-
[show abstract]
[hide abstract]
ABSTRACT: Granulomatous invasive aspergillosis rhinosinusitis is a rare disease. Anatomopathologic and mycological examination allows the diagnosis. Treatment must be rapidly started in order to avoid orbital and intracranial complications.
To analyze the main clinical, radiological, histopathological, mycological and therapeutic aspects of granulomatous invasive aspergillosis rhinosinusitis.
This is a retrospective study included five patients operated for granulomatous invasive aspergillosis rhinosinusitis at the Otorhinolaryngology Head and Neck Department of La Rabta Hospital from 2000 to 2011.
These are four women and one man with mean age of 24.8 years. Functional symptoms were dominated by nasal obstruction and purulent rhinorrhea. Imaging showed a unilateral pansinusien filling extended to the nasal cavity with bone lysis. An orbital and endocranial extension was noted in two cases. Endonasal approach was performed in four patients and external approach in one patient. Anatomopathologic and mycological examination confirmed the diagnosis. All patients were started on antifungal therapy. One reccurence had been noted. Endonasal approach was performed.
Granulomatous invasive aspergillosis rhinosinusitis is a rare infection. The prognosis is particularly serious which warrants a rapid therapeutic care to avoid complications.
Journal de Mycologie Médicale/Journal of Medical Mycology 12/2012; 22(4):316-21. · 0.73 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: INTRODUCTION: Paranasal sinuses mucoceles are extremely rare in children and adolescents. The objective of this study was to assess their clinical presentations and the contribution of endoscopic surgery in their management. MATERIAL AND METHODS: we retrospectively reviewed 11 children with paranasal sinus mucoceles who were managed during a period of 15 years (1995-2009). RESULTS: The mean age was 11.8 years with a sex ratio of 2.66. One patient had a history of nasal polyposis surgery. The symptomatology was dominated by ophthalmological complains. The ethmoïd sinus was the main localization. Orbital extension was found in eight cases, pyomucocele in one case. The surgical management was endoscopic (nine cases), and by an external approach (two cases). Two cases of recurrence were assessed. The mean follow-up was 22.3 months. DISCUSSION: Paranasal sinuses mucocele is exceptional in children. Cystic fibrosis is the main etiologic factor. The symptoms depend on the location and size of the mucocele. The treatment is surgical and most authors prefer the endoscopic approach.
Revue de stomatologie et de chirurgie maxillo-faciale 07/2012; · 0.35 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: Nasolabial cysts (NLC) are a rare condition presenting as cystic epithelial lesion. We report the clinical and radiological (CT scan) aspects of this rare clinical entity and we assess the various available surgical treatment.
Fifty-four patients presenting with NLC underwent surgery between 2000 and 2009. The diagnosis was made on clinical and radiological arguments and confirmed by histological examination after surgical excision. The studied parameters were: gender, functional signs having led to consultation, localization, results of radiological exploration, treatment modalities, anatomopathology and postoperative evolution.
The average age of the 30 men and 24 women was 38 years with extremes ranging between 24 and 53 years. The reason for consultation was swelling of the anterior nasal floor in every case and a nasal obstruction for 33 patients. The average time between initial swelling and consultation was 18 months. Swelling was unilateral for 52 patients. CT scan was prescribed for 20 patients and revealed a cystic mass with an average diameter of 23 mm. Cyst excision was made under general anesthesia in every case. Most of the patients (52) were operated via a vestibular approach. Histological examination confirmed the diagnosis of nasolabial cyst in every case.
NLC is a rare condition which must be suggested when a cystic mass is found in the anterior nasal floor. CT scan confirms the diagnosis and cyst extension. Cyst excision is performed by vestibular approach. The endoscopic marsupialization is an interesting new therapeutic alternative.
Revue de stomatologie et de chirurgie maxillo-faciale 06/2011; 112(3):151-4. · 0.35 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: IntroductionNasolabial cysts (NLC) are a rare condition presenting as cystic epithelial lesion. We report the clinical and radiological (CT scan) aspects of this rare clinical entity and we assess the various available surgical treatment.Patients and methodsFifty-four patients presenting with NLC underwent surgery between 2000 and 2009. The diagnosis was made on clinical and radiological arguments and confirmed by histological examination after surgical excision. The studied parameters were: gender, functional signs having lead to consultation, localization, results of radiological exploration, treatment modalities, anatomopathology and postoperative evolution.ResultsThe average age of the 30 men and 24 women was 38 years with extremes ranging between 24 and 53 years. The reason for consultation was swelling of the anterior nasal floor in every case and a nasal obstruction for 33 patients. The average time between initial swelling and consultation was 18 months. Swelling was unilateral for 52 patients. CT scan was prescribed for 20 patients and revealed a cystic mass with an average diameter of 23 mm. Cyst excision was made under general anesthesia in every case. Most of the patients (52) were operated via a vestibular approach. Histological examination confirmed the diagnosis of nasolabial cyst in every case.DiscussionNLC is a rare condition which must be suggested when a cystic mass is found in the anterior nasal floor. CT scan confirms the diagnosis and cyst extension. Cyst excision is performed by vestibular approach. The endoscopic marsupialization is an interesting new therapeutic alternative.RésuméIntroductionLe kyste nasolabial (KNL) est rare. C’est une lésion kystique d’origine épithéliale. Nous en rapportons les aspects cliniques et radiologiques et nous évaluons les différentes modalités thérapeutiques disponibles.Patients et méthodesCinquante-quatre patients avec un KNL ont été opérés entre 2000 et 2009. Le diagnostic a été clinique et radiologique et confirmé histologiquement après exérèse chirurgicale. Les paramètres étudiés ont été : le sexe, les signes fonctionnels motivant la consultation, le siège, les résultats des explorations radiologiques, les modalités de traitement, l’anatomopathologie et l’évolution postopératoire.RésultatsL’âge moyen de ces 30 hommes et 24 femmes était de 38 ans (de 24 à 53 ans). Le motif de consultation était une tuméfaction du plancher narinaire dans tous les cas et une obstruction nasale chez 33 patients. Le délai moyen entre l’apparition de cette tuméfaction et la consultation a été 18 mois. La tuméfaction était unilatérale chez 52 patients. La TDM pratiquée chez 20 patients révélait une formation kystique d’un diamètre moyen de 23 mm. L’exérèse du kyste a été faite sous anesthésie générale et la plupart des patients (52) ont été opérée par voie vestibulaire. L’examen histologique a confirmé le diagnostic de kyste du seuil narinaire dans tous les cas.DiscussionLe KNL est une pathologie rare évoquée devant une masse kystique du plancher narinaire. La TDM conforte le diagnostic de KNL et précise son extension. L’exérèse se fait par voie vestibulaire le plus souvent. La marsupialisation par voie endoscopique endonasale semble être une nouvelle alternative thérapeutique intéressante.
Revue de Stomatologie et de Chirurgie Maxillo-faciale. 112(3):151-154.
