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R B, N B, A Z, R H, K H, J K. Sinonasal Angiomatous Polyp: A Case Report and Review of Literature. Ear Nose Throat J 2024:1455613241247731. [PMID: 38654494 DOI: 10.1177/01455613241247731] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/26/2024] Open
Abstract
Sinonasal angiomatous polyp (SAP) is a benign pseudoneoplastic lesion rarely reported in the literature. It may be misdiagnosed as a malignant neoplasm due to its aggressive features of bone erosion clinically or on imaging. We report the case of a 43-year-old woman with a 3 month history of unilateral nasal obstruction with recurrent epistaxis. Nasal endoscopy showed polypoid nasal mass occupying the left nasal cavity. Imaging was suggestive of malignant vascular tumor. The patient underwent surgical excision after embolization. Histopathology concluded to the diagnosis of SAP.
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Affiliation(s)
- Bouatay R
- ENT Department at Fattouma Bourguiba Hospital of Monastir, Monastir, Tunisia
- University of Monastir, Monastir, Tunisia
| | - Bouaziz N
- ENT Department at Fattouma Bourguiba Hospital of Monastir, Monastir, Tunisia
| | - Zrig A
- University of Monastir, Monastir, Tunisia
- Department of Radiology at Fattouma Bourguiba Hospital of Monastir, Monastir, Tunisia
| | - Hadhri R
- University of Monastir, Monastir, Tunisia
- Department of Pathology at Fattouma Bourguiba Hospital of Monastir, Monastir, Tunisia
| | - Harrathi K
- ENT Department at Fattouma Bourguiba Hospital of Monastir, Monastir, Tunisia
- University of Monastir, Monastir, Tunisia
| | - Koubaa J
- ENT Department at Fattouma Bourguiba Hospital of Monastir, Monastir, Tunisia
- University of Monastir, Monastir, Tunisia
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Ferjaoui M, Kolsi N, Bergaoui E, Naouar M, Bouatay R, Harrathi K, Elkorbi A, Koubaa J. [Odontogenic cervical-facial cellulitis: report of 87 cases]. Rev Med Liege 2022; 77:181-186. [PMID: 35258867] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Cervical-facial cellulitis are infections of the cellular fatty spaces of the face and neck with a tendency towards locoregional extension, septic and thromboembolic complications that can affect the patient's vital and/or functional prognosis. The management is multidisciplinary including a medical component, surgical drainage associated with the treatment of the causal tooth. This is a retrospective study including 87 cases of odontogenic head and neck cellulitis hospitalized in the ENT and head and neck surgery department at Fattouma Bourguiba Monastir hospital over a period of 4 years between January 2017 and December 2020. The study included 48 women and 39 men. The most affected age group was young adults (54 %). The main contributing factors were poor oral hygiene (76 %), tobacco (41 %) and alcohol (19 %). Anti-inflammatory medicines intake was found in 31 % of cases. The average consultation time was 5 days. The main reason for consultation was painful head and neck swelling associated with trismus (70 %) and fever (52 %). The cervical-facial scan was performed in 93 % of patients. It revealed suppurative cellulitis (64 %), extension to upper aerodigestive ways (20 %), compression of upper aero-digestive tract (11,5 %), Lemierre syndrome (4,6 %) and gangrenous cellulitis with mediastinal extension (1,1 %). All patients received large spectrum antibiotic, associated in 25 % of cases with surgical drainage. Treatment of the dental cause was performed in all patients. The evolution was favourable in 98,9 % of cases. There is only one death due to a septic shock (1,1 %), which is consistent with most of the results reported in the literature. Head and neck cellulitis can affect the functional and vital prognosis of the patient in the absence of rapid and adequate management. The treatment remains primarily preventive.
