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Biomedical subjects

S al-Dousary

Publications and source records attributed to S al-Dousary.

5 recordsLinked to original sources
PubMed1997

Internal jugular phlebectasia.

BACKGROUND: Anterior neck mass which appears on straining should be differentiated from laryngocele, jugular venous system phlebectasia and superior mediastinal cysts or masses. Internal jugular phlebectasia is a fusiform dilatation of the internal jugular vein. PURPOSE: this is an attempt to elucidate the etiology, clinical features, diagnosis, treatment and review of the literature about this rare venous lesion. METHODS: an 11 year old boy presented with soft neck swelling on the right side which appeared on straining. The diagnosis was confirmed on the bases of ultrasonography combined with Doppler flow imaging and spiral computerized tomography scan with contrast. The patient was treated conservatively and followed up for 21 months without any changes. CONCLUSION: internal jugular phlebectasia is a rare disease, which mostly involves the right side. It is usually a childhood disease and believed to be of congenital origin. It can occur at any age and affects both genders. Nevertheless no single case was reported in a young adult male. The diagnosis was made on a clinical basis and confirmed by less invasive radiologic technique. The investigations of choice are Doppler ultrasonography and spiral computerized tomography scan with contrast. Even though most of these lesions have been excised surgically, the treatment of choice should be conservative as long as it is asymptomatic.

Adult↗
PubMed1997

Vocal process granuloma.

Vocal process granuloma or contact ulcer is uncommon disease in which there is chronic irritation and granulation tissue formation at the posterior third of the vocal folds. Thirteen patients (11 men and two women) with vocal process granuloma were enrolled in this study; cases of intubation granuloma were excluded. The most frequent complaints were throat irritation, frequent throat clearing and voice change. Forty-seven percent of patients had a recurrence two to four months after surgery. Computed tomography (CT) of the larynx in four patients showed arytenoid sclerosis on the involved side and disclosed moderate enhancement of the vocal fold granuloma after contrast injection in one. Three patients had hyperacidity and four had hyperfunctioning granulomas: two used their voices excessively and the other two had bilateral sulcus vocalis. To our knowledge this is the first report of sulcus vocalis with vocal process granuloma, and of enhanced vocal process granuloma.

Adult↗
PubMed1997

Current management of thyroglossal-duct remnant.

OBJECTIVE: Thyroglossal-duct remnant (TGDR) should be differentiated from ectopic thyroid prior to surgical excision. The purpose of this study is to discuss our experience with TGDR and review the role of technetium 99m-labelled sodium pertechnetate (99mTc), thyroid function test (TFT), ultrasound (US), and computerized tomography (CT) scan in the management of TGDR. METHODS AND RESULTS: This retrospective study comprised 24 (18 M:6 F) patients with TGDR, whose ages ranged between 3 and 52 years, 83.3% of whom were less than 30 years of age. The most common complaints were anterior neck swelling in 79% (19/24) and draining sinus in 37.5% (9/24). Other rare complaints include throat discomfort, hoarseness, and pain. Axial CT scan through the area of interest in four patients revealed intralaryngeal and extralaryngeal extension, with some cartilage destruction and pre-epiglottic extension in two patients. 99mTc and US and TFT demonstrated normal thyroid in 11 and 10 patient, respectively. Thyroid tissue element reported histologically in 58.3% (14/24) of cases. These 24 patients underwent 10 simple cyst excisions and 21 Sistrunk procedures. The rate of recurrence was 40% and 7%, respectively. CONCLUSION: When the thyroid gland can be identified in the normal position, coexistent ectopic thyroid is seldom found. However, when ectopic thyroid is suspected, 99mTc and TFT are valuable tests. Furthermore, CT scan may be profitable when there is evidence of laryngeal involvement. Sistrunk's procedure replaces simple cyst excision and continues to be the mainstay treatment of TGDR.

Adolescent↗
PubMed1996

Maxillary sinus mucopyocele in children: a case report and review of literature.

PURPOSE: To review the pathophysiology, clinical features, radiological findings, and treatment of this rare disease. CLINICAL FINDINGS: This report is about a 30-month-old child who is, to our knowledge, the youngest patient without cystic fibrosis with maxillary sinus mucopyocele. It is very unusual to see these problems in the pediatric age group. CONCLUSION: Children with paranasal sinus mucocele or mucopyocele deserve screening for cystic fibrosis, even though it can occur in the absence of cystic fibrosis.

Child, Preschool↗