Hydatidosis (Echinococcosis) is a disease caused by infestation of hydatid cysts in any organ of body but mainly liver (70% of cases). Hydatidosis of salivary glands is rare and necessitate computerized tomography for diagnosis while fine needle aspiration remains controversial procedure.Materials and methods: 6 patients diagnosed with hydatid cysts of parotid glands. These cases were admitted and treated at the maxillofacial surgery Clinic of the "AL-Ramadi" Hospital in Iraq. 5 patients were female and 1 male with age group was between 30-50 years. The patients complained of painless unilateral swelling in parotid region and who were diagnosed hydatid cysts using CT. All cases were treated by superficial parotidectomy with cystectomy and preservation of facial nerve.Results: All hydatid cysts are CE1-type with no recurrences were reported in any of these cases. The postoperative edema was the most common complication. Other complications were not seen.
Conclusion:parotid hydatid cyst should be included in differential diagnosis of persistent parotid swelling especially those with history of hepatic hydatid cysts. Computerized tomography is the gold imaging that aid in diagnosis and classification of hydatid cysts. Most cases are CE1 type and Eosinophilia is a sign of concern in some patients. Surgical treatment remains the "gold standard" in therapy.
The reconstruction of large nasal defects after tumor resection is a challenging procedure, this case report describes a patient with a basal cell carcinoma of the nose. The tumor was excised with a safe margin and subtotal nasal reconstruction was performed by paramedian forehead flap while nasal lining and septum were reconstructed by a modified sublabial mucosa flap together with medpor implant. Although numerous surgical techniques have been described for reconstruction of nasal septum and lining but no single procedure is recognized as being reliable in all cases. Modified mucosal flap of upper lip and medpor implant is a versatile surgical technique which can be used for reconstruction of the nasal septum and lining with minimal morbidity.
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