The purpose of presenting these case reports is to highlight the occurrence of heterotopic glial tissue of the tongue and nose in children. So far, literature review has revealed few case reports of such lesions in neonates, but our patients presented with this unique lesion at the age of two and a half years and 3 years. This is a rare congenital anomaly in the tongue, which can mimic a lingual thyroid, teratoma, dermoid cyst etc. Surgical excision is mandatory when the lesion causes obstructive symptoms. The authors discuss the problems in diagnosis, pathology and management and review the literature.
We report a rare case of tracheocele presenting in an ENT setting. The referral was made on the basis of intermittent dysphonia. The aim of this report is to document the rare condition of tracheocele on the right side and to help raise the level of its awareness among the otolaryngologists. So far approximately thirty cases of this condition have been documented in the literature worldwide. An emphasis is placed on the mode of presentation and the management issues, as early diagnosis is crucial and offers a favorable prognosis. The right sided predilection of the swelling is due to anatomical reason and the cause of recurrent dysphonia is explained.
Papillary Carcinomas of the thyroid are slow growing and least aggressive of all thyroid tumors. These tumors when large can cause compression of the trachea and symptoms of dyspnea and stridor. Airway management is of crucial importance not only for symptomatic relief, but also for airway control pre-operatively till the definitive diagnosis and treatment is planned. The dilemmas faced in airway management are many folds considering the tumor profile and patient compliance. It plays a crucial role in final decision making. Papillary thyroid carcinoma prognosis is good. Distant metastasis is also not a contraindication for treating the primary.
Pharyngeal pouch typically present in elderly males with dysphagia being the most common presentation. Other symptoms include sensation of foreign body stuck in the throat, regurgitation exacerbated by lying down, halitosis, recurrent lower respiratory tract infections and regurgitation of un-digested food. These patients are often reviewed by different specialities including general surgery, gastroenterology and otolaryngology due to the wide variation in the extent of symptoms. Surgical diverticulotomy is the main stay of treatment for symptomatic pharyngeal pouches.
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