Paragangliomas can be found from the skull base to the sacrum. Sinonasal paragangliomas are infrequent. A 16-year-old female reported spontaneous discrete bilateral epistaxis once a month beginning when she was 3 years of age. Computed tomography showed an expansive hypervascular mass occupying the right nasal cavity and nasopharynx. Sinonasal paragangliomas usually occur in middle-aged women. Radiologic investigation is essential for the diagnosis of sinonasal paragangliomas and evaluating extension of the lesion. Endoscopic and conventional approaches are effective, and preoperative embolization is paramount for reducing bleeding risk. Histopathological features cannot differentiate benign from malignant paragangliomas, and since metastasis may eventually occur, follow-up must be carried out for a long period of time.
Introduction: The infrahyoid flap is a pedicled flap with a simple harvesting technique. It may be an alternative for free flaps in elderly or patients with multiple comorbidities. This article evaluates 15 patients submitted to reconstruction of head and neck defects. Case report: Case series of patients submitted to infrahyoid flap reconstruction in a referral center. We evaluate surgical and functional outcomes associated with reconstruction with infrahyoid flap from November of 2013 to May of 2017. Conclusion: Infrahyoid flap is a thin and flexible flap with low rates of complications and does not require another surgical team. The majority of the patients had complete functional rehabilitation. Keywords: Reconstructive Surgical Procedures. Myocutaneous Flap. Surgical Flaps. Head and Neck Neoplasms.
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