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  • ISSN: 2379-948X
    Volume 3, Issue 8
    Case Report
    Ernesto Pasquini* and Giacomo Sollini
    Nasal dermoid sinus cysts are the most common congenital midline nasal lesions. The frequency of intracranial extensions varies from 5% to 45%. Complete surgical excision of nasal dermoid cyst and any associated sinus tract is essential for cure and any residual ectodermal elements result in a high rate of recurrence and complicated infections.
    Many different approaches have been described for the removal of nasal dermoids, ranging from a simple extracranial excision to complex procedures in which a combined extracranial–intracranial approach is required.
    We hereby report six cases of nasal dermoid sinus cysts in children (5 with intracranial extension) which were managed with an endonasal endoscopic procedure. We describe the technique we implemented for this procedure and for the reconstruction of the skull base defect.
    Hyun Woo Park, Sang Ha Lee, Dong Gu Hur, and Seong-Ki Ahn*
    Pyogenic granuloma (PG) usually occurs in the oral cavity, nasal cavity, face and extremities. Other lesions occurring in the small bowel, colon, rectum, adrenal gland have been reported. In the field of otolaryngology, PG is primarily found in the head and neck region; however, it is rarely found in the field of otology. Although PG arising in the external auditory canal has been sporadically reported, there has been no report arising from the tympanic membrane. The mass in this case was surgically removed for treatment and pathological examination was proven to be PG. We report here, for the first time, a case of PG of the tympanic membrane in a 45-year-old male with recurrent bloody otorrhoea with a review of literatures.
    Danielle Gill*, Robin Daniel, Leslie Halpern, and Janet Southerland
    Sialolithiasis affects about 1% of the population and represents over 50% of disease that are associated with major salivary glands. Although the etiologies of sialolithiasis have been heavily debated, most agree that there is a multifactorial causation. Most authors conclude that salivary stones are formed from the deposition of calcium salts within the ductal system of salivary glands usually originating from desquamated epithelial cells, foreign bodies, microorganisms, and/or mucous plugs. Sialolith size varies from 6mm to 8cm. Those larger than 1.5cm have been deemed “giant sialoliths”, or megaliths. There are only 13 reported cases of sialoliths greater than 55mm. These appear to occur largely in the submandibular glands, and have a male predilection. We report a case of a giant sialolith in a 48-year-old African-American male presenting with a chronic sialadenitis, followed by a literature review of giant sialolith pathology and options for treatment.
    Short Communication
    Adoga AA*, Kokong DD, Silas OA, and Mgbachi CJ
    Background: This study aims to evaluate pattern of follow up visits among patients treated for head and neck cancers in our region.
    Method: A sixty-five months retrospective cross-sectional study at the Jos University Teaching Hospital, Jos, North-central Nigeria.
    Results: Twenty-eight (24.3%) patients aged between 20 and 88 years (mean= 54 years) presented with histologically diagnosed head and neck cancers. Nineteen were males and 9 females (male to female ratio 2.1:1). Nine (32.1%) presented with laryngeal cancer, 8 (28.5%) patients with nasopharyngeal cancer. Others were oropharyngeal cancer= 4; 14.3%, ethmoidal sinus cancer= 1; 3.6%, parotid cancer= 1; 3.6% and nasomaxillary cancer= 5; 17.9%.
    Six (21.4%) patients attended follow up clinics following treatment. The duration of follow up ranged from 3 weeks to 23 months (mean= 11.5 months) during which 2 (7.1%) patients had recurrent tumors. There were no detected cervical lymph node recurrences.
    Conclusion: Adequate public health education on the prevention of cancer, early detection of symptoms, early presentation to hospitals, treatment, follows up and rehabilitation is pivotal in improving the overall outcome of HNC.
    Jobran Mansour*, Doron Sagiv, Eran Alon, and Yoav Talmi
    Objective: Cervical metastasis in Papillary Thyroid Carcinoma (PTC) has a clear association with an increased recurrence rate. However, its effect on survival remains controversial. The purpose of this study was to evaluate the recent publications regarding the prognostic value of Lymph Node Ratio (LNR) on loco-regional recurrence and survival in metastatic PTC.
    Methods: A systematic literature search of PubMed databases for relevant articles was conducted on May 2016. The following search terms were applied: PTC and LNR. All articles addressing the association between LNR and loco-regional recurrence or survival were included.
    Results: 10 retrospective studies were included. Overall, 12,653 post thyroidectomy and neck dissection PTC patients were included. Median age was 48.4 years and 77% were females. Six out of nine studies showed association between LNR and worse recurrence-free survival with variable levels of significance and LNR thresholds. The other 3 studies did not show any association between LNR and recurrence. One large population-based study showed significant association between LNR and disease-specific mortality in N1 (AJCC TNM) disease but failed to maintain the same association when N1b patients were excluded.
    Conclusions: Regional LNR in PTC with pathological N1 patients is an independent predictor for loco-regional recurrence. High LNR should alert clinicians to closely follow-up these patients.
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