3.One case of dermatomyositis with hoarseness and dyspnea as first symptom.
Xu-dong WEI ; Yong-hong WEI ; Jian HE
Chinese Journal of Otorhinolaryngology Head and Neck Surgery 2012;47(5):427-427
Aged
;
Dermatomyositis
;
complications
;
diagnosis
;
Dyspnea
;
diagnosis
;
etiology
;
Female
;
Hoarseness
;
diagnosis
;
etiology
;
Humans
4.First visit for hoarseness: a rare case of a fish bone in paraglottic space.
Li-bo DAI ; Ling LING ; Yong FU
Chinese Journal of Otorhinolaryngology Head and Neck Surgery 2009;44(4):334-334
Foreign Bodies
;
complications
;
diagnosis
;
Glottis
;
Hoarseness
;
diagnosis
;
etiology
;
Humans
;
Male
;
Middle Aged
5.Take hoarseness as the cardinal symptom of one thoracic aortic aneurysm case.
Xiang-dong LI ; Xin-rong YAN ; Mao LÜ
Chinese Journal of Otorhinolaryngology Head and Neck Surgery 2011;46(12):1043-1043
Adult
;
Aortic Aneurysm, Thoracic
;
complications
;
diagnosis
;
Hoarseness
;
diagnosis
;
etiology
;
Humans
;
Male
6.Report of a case with long time persisted esophagus foreign associated with hoarse.
Lin GAO ; Wan-rong LI ; Xiao-yi OU
Chinese Journal of Otorhinolaryngology Head and Neck Surgery 2010;45(9):772-772
Aged
;
Esophagus
;
Foreign Bodies
;
complications
;
diagnosis
;
Hoarseness
;
diagnosis
;
etiology
;
Humans
;
Male
7.1 case of vocal cord plexiform schwannoma.
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2014;28(23):1898-1899
Summary A 36 years old patient with hoarseness for 2 years and got worsen for one month, electronic laryngoscopy showed a red smooth-faced wide based neoplasm on the posterior 2/3 of the right side of the vocal cords. The neoplasm was excised under suspension laryngoscope . The pathologic results showed:Cells were weave patterned, infiltrative growth, mitotic figure was rare. Immunohistochemical results showed CD34 (-), SMA (-), DM (-), S - 100 (+). The pathological diagnosis was plexiform schwannoma.
Adult
;
Hoarseness
;
etiology
;
Humans
;
Laryngeal Neoplasms
;
complications
;
diagnosis
;
surgery
;
Laryngoscopes
;
Laryngoscopy
;
Neurilemmoma
;
complications
;
diagnosis
;
surgery
;
Syndrome
;
Vocal Cords
;
pathology
8.Extraesophageal Manifestations of Gastroesophageal Reflux Disease.
The Korean Journal of Gastroenterology 2008;52(2):69-79
Gastroesophageal reflux disease (GERD) often presents as typical symptoms such as heartburn or acid regurgitation. However, a subgroup of patients presents a collection of symptoms and signs that are not directly related to esophageal damage. These are known collectively as the extraesophageal manifestations of GERD, such as non-cardiac chest pain, laryngitis, chronic cough, hoarseness, asthma or dental erosion. They have a common pathophysiology, involving microaspiration of acid into the larynx and pharynx, and vagally mediated bronchospasm and laryngospasm. The role of extraesophageal reflux in such disorders is underestimated due to often silent symptoms and difficult confirmation of diagnosis. Endoscopy and pH monitoring are insensitive and therefore not useful in many patients as diagnostic modalities. Thus, anti-secretory therapy by proton pump inhibitor is used as both a diagnostic trial and as a therapy in the majority. Attention to optimizing therapy and judicious use of endoscopy and reflux monitoring are needed to maximize treatment success.
Anti-Ulcer Agents/administration & dosage
;
Asthma/diagnosis/etiology
;
Cough/diagnosis/etiology
;
Esophageal pH Monitoring
;
Gastric Acidity Determination
;
Gastroesophageal Reflux/*diagnosis/etiology/therapy
;
Hoarseness/diagnosis/etiology
;
Humans
;
Laryngitis/diagnosis/etiology
;
Omeprazole/administration & dosage
;
Prognosis
;
Proton Pump Inhibitors/therapeutic use
;
Tooth Erosion/diagnosis/etiology
9.Differential diagnosis and surgical management in chondrosarcoma of the jugular foramen.
Da LIU ; Jian Ze WANG ; Jian Bin SUN ; Zhong LI ; Tong ZHANG ; Na SAI ; Yu Hua ZHU ; Wei Dong SHEN ; De Liang HUANG ; Pu DAI ; Shi Ming YANG ; Dong Yi HAN ; Wei Ju HAN
Chinese Journal of Otorhinolaryngology Head and Neck Surgery 2023;58(6):544-551
Objective: To explore the diagnosis, surgical management and outcome of jugular foramen chondrosarcoma (CSA). Methods: Fifteen patients with jugular foramen CSA hospitalized in the Department of Otorhinolaryngology Head and Neck Surgery of Chinese PLA General Hospital from December 2002 to February 2020 were retrospectively collected,of whom 2 were male and 13 were female, aging from 22 to 61 years old. The clinical symptoms and signs, imaging features, differential diagnosis, surgical approaches, function of facial nerve and cranial nerves IX to XII, and surgical outcomes were analyzed. Results: Patients with jugular foramen CSA mainly presented with facial paralysis, hearing loss, hoarseness, cough, tinnitus and local mass. Computed tomography (CT) and magnetic resonance (MR) could provide important information for diagnosis. CT showed irregular destruction on bone margin of the jugular foramen. MR demonstrated iso or hypointense on T1WI, hyperintense on T2WI and heterogeneous contrast-enhancement. Surgical approaches were chosen upon the sizes and scopes of the tumors. Inferior temporal fossa A approach was adopted in 12 cases, inferior temporal fossa B approach in 2 cases and mastoid combined parotid approach in 1 case. Five patients with facial nerve involved received great auricular nerve graft. The House Brackmann (H-B) grading scale was used to evaluate the facial nerve function. Preoperative facial nerve function ranked grade Ⅴ in 4 cases and grade Ⅵ in 1 case. Postoperative facial nerve function improved to grade Ⅲ in 2 cases and grade Ⅵ in 3 cases. Five patients presented with cranial nerves Ⅸ and Ⅹ palsies. Hoarseness and cough of 2 cases improved after operation, while the other 3 cases did not. All the patients were diagnosed CSA by histopathology and immunohistochemistry, with immunohistochemical staining showing vimentin and S-100 positive, but cytokeratin negative in tumor cells. All patients survived during 28 to 234 months' follow-up. Two patients suffered from tumor recurrence 7 years after surgery and received revision surgery. No complications such as cerebrospinal fluid leakage and intracranial infection occurred after operation. Conclusions: Jugular foramen CSA lacks characteristic symptoms or signs. Imaging is helpful to differential diagnosis. Surgery is the primary treatment of jugular foramen CSA. Patients with facial paralysis should receive surgery in time as to restore the facial nerve. Long-term follow-up is necessary after surgery in case of recurrence.
Humans
;
Male
;
Female
;
Young Adult
;
Adult
;
Middle Aged
;
Facial Paralysis/etiology*
;
Diagnosis, Differential
;
Jugular Foramina
;
Retrospective Studies
;
Cough
;
Hoarseness
;
Neoplasm Recurrence, Local
;
Chondrosarcoma/surgery*