Vascular lesions constitute one of the most important but difficult diagnostic and therapeutic enigmas in the head and neck region. They are divided into two major subtypes according to the ISSVA classification system as Vascular Neoplasms and Vascular Malformations. We present a rare case of massive slow flow vascular malformation involving the tongue and oropharynx which was managed successfully by Interventional Radiology procedure.
Case Report:
A 22 year male presented with painless gradually increasing swelling involving the right lateral aspect of the tongue ( Fig 1). According to the patient it was present since childhood but became symptomatic since last 1 year due to rapid increase in size causing difficulty in swallowing. It was
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Then the patient was subjected for Magnetic Resonance Imaging (MRI). On MRI scan, there was a large lesion composing vascular spaces which were seen extending into the floor of mouth and right parapharyngeal space. There was an exophytic component of the lesion causing partial obliteration of oral cavity. On Dynamic Contrast MRI there was gradual progressive contrast retention within the vascular spaces and no significant arterial feeders and early draining veins were noted (Fig 2 C-F). The imaging diagnosis of slow flow venous malformation was considered. Due to morbid nature of surgery, patient was referred to Intervention Radiology department for management by serial sessions of sclerotherapy. Patient was taken up for sclerotherapy after upfront tracheostomy and Ryle’s tube insertion done as a precautionary measure to overcome anticipated post procedure airway and pharyngeal compromise. Under Ultrasound guidance using 22G scalp vein needle set, direct puncture of vascular spaces was done. After confirmation of free back flow of blood, Sodium tetradecyl sulphate mixed with low osmolar non ionic iodinated contrast
Unit V- Cardiovascular system Subheading: 1. Cyanotic Congenital Heart Diseases 2. Acyanotic Congenital Heart Diseases 3. Acute Rheumatic Fever 4. Rheumatic Heart Disease 5.
A second lesion measuring 25cm in size in the left lower lobe was noted and a prevascular mass measuring almost 5cm, likely to be an enlarged lymph node was als noted. A PET scan has confirmed intense avidity of the left upper lobe and prevascular lesions with likely central
The results are based on the effects of the age, volume, consistency and gender on the duration of the swallowing assessment. The clinical importance of the results showed the difference in timing and how the diameter of the pharynx between male and female can affect the result of swallowing. 1. What did the researchers conclude?
ELATED CASES: None. SUPPORT DOCUMENTS: None. On 12/15/2015, Christie Hardie contacted Pasco Sheriff`s Office by telephone to report a Petit Theft. Ms. Hardie advised between 1700 and 1730 hours on 12/14/2015, an unknown suspect stole her white and black Hello Kitty wallet, with contents out of her open purse that was sitting in the child seat section of a shopping cart.
Describe eight pathological conditions of the respiratory system. Include symptoms and treatment of each. Laryngitis an infection in your larynx causing your voice to strain and hard to swallow. Treatment resting your voice and cool mist vaporizer. Pharyngitis is an infection that causes your throat to be sore it caused by many factors.
Mucous membranes are moist and pink. Neck: Neck supply without thyromegaly, normal ROM. No lymphadenopathy.
Surgical history include a craniectomy and craniolasty performed where a portion of Monti’s skull was removed for a three month period and g tube placement lasting for a year. No history of seizures, allergies or infections was reported. Monti currently receives swallow studies to monitor the continuous intake of oral substances, and blood work is conducted for suspected blood clots, and presents with a left side visual neglect. Past medical evaluations includes
Before Bill was given medication, food, or fluids he was assessed for ineffective swallow by the nurse. If the screening shows swallow impairment the patient must be referred to SALT within 24hours (NICE,2008). The screen used in this hospital was the “Stroke dysphagia screen” (Lepine,2009 cited in Barnard,2011). This involves giving an alert patient (absent of facial droop and with a gag reflux) a sip of water, if they can swallow without coughing/choking they are allowed more and observed for coughing/choking (Barnard, 2011). If facial droop present, as in this case, the test is not done and the protocol requires immediate referral to SALT.A nursing diagnosis of “ineffective swallowing” was
The thinning, swollen veins are at danger of tearing give rise to in severe, possibly deadly, bleeding Dysphagia – hardness of swallowing May be regarding to GERD, esophageal tumor or other causes Crohn’s Disease – A chronic inflammatory illness mostly of the bowel. specific X-rays and tests are needed to distinguish Crohn’s from other diseases with similar symptomsThe typical symptoms are abdominal pain, weight loss, diarrhea. There may also be rectal bleeding that can lead to
What are the symptoms of peripheral artery disease? Snippet: Peripheral arterial disease (PAD) is a condition, in which a build-up of fatty deposits (atherosclerosis) in the arteries leads to the narrowing of the peripheral arteries and reduce blood flow to the legs, stomach, arms, and head. According to statistics, both men and women are affected equally by this condition. However, the prevalence increases as one age.
CASE: John Smith is an 11 year old Asian boy with PMHx of hypothyroidism x 2 years, on levothyroxine 25 mcg daily presented with painful progressively enlarging goiter that started 2 months ago. The pain is described as constant shooting and radiating to the neck, rated 6/10, nothing made it better, moving his neck made it worse. Pt states that the pain is mostly localized to the right, and it is associated with compressive symptoms like difficulty breathing and swallowing, but no change in voice. The swelling was painful and progressive and at the time of examination was 2 × 2 cm on the right side of the neck and was moving with deglutition. She had no other complaints and her family history was noncontributory.
Upon some isolated probing, Mary’s gums are bleeding spontaneously and there seems to be more plaque developing on the inside of her front teeth. Darci
Management and outcome The surgery was successful. The anaesthetist told me he will be like to do awake extubation because patient was grade 2 view on intubation. This method is used to perform an extubation once the patient is fully awake and able to maintain his own airway (e SAFE, 2017) I prepared for awake extubation, all the airway equipment for the intubation were kept for anaesthetic emergence, guedel, laryngoscope, bougie, 20ml syringe.
By Jonas Wilson, Ing. Med. Vascular Surgery The surgical branch dealing with disorders of the circulatory system, which includes arteries, veins and lymphatic vessels, is called vascular surgery.
2.4.4. Vascular disease (multi-infarct or post-stroke dementia) Vascular disease is the term which describes blood vessel disease. Three types of blood vessels: arteries, veins and lymphatics circulate the blood in the body but when the circulation of blood becomes disturbances in the brain function. This is second most common cause (10-20 %) of dementia (Jones & Román, 2004). Mainly, language problem, persons memory, other intellectual disabilities, impaired judgment, memory loss are the signs of vascular disease.