Steady progress in instrumentation, technique and skills will increase the feasibility of skull-base surgery using an endonasal approach in the pediatric population.
RESUMELes localisations ORL extra ganglionnaires de la tuberculose sont peu communes. La symptomatologie clinique est trompeuse, posant ainsi le problème de diagnostic différentiel avec la pathologie tumorale. Nous rapportons 12 cas de localisations extra ganglionnaires de tuberculose, colligés au service ORL de lʼEPS Fattouma Bourguiba de Monastir entre 1995 et 2009. Lʼâge moyen de nos patients est de 38 ans. Lʼétude topographique a montré 3 localisations laryngées, 3 au niveau des glandes salivaires, 2 amygdaliennes, 2 rhinopharyngées, 2 rhino sinusiennes. Le diagnostic était anatomopathologique dans tous les cas. Tous nos patients ont reçu un traitement antituberculeux avec une bonne évolution. Mots-clés : Tuberculose, amygdale, rhinopharynx, larynx, glandes salivaires.
SUMMARYObjective : ENT extra-nodal localisation of tuberculosis is an uncommon condition. Clinical symptomatology is misleading, so having the problem of differential diagnosis with tumoral disease. We report 12 cases of extra-nodal localisations of tuberculosis treated in ENT department of the Fattouma Bourguiba hospital of Monastir between 1995 and 2009. The mean patients age is 38 years. Topographic analysis shows 3 laryngeal localisations, 3 on the salivary glands, 2 tonsillar, 2 on the nasopharynx and 2 rhinosinusal. The diagnosis was in all cases histo-pathological. All our patients received an antitubercular treatment with favorable evolution.
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