Blog Archive

Αλέξανδρος Γ. Σφακιανάκης

Thursday, September 16, 2021

Thyroid Hemiagenesis Accompanying an Ectopic Lingual Thyroid

xlomafota13 shared this article with you from Inoreader

pubmed-meta-image.png

Ear Nose Throat J. 2021 Sep 16:1455613211036229. doi: 10.1177/01455613211036229. Online ahead of print.

ABSTRACT

Lingual thyroid is an uncommon condition and cases accompanying thyroid hemiagenesis are rarely documented. Patients with thyroid hemiagenesis are usually asymptomatic and generally diagnosed incidentally. Herein, we reported the case of thyroid hemiagenesis accompanying an ectopic lingual thyroid with euthyroidism and presented with regional symptoms.

PMID: 34525880 | DOI:10.1177/01455613211036229

View on the web

Sinonasal Tissue Remodelling during Chronic Rhinosinusitis

xlomafota13 shared this article with you from Inoreader

ijoto.banner.jpg

The purpose of this review is to summarise contemporary knowledge of sinonasal tissue remodelling during chronic rhinosinusitis (CRS), a chronic disease involving long-term inflammation of the paranasal sinuses and nasal passage. The concept of tissue remodelling has significant clinical relevance because of its potential to cause irreversibility in chronic airway tissues. Recent studies have indicated that early surgical treatment of CRS may improve clinical outcome. Tissue remodelling has been described in the literature extensively with no consensus on how remodelling is defined. This review describes various factors implicated in establishing remodelling in sinonasal tissues with a special mention of asthma as a comorbid condition. Some of the main histological features of remodelling i nclude basement membrane thickening and collagen modulation. This may be an avenue of research with regard to targeted therapy against remodelling in CRS.
View on the web

Association of Functional Outcomes in Tracheoesophageal Voicing With Intratracheal Pressures and Esophagram Findings

xlomafota13 shared this article with you from Inoreader

ooi210048f1_1631232251.04532.png?Expires

This cohort study examines the association between intratrache al manometric pressure, speech function, and proximal esophageal abnormalities in patients with tracheoesophageal voice prosthesis.
View on the web

Sensitivity of Communicative Participation Item Bank for Measuring Unilateral Vocal Fold Immobility

xlomafota13 shared this article with you from Inoreader

ooi210045t1_1631232257.72133.png?Expires

This case series examines differences in patients' scores on the Communicative Participation Item Bank before and after treatment of unilateral vocal fold immobility and how the scores compare with qualitative self-reports of treatment outcomes.
View on the web

A Novel Case of Clofazimine-Induced Purple Nasal Mucosal Discoloration

xlomafota13 shared this article with you from Inoreader

olo210008f1_1631232264.81984.png?Expires

This case report describes a woman in her 70s with a history o f Mycobacterium abscessus pulmonary infection refractory to multiple medication regimens over the preceding decade who presented with clofazimine-induced purple nasal mucosal discoloration.
View on the web

Cystic Neck Mass

xlomafota13 shared this article with you from Inoreader

Message:

A 44-year-old woman presented to the otolaryngology clinic with a 6-month history of a right neck mass with compressive symptoms. She first noticed swelling that progressed to pressure and dyspnea while supine. She reported fatigue but denied pain, voice change, weight loss, hemoptysis, and dysphagia. A physical examination revealed a visible and palpable fullness to the right neck without overlying cutaneous or sinus tract changes. Results of a complete blood cell count, a thyroid stimulating hormone test, triiodothyronine and levorotatory thyroxine testing, and a complete metabolic panel were normal. Ultrasonography showed a 7.9 × 6.3-cm septate cystic mass lateral to the right thyroid gland. A contrast-enhanced computed tomography scan of the neck demonstrated a large, nonenhancing cystic-appearing lesion abutting the lateral and posterior margins of the right thyroid lobe and extending from th e level of the piriform sinus to the thoracic inlet (Figure). Ultrasound-guided fine-needle aspiration revealed clear fluid with a parathyroid hormone (PTH) level of 67 pg/mL (reference range, <100 pg/mL; to convert to ng/L multiply by 1.00). A barium swallow study showed no communication between the cyst and the piriform sinus. Excision in the operating room was performed, and right thyroid lobectomy was necessary because of the intimate association of the lesion to the thyroid lobe.

ocg210012f1_1631232269.32821.png?Expires

A 44-year-old woman presented with a 6-month history of a righ t neck mass with compressive symptoms. What is your diagnosis?
View on the web

Defective Levothyroxine Response in a Patient with Dyshormonogenic Congenital Hypothyroidism Caused by a Concurrent Pathogenic Variant in Thyroid Hormone Receptor-β

xlomafota13 shared this article with you from Inoreader

showCoverImage?journalCode=

Thyroid, Ahead of Print.
View on the web