1/4. Ophthalmomyiasis and nasal myiasis in new zealand: a case series.We report three cases of ophthalmomyiasis in new zealand, due to the larvae of Oestrus ovis. All three patients reported eye injury caused by a fly. The larvae were removed from the conjunctival sac without difficulty under local anaesthesia. Presenting ocular symptoms of foreign body sensation, irritation, redness and photophobia all resolved swiftly. Topical antibiotic and steroid eye drops were administered. All three patients also developed nasal symptoms such as sneezing, nasal discharge and epistaxis. otolaryngology follow-up demonstrated nasal myiasis in two patients which was treated with nasal decongestants. In addition, all three patients were treated with ivermectin (Mectizan).- - - - - - - - - - ranking = 1keywords = anaesthesia (Clic here for more details about this article) |
2/4. Nasopalatine duct cyst (NPDc): one case report.OBJECTIVES: NPDc arises from embryological tissue. It is classified among the epithelial non-odontogenic cysts according to the 1992 WHO histological typing of odontogenic tumors. The purpose of our report was to provide details about the pathophysiology, diagnosis and treatment of NPDc. CASE REPORT: A 25 year-old male was referred by his practitioner regarding to an intermittent palatal swelling for 6 months. diagnosis of NPDc was suggested on the basis of computed tomography (CT-scan). Excision was performed under general anaesthesia. There was no post-operative complication. Histological features confirmed an inflamed NPDc. Follow up was 22 months, without relapse. CONCLUSION: NPDc occurs in approximately 1% of the population and forms approximately 12% of all jaw cyst tumors. NPDc may occur at any age, but main cases are seen between 40 and 60 years old. It has a slight male predilection. Black and white people are equally involved. NPDc is normally asymptomatic, unless it is infected. The most common symptom is swelling, usually in the anterior part of palate's midline. diagnosis is based on radiographic and histological results. Treatment of choice is enucleation.- - - - - - - - - - ranking = 1keywords = anaesthesia (Clic here for more details about this article) |
3/4. Bilateral nasolabial cysts associated with recurrent dacryocystitis.OBJECTIVE: Nasolabial cysts are rare, nonodontogenic, soft-tissue, developmental cysts occurring inferior to the nasal alar region. They are thought to arise from remnants of the nasolacrimal ducts and they are frequently asymptomatic. We report a rare case of bilateral nasolabial cysts accompanied by bilateral chronic dacryocystitis. CASE REPORT: A 48-year-old woman suffering from bilateral chronic dacryocystitis was referred to our department for endonasal dacryocystorhinostomy. She had undergone external dacryocystorhinostomy on the left side a few years earlier. physical examination and computed tomography scan revealed nasolabial cysts bilaterally inferior to the nasal alar region. The cysts were removed via a sublabial approach and endoscopic dacryocystorhinostomy was performed on the right side. Ten months after surgery, the patient was asymptomatic. CONCLUSION: There may be a correlation, due to embryological reasons, between the presence of nasolabial cysts and the presence of chronic dacryocystitis. Both can be corrected surgically, under the same anaesthesia, without visible scar formation.- - - - - - - - - - ranking = 1keywords = anaesthesia (Clic here for more details about this article) |
4/4. Reconstruction of a defect of the ala nasi following trigeminal anaesthesia with an innervated forehead flap.A 47-year-old man with a 15 year history of unilateral, idiopathic trigeminal anaesthesia presented with trophic ulceration of the right ala nasi and had a successful nasal reconstruction performed using an innervated left forehead flap. Three years later the cosmetic results is satisfactory and the flap retains normal sensation.- - - - - - - - - - ranking = 5keywords = anaesthesia (Clic here for more details about this article) |