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Affiliation(s)
- M Ferjaoui
- Service d'Otorhinolaryngologie et de Chirurgie cervico-faciale, CHU Fattouma Bourguiba, Monastir, Tunisie
- Laboratoire de Recherche LR18Sp08 : Imagerie diagnostique et interventionnelle, CHU Fattouma Bourguiba, Monastir, Tunisie
| | - N Kolsi
- Service d'Otorhinolaryngologie et de Chirurgie cervico-faciale, CHU Fattouma Bourguiba, Monastir, Tunisie
| | - E Bergaoui
- Service d'Otorhinolaryngologie et de Chirurgie cervico-faciale, CHU Fattouma Bourguiba, Monastir, Tunisie
| | - M Naouar
- Service d'Otorhinolaryngologie et de Chirurgie cervico-faciale, CHU Fattouma Bourguiba, Monastir, Tunisie
| | - R Bouatay
- Service d'Otorhinolaryngologie et de Chirurgie cervico-faciale, CHU Fattouma Bourguiba, Monastir, Tunisie
| | - K Harrathi
- Service d'Otorhinolaryngologie et de Chirurgie cervico-faciale, CHU Fattouma Bourguiba, Monastir, Tunisie
- Laboratoire de Recherche LR18Sp08 : Imagerie diagnostique et interventionnelle, CHU Fattouma Bourguiba, Monastir, Tunisie
| | - A Elkorbi
- Service d'Otorhinolaryngologie et de Chirurgie cervico-faciale, CHU Fattouma Bourguiba, Monastir, Tunisie
| | - J Koubaa
- Service d'Otorhinolaryngologie et de Chirurgie cervico-faciale, CHU Fattouma Bourguiba, Monastir, Tunisie
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Bouatay R, Harrathi K, Chefai J, Abdejlil N, Koubaa J. [Salivary ductal carcinoma of the parotid: A rare and agressive entity]. Cancer Radiother 2020; 24:135-137. [PMID: 31992517 DOI: 10.1016/j.canrad.2019.06.016] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2019] [Revised: 06/18/2019] [Accepted: 06/19/2019] [Indexed: 02/07/2023]
Abstract
We report a rare case of salivary duct carcinoma and we study its clinical and evolutionary features. A 64-year-old patient was referred for right peripheral facial paralysis. MRI showed suspected formation of the right parotid gland. Treatment included total parotidectomy and ipsilateral neck lymph node dissection. The histology concluded to a ductal carcinoma of the parotid with lymph node metastasis. Radiation therapy has been indicated. Salivary duct carcinoma of the parotid gland is a highly aggressive and uncommon tumor. Treatment of localized forms is based on surgery and radiotherapy.
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Affiliation(s)
- R Bouatay
- Service d'ORL et de CCF, CHU de Fatouma-Bourguiba de Monastir, Monastir, Tunisie; Université de Monastir, Monastir, Tunisie.
| | - K Harrathi
- Service d'ORL et de CCF, CHU de Fatouma-Bourguiba de Monastir, Monastir, Tunisie; Université de Monastir, Monastir, Tunisie
| | - J Chefai
- Service d'ORL et de CCF, CHU de Fatouma-Bourguiba de Monastir, Monastir, Tunisie; Université de Monastir, Monastir, Tunisie
| | - N Abdejlil
- Service d'anatomie pathologique, CHU de Fattouma-Bourguiba de Monastir, Monastir, Tunisie; Université de Monastir, Monastir, Tunisie
| | - J Koubaa
- Service d'ORL et de CCF, CHU de Fatouma-Bourguiba de Monastir, Monastir, Tunisie; Université de Monastir, Monastir, Tunisie
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Gassab E, Krifa N, Kedous S, Zrig A, Hattab N, Harrathi K, Koubaa J, Gassab A. Endoscopic endonasal management of congenital intranasal meningocele in a 2-month-old infant. Eur Ann Otorhinolaryngol Head Neck Dis 2013; 130:345-7. [PMID: 23688657 DOI: 10.1016/j.anorl.2011.10.013] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2010] [Revised: 04/19/2011] [Accepted: 10/11/2011] [Indexed: 11/25/2022]
Abstract
INTRODUCTION Nasal meningocele, which is usually congenital, is a rare anomaly resulting from meningeal herniation into the nasal cavities through a bone defect in the skull base. CASE REPORT An 8-day-old boy was referred with respiratory disturbance and nasal obstruction. Examination showed a cyst-like grayish swelling filling the right nasal cavity. CT scan showed opacity, of fluid-like density, filling the right nasal fossa, in contact with a small bony defect in the right cribriform plate. MRI ruled out herniated brain parenchyma and enabled diagnosis of meningocele. The patient was operated on at the age of 2 months through a transnasal endoscopic approach. Immediate postoperative course was favorable. MRI control at 8 months was normal. DISCUSSION Modern imaging (CT scan and MRI) is of paramount importance in the preoperative evaluation of nasal meningocele. Endoscopic endonasal (EE) surgery is currently the treatment of choice. CONCLUSION Steady progress in instrumentation, technique and skills will increase the feasibility of skull-base surgery using an endonasal approach in the pediatric population.
