Unlabelled: In a traditional epiglottis biopsy surgery, the operator performs the direct laryngoscopy to visualise an operating field. However, in patients with tumour-altered epiglottis, this procedure can be unsuccessful, because of difficult laryngeal exposure (DLE). This term refers to an insufficient visualisation of larynx, according to anatomical and pathological lesions.
A Case Report: The aim of paper was to present a video laryngoscopy performed for surgical purpose in patient with tumour-altered epiglottis. Woman 52 year old was admitted to hospital for planned surgical epiglottis biopsy under general anesthesia. We utilised McGrath video laryngoscope to provide a successful larynx visualisation during an epiglottic tumour biopsy procedure, when a rigid diagnostic laryngoscope failed. McGrath appeared to provide an excellent view of the larynx, which enable the operator to perform the biopsy of the tumour. The operation proceeded without any complications.
Conclusions: In case of shared airway procedure, such as epiglottis biopsy examination, video laryngoscopy appeared to be an effective method to expose the entrance to larynx and enable the surgical manipulation at the same time.
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Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
December 2024
Department of Otorhinolaryngology, the Second Affiliated Hospital Zhejiang University School of Medicne, Hangzhou310000, China.
To explore and summarize the morphological features of laryngeal tuberculosis under electronic laryngoscopy and image-enhanced endoscopy (i-scan). A retrospective analysis was conducted on the data of 31 patients diagnosed with laryngeal tuberculosis at the Second Affiliated Hospital of Zhejiang University School of Medicine from January 2014 to June 2024, encompassing the morphological features of electronic laryngoscopy and i-scan endoscopy, histopathological features, and supplementary clinical examination results. Descriptive statistical methods were employed for the analysis.
View Article and Find Full Text PDFCureus
November 2024
Department of Internal Medicine, Merit Health Wesley, Hattiesburg, USA.
Metastatic sarcomatoid renal cell carcinoma (sRCC) is a significant therapeutic and diagnostic challenge due to its rarity and aggressiveness, which contribute to its poor prognosis. This case report presents the case of a 47-year-old Caucasian man with shortness of breath and right-sided abdominal pain. History revealed an extensive smoking history, a left renal mass diagnosed two months ago with inconclusive results, and an enlarged mass on computed tomography (CT) scan one week ago in an emergency department (ED) visit that showed signs consistent with metastatic disease.
View Article and Find Full Text PDFAdv Anat Pathol
October 2024
Head and Neck Pathology Consultations, Woodland Hills, CA.
Laryngectomy margin assessment is an important part of patient care and can affect outcomes. There is no standard approach to grossing laryngectomy specimens, with variations in the published guidelines. A uniform approach to margin assessment may be helpful to improve patient care and future research.
View Article and Find Full Text PDFAnn Hum Genet
January 2025
Genetics Service, São João Universitary Hospital Center, Porto, Portugal.
Int J Surg Case Rep
November 2024
Department of Otolaryngology-Head and Neck Surgery, Jichi Medical University, School of Medicine, Shimotsuke 329-0498, Japan. Electronic address:
Introduction: Moderately differentiated neuroendocrine tumors of the larynx are rare malignant tumors that arise from the submucosa of the larynx, for which surgery is the first-line treatment.
Presentation Of Case: We report a case of moderately differentiated neuroendocrine tumor of the larynx, in which the patient, a 74-year-old man, experienced long-term palliation but an unfortunate outcome of death owing to metastasis. Laryngeal endoscopic examination revealed an elevated submucosal lesion on the laryngeal surface of the epiglottis.
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