals, lesion boundaries clear.
Clavicle
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Deglutition Disorders
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etiology
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Head and Neck Neoplasms
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complications
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pathology
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Humans
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Magnetic Resonance Imaging
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Meningeal Neoplasms
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pathology
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Meningioma
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pathology
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Neck
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Neurilemmoma
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complications
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pathology
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Sensation Disorders
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etiology
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Tumor Burden
8.Comparison between stapled and traditional suture closure total laryngectomy.
Liang WANG ; Weiwei WANG ; Weihua LOU
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2015;29(11):963-966
OBJECTIVE:
To compare the clinical results between stapled and traditional suture closure total laryngectomy.
METHOD:
Fifty-three cases of laryngeal cancer with total laryngectomy were divided into 2 groups: 32 cases with traditional suture closure total laryngectomy (group A) and 21 cases with stapled total laryngectomy group (group B). Compare two groups in pharyngeal fistula, postoperative bleeding, dysphagia, and nasal regurgitation.
RESULT:
There was no difference of postoperative pharyngeal fistula between group A and B (P>0. 05). The incidence of dysphagia, nasal regurgitation, and postoperative bleeding in group B were 23. 8%, 14. 3% and 14. 3% respectively, which were obviously higher than that in group A (P<0. 05).
CONCLUSION
Stapled total laryngectomy has the advantages of reducing the operative time and simplifying the operation with some disadvantages such as higher standards of operation indications, higher incidence of dysphagia, higher nasal regurgitation, higher postoperative bleeding, and poor medical economic profit. Traditional suture closure total laryngectomy is recommended in clinical practice.
Deglutition Disorders
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Fistula
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pathology
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Humans
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Incidence
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Laryngeal Neoplasms
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surgery
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Laryngectomy
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methods
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Pharynx
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pathology
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Postoperative Complications
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Suture Techniques
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Sutures
9.Management of Intramural Esophageal Dissection with Gastric Feeding Tube in an Alcoholic-hepatitis Patient.
Ryoung Eun KO ; Won Sik JUNG ; Yoon Chae LEE ; Sung Hoon CHOI ; Seung Young SEO
The Korean Journal of Gastroenterology 2016;67(1):35-38
Intramural esophageal dissection is a rare but clinically important condition in the field of gastroenterology. Classically, intramural esophageal dissection rarely occurs in patients who are anticoagulated or have poor medical condition, and its clinical presentation may include chest pain, dysphagia and hematemesis. Herein, we present a case of intramural esophageal dissection in an alcoholic hepatitis patient that was diagnosed by endoscopy and successfully treated with conservative management.
Deglutition Disorders/diagnosis
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Enteral Nutrition
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Esophageal Diseases/*diagnosis/surgery
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Esophagoscopy
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Hepatitis, Alcoholic/*pathology
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Humans
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Intubation, Gastrointestinal
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Male
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Middle Aged
10.Forensic medicine identification of manual strangulation: an analysis of 21 cases.
Lin-chang WU ; Wen-yong ZHOU ; Yong-sheng YUAN ; Feng ZHANG ; Bo ZHU
Journal of Forensic Medicine 2010;26(1):37-39
OBJECTIVE:
To analyze and summarize the rule of manual strangulation, as well as to look for the key points of injury identification, in order to provide information for formulating and revising the identification regulations.
METHODS:
Twenty-one cases of manual strangulation from 1963 to 2004 in Xiangfan were reviewed and analyzed according to the characters, symptoms and appraisements.
RESULTS:
The majority of assaulters in manual strangulation was young adult male and often could find the counteracted wounds on them. The throttling mark reaction usually could be found in victims and the cardinal symptoms were contusion in throat and asphyxiation in ocular region.
CONCLUSION
The degree of injuries is mainly moderate and slight. There is some inadaptability in the current regulations.
Adolescent
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Adult
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Aged
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Asphyxia/pathology*
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Deglutition Disorders/pathology*
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Expert Testimony/standards*
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Female
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Forensic Pathology
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Humans
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Larynx/pathology*
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Male
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Middle Aged
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Neck/pathology*
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Neck Injuries/pathology*
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Pharynx/pathology*
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Retrospective Studies
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Trauma Severity Indices
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Young Adult