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Affiliation(s)
- E Gassab
- Service d'ORL et de chirurgie cervico-faciale, CHU Fattouma-Bourguiba, rue 1(er)-Juin-1995, 5000 Monastir, Tunisia.
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Hammami S, Ben Meriem C, Hadded S, Harrathi K, Ghédira Besbès L, Chouchane S, Guédiche M. P335 - Stridor congénital intermittent révélateur d’un kyste valliculaire chez un nourrisson. Arch Pediatr 2010. [DOI: 10.1016/s0929-693x(10)70731-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Chaabane A, Aouam K, Harrathi K, Yahia NB, Gassab E, Njim L, Boughattas NA. Acute generalised exanthematous pustulosis (AGEP) after cefotaxime use. Case Reports 2009; 2009:bcr06.2008.0343. [DOI: 10.1136/bcr.06.2008.0343] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Gassab E, Harrathi K, Ben Mahmoud F, Krifa N, Hasnaoui M, Kadi S, Hafsa C, Koubaa J, Gassab A. [Benign cervico-facial schwannomas]. Tunis Med 2009; 87:295-296. [PMID: 19835291] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
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Gassab E, Harrathi K, Hamroun H, Hizem A, Ben Mahmoud F, Kadi S, Taieb T, Elkadhi F, Hafsa C, Ben Yahya S, Kheirallah M, Koubaa J, Gassab A. [Paranasal sinus mucoceles]. Tunis Med 2008; 86:855-857. [PMID: 19472799] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
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Mani R, Belcadhi M, Harrathi K, Rejeb AB, Benali M, Abdelkefi M, Bouzouita K, Bouzouita H. [Mycobacterial cervical lymphadenitis: role of surgery]. Rev Laryngol Otol Rhinol (Bord) 2005; 126:99-103. [PMID: 16180349] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
Abstract
OBJECTIVE To discuss the place of surgery in the management of mycobacterial cervical lymphadenitis. PATIENTS AND METHODS It's a retrospective study (1982-2002) about 246 patients treated in the ENT department of Farhat Hached Sousse for cervical lymph node tuberculosis. Resolution was considered when neither symptoms nor lymphadenopathy in examination were noted. RESULTS The mean age of our patients was 28 years. A light female prevalence was noted. In 5 patients diagnosis was established by lymph node punction. A medical treatment of first intention was then managed with a failure in 3 cases, after deadlines from 3 to 4 months. All other patients were operated: cellulolymphadenectomy (47%), adenectomy (47%) or drainage of a cervical abscess (4%). Recurrence and antituberculosis treatment resistance were noted respectively in 6% and 3% of cases. DISCUSSION Two questions are still discussed in the management of mycobacterial cervical lymphadenitis: 1- Is surgery necessary for the diagnosis? 2- When is surgery indicated directly? Histological specimen established the diagnosis in all cases and excluded a mestastatic lymph node. In some situations surgery must be indicated at first: cold abscess, lymph node fistulation. CONCLUSION Surgery still has an important place in the treatment of tuberculosis lymphadenopathy.
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Affiliation(s)
- R Mani
- CHU Farhat Hached, Service ORL, 4000 Sousse, Tunisie.
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