Infantile autism is a serious comprehensive developmental disorder. The diagnosis of hearing loss or its exclusion, which often suggests suspected autism, is very important for early ENT, psychotherapy, and psychiatric treatment. One hundred children diagnosed with autism aged from 3 to 18 years, with a median age of 5 years, were evaluated. The control group of healthy children consisted of 100 children, aged from 3 to 18 years, with a median age of 6 years. Anamnesis and physical examination, including pediatric assessment and otoscopic examination, were carried out on children in both groups. Each child underwent bilateral otoacoustic emission examination in the 0.7, 1, 2, and 4 kHz bands and impedance audiometry examination. The data obtained were subjected to a basic statistical assessment. Chi2 Pearson's test was used to compare results of tests in both groups. The absence of otoacoustic emission for the 1 and 2 kHz bands was significantly more frequent in the group of autistic children than in the control group. Furthermore, types B and C2 tympanometric curves were significantly more common in the group of autistic children than in the group of healthy children.
Pleomorphic adenoma, the most common benign nonvascular tumor of the parotid gland in juveniles, should be differentiated from other extremely rare tumors, including schwannoma. In this article, we present a rare case of an intraparotid schwannoma in a juvenile, along with the patient history, a description of pathological features, and the results of ultrastructural and immunohistochemical examination. The respective labeling indexes of Ki-67 and MCM-3, i.e., the mean proportions of positive tumor cells out of 1000 tumoral cells counted in 10 microscopic fields at ×400 magnification, given as a percentage, were found to be 0.82% and 0.4%, respectively.
AbstractEpidermoid cysts are lesions, which form as a
result of implantation of the epidermis in the layers of the
dermis or the mucous membrane. The lesions are rare in
adults with 7% occurring in the head and neck area and
most often located in the submental region. In children
population submental epidermoid cysts are extremely
rare. The differential diagnosis of the lesions is necessary
as it affects the choice of treatment methods. Among the
pathological conditions occurring in that region, salivary
retention cyst (ranula), thyroglossal duct cyst, vascular
lymphatic malformation (cystic hygroma), median neck
cyst, lymphadenopathy, thyroid gland tumor, laryngeal
cyst, epidermoid and dermoid cysts, submental abscess,
sialolithiasis and salivary gland inflammation should be
considered. The authors of the present report demonstrate
two cases of submental epidermoid cysts in children.
Differential diagnosis in case of suspected submental epidermoid
cyst in a child with proposed clinical practice
and literature review is provided.
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