Congenital cysts of the neck are not uncommon. Most of these are thyroglossal, branchial cleft and thymic cysts. Bronchogenic cysts are uncommon developmental anomalies of the tracheobronchial tree and rarely occur in the neck. More than 70 cases of bronchogenic cysts in the head and neck region have been reported in the literature. We report three cases presenting with neck swelling in the hyoid region that were diagnosed as bronchogenic cysts based on clinical and histopathological findings.
Most patients with thrombotic/nonabscessed sinuses will have successful outcomes with this approach, but careful observation is needed, given the possibility of advancing disease.
Failure Mode and Effects Analysis (FMEA) is a technique used in the manufacturing industry to improve production quality and productivity. It is a method that evaluates possible failures in the system, design, process or service. It aims to continuously improve and decrease these kinds of failure modes. Adaptive Resonance Theory (ART) is one of the learning algorithms without consultants, which are developed for clustering problems in artificial neural networks. In the FMEA method, every failure mode in the system is analyzed according to severity, occurrence and detection. Then, risk priority number (RPN) is acquired by multiplication of these three factors and the necessary failures are improved with respect to the determined threshold value. In addition, there exist many shortcomings of the traditional FMEA method, which affect its efficiency and thus limit its realization. To respond to these difficulties, this study introduces the method named Fuzzy Adaptive Resonance Theory (Fuzzy ART), one of the ART networks, to evaluate RPN in FMEA.
Experience is the important point in reduction of the complications and in the effectiveness of the surgical procedure in pituitary surgery. Endoscopic pituitary surgery differs from microscopic surgery, since it requires a steep learning curve for endoscopic skills. In this article, we evaluate our learning curve in two groups, as early and late experience. Purely endoscopic transsphenoidal operations were performed on 78 patients, which were retrospectively reviewed and grouped as early and late experience groups. We used the purely endoscopic endonasal approach to the sella that was performed via an anterior sphenoidotomy, without the use of a transsphenoidal retractor. All patients with adenomas were evaluated considering operation time, endocrinology, ophthalmology, total removal and, especially, modifications of standard technique. On the basis of the experience gained with the use of the endoscope in transphenoidal surgery over the years, modifications can be performed on the different phases of the endoscopic approach. Reviewing our cases in two groups of period due to our experience showed that the effectiveness of endoscopic surgery increases and operation time decreases. In our study, we identified a learning curve in endoscopic pituitary surgery.
Endoscopic approach for complete removal of the CPs is an extremely safe and effective procedure. It should be focused on the detection of the exact origin and the extent of the polyp to prevent recurrence.
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