Search results for "Tonsil"

18F-fluorodeoxyglucose hypometabolism in cerebellar tonsil and flocculus in downbeat nystagmus.

2006

A patient with downbeat nystagmus was examined by F-fluorodeoxyglucose-positron emission tomography once while off and twice while on successful treatment with 4-aminopyridine. All positron emission tomography scans of the patient showed a reduced cerebral glucose metabolism bilaterally in the region of the cerebellar tonsil and flocculus/paraflocculus when compared with a normal database of the whole brain. An additional region-of-interest analysis revealed that 4-aminopyridine treatment lessened the hypometabolism. This finding supports the hypothesis that the cerebellar tonsil and (para-) flocculus play a crucial role in downbeat nystagmus. The hypometabolism might reflect reduced inhibi…

Necrotizing sialometaplasia of the tonsillar pillar. An unusual case

2021

Necrotizing Sialometaplasia (NS) is a rare, benign, self-limited, inflammatory and necrotizing reaction of the salivary glandular tissue. Due to the clinical picture (a painful ulcer with well-defined edges), and histopathological characteristics (nuclear and cellular pleomorphism of ductal cells) NS can mimic a malignant lesion. The correct diagnosis is important because NS shows a spontaneous resolution and therefore no further treatment is needed. We report a very unusual case of spontaneous and recurrent NS located on the anterior tonsillar pillar in a 43-year old man, which clinically mimics a malignant lesion. The clinician should be aware to include NS in the differential diagnosis o…

The puzzle of metabolic effects of obstructive sleep apnoea in children.

2016

In adults, obstructive sleep apnoea (OSA) is often associated with metabolic alterations. Although obesity is a major culprit [1], large epidemiological studies have reported a metabolic risk associated with OSA that is independent of obesity. In particular, meta-analyses have shown that effective treatment of OSA by continuous positive airway pressure (CPAP) improves glycaemic control in both diabetic [2] and nondiabetic patients [3]. In obese children with obstructive sleep apnoea insulin resistance is common while lipids do not show a clear pattern

Head and Neck Cancers

2005

Upper respiratory tract infections in children: From case history to management

2015

Respiratory tract infections are the most common diseases in childhood. The respiratory tract, widely branched system of ducts, is particularly exposed to the action of microorganisms transmitted by air from here the high frequency of infections they face especially in the first years of life. It is usual distinguish: upper respiratory tract infections (URTI) and lower respiratory tract infections (LRTI). In particular, in infections of the upper airways, the inflammatory process, result of the interaction between microbes and the immune response, can be localized to the mucosa of the nose or sinuses (common cold and sinusitis), or the pharynx or larynx (pharyngotonsillitis and laryngitis) …

Uvulopalatopharyngoplasty with tonsillectomy in the treatment of severe OSAS

2009

Objective: To establish the efficacy of uvulopalatopharyngoplasty with tonsillectomy for treating selected patients with severe obstructive sleep apnea syndrome Methodology: Retrospective study of patients who underwent clinical/instrumental evaluation and surgical treatment. Setting: University ENT division with a tertiary snoring referral center Participants: Twenty-two patients with normal body mass index affected by severe obstructive sleep apnea syndrome- Main outcome measures: Pre and post operative cardiopulmonary monitoring during sleep, daytime sleepiness evaluation, post treatment complication recording. Results: Complete response to therapy was obtained in 78% of patients. Four p…

Augšējo elpceļu bakteriālo un vīrusu infekciju sastopamība bērniem pirms un pēc adenotomijas

2022

Darba aktualitāte: Augšējo elpceļu infekcija ir viena no biežākām patoloģijām bērnu vecumā. Tonsilla pharyngea hipertrofija var radīt vairākas patoloģijas, kas neapšaubāmi samazina dzīves kvalitāti un pat var ietekmēt bērna attīstību. Darba mērķis: Noskaidrot, vai adenotomijas veikšana spēj samazināt augšējo elpceļu infekciju biežumu bērnu vecumā. Rezultāti un secinājumi: Tika izpētīti 526 pacienti ar adenoīdu diagnozi un bija konstatēts, ka vecuma posmā no viena līdz astoņiem gadiem, 72 pacientiem tika veikta adenotomija. To starpā bija vairāk vīriešu 57,3%, nekā sievietes 42,7%, ka arī vīriešiem biežāk veica adenotomiju – 58,3%. Otitis media biežums pēc operācijas mazinājās par 39%. Divu …

Tratamiento de la infección periamigdalina

2006

Objetivo: Analizar las características clínicas y epidemiológicas de niños afectados de infección periamigdalar. Pacientes y Métodos: Estudio longitudinal y restrospectivo de revisión de historias clínicas en los casos detectados los últimos 6 años atendidos en Urgencias. Se anotaron las variables de edad,sexo, amigdalitis de repetición, catarro previo de vías altas,administración de antibiótico y actitud terapéutica adoptada. Resultados: Fueron ingresados 29 niños cuya edad media era de 7,4 _ 1,6 años (varones 1,6:1). El 27 % cursaba con amigdalitis de repetición y el 57,8% con catarro en el momento de la consulta, de los que el 65 % llevaba tratamiento antibiótico,especialmente macrólidos…

Specific Anti-Infective Immune Therapy

1997

Tonsilolito gigante: A propósito de un caso

2005

Los tonsilolitos son pequeñas concreciones calcificadas que se forman en las criptas de las amígdalas palatinas formados por sales cálcicas o en combinación con otras sales minerales y que suelen tener pequeño tamaño. En pocas ocasiones han sido descritos tonsilolitos de grandes dimensiones o en localizaciones periamigdalinas. Nosotros presentamos el caso de una mujer de 55 años de edad que tenía sintomatología de disfagia y molestias en la faringe con sensación de cuerpo extraño desde había un año aproximadamente aunque últimamente se habían agudizado las molestias. A la exploración se palpaba una tumoración dura a nivel submucoso en el paladar blando a nivel del pilar amigdalino anterior …