No abstract

Steady progress in instrumentation, technique and skills will increase the feasibility of skull-base surgery using an endonasal approach in the pediatric population.

Thyroglossal duct carcinoma is a rare pathologic entity. The surgeon's main concern is whether to perform thyroidectomy or not. In this paper, we report another case of thyroglossal papillary duct carcinoma in a 14-old girl suspected preoperatively and confirmed postoperatively on the histological analysis of resected specimen by a Sistrunk procedure. Therapeutic strategy was completed by a total thyroidectomy with radioactive iodine therapy and suppressive levothyroxine therapy. In the absence of clear guidelines, the management of thyroglossal duct carcinoma is depending on the clinical situation and the experience of the team of surgeons.

Inverted papilloma is a rare nasosinusal tumor that mainly occurs in adults during the 5 th decade. The occurrence in children is exceptional and only few cases have been reported in the litterature. Clinical and radiological findings mimic other benign nasosinusal pathologies; therefore, diagnosis is based on histopathology either via biopsy or following surgical excision. Here we present a rare case of pediatric inverted papilloma in a 11-year-old child and we discuss clinical, radiological, therapeutic and evolutionary features through a literature review.

INTRODUCTION Lʼadénome pléomorphe est la tumeur la plus fréquente des glandes salivaires (1, 2, 3). Ses localisations extraparotidiennes sont rares (1, 2). Elles se distinguent de la parotide par leurs caractéristiques cliniques, histologiques et thérapeutiques (2, 4, 5). Elles sont réparties entre la glande submandibulaire et les glandes salivaires accessoires. Le but de cette étude est de décrire les aspects de lʼadénome pléomorphe dans ses différentes localisations extraparotidiennes. PATIENTS ET METHODES Cʼest une étude rétrospective portée sur dix ans (2000-2009), ayant colligée 15 cas dʼadénome pléomorphe à localisation extra-parotidienne parmi un ensemble de 43 cas, soit 34,8 %. Il a été précisé les antécédents pathologiques des patients, les symptômes les ayant amenés à consulter et les données de lʼexamen clinique. Cinq patients ont béné ficié dʼune échographie cervico-faciale, 6 patients dʼune tomodensitométrie et 2 patients dʼune imagerie par réso