P a p a New GuineaEight cases of intracranial extensions of juvenile nasopharyngeal angiofibromas (JNA) are presented. These form 33% of the cases of JNA treated during a 5-year period . A high incidence of visual complications in this stage of tumour is observed and the basis of this is discussed. Death results from serious complications of severe haemorrhage and cerebro-spinal fluid leak. The intradural intracranial extensions of the tumour warrant careful approach in terms of surgery, because of their greater risk for complications during the dissection.
A broken end of the spear presenting as a foreign body in the nasopharynx and right maxillary sinus in a 19-year-old Papua New Guinean is described. The types of foreign bodies and their mechanisms of introduction into this site are summarized.
A 10-year-old boy presented with left-sided nasal obstruction and epistaxis. Endoscopic evaluation revealed a polypoid mass in the vestibule arising from the lateral wall of the nasal cavity anteroinferior to the left inferior turbinate. Computed tomography (CT) scan showed a soft tissue opacity in the vestibule of the left nasal cavity. After the endoscopic excision of the mass, postoperative and histopathological analyses confirmed the diagnosis of an angiofibroma.
Five cases of juvenile laryngeal papillomatosis encountered in Papua New Guinea during the period from December 1987 to May 1989 are described in detail. They were seen in the age-range of 1 year 7 months-5 years. The common clinical features were change of voice and dyspnoea. They were treated by microlaryngoscopic excision with cupped forceps. One of the cases followed-up for 15 months showed multiple recurrences. This condition of juvenile laryngeal papillomatosis, though not common, is certainly not rare in this country and should be considered as a differential diagnosis in the case of a child presenting with progressive dyspnoea.
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