5 years follow up after transnasal endoscopic surgery of Thornwaldt's cyst with powered instrumentation

El‐Anwar, Mohammad Waheed; Amer, Hazem Saeed; Elnashar, Ismail; Askar, Sherif M.; Ahmed, Ayman

doi:10.1016/j.anl.2014.08.016

Cited by 13 publications

(11 citation statements)

References 14 publications

(17 reference statements)

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“…Marsupialization is proven as a great choice of treatment in this patient, as the previous symptoms significantly improved after the procedure. Literature also shows that this approach is an effective treatment with no recurrence in long term [13].…”

Section: Resultsmentioning

confidence: 88%

Tornwaldt Cyst: Rare Benign Neoplasm Mimicking Nasopharyngeal Carcinoma

Gunterus¹,

Monik²

2021

Advances in Health Sciences Research

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Nasopharyngeal cancer (NPC) is the fifth most common cancer in Indonesia and highest in head and neck area. Its most common manifestations ever reported in Indonesia were unilateral ear problem, followed by persistent nasal obstruction, blood nasal secretion, cephalgia, lymph node enlargement, and tinnitus. Here we present a case of Tornwaldt cyst with symptoms similar to NPC presentation in Indonesia. A 56-year-old female presented to Ear, Nose, Throat, Head and Neck Surgery clinic with few years history of vertigo, aural fullness, unilateral tinnitus, bilateral nasal blockage, and headache. ENT endoscopic examination showed retracted left tympanic membrane and smooth round mass in the nasopharynx posterior wall. CT scan supported the examination. Endoscopic marsupialization was then performed with good results of immense symptoms improvement. Laboratory studies of the samples taken from the surgery proved it wasn't malignant. As NPC is common in Indonesia and known of its possible dire prognosis, it is best to treat all similar cases as malignancy. Until proven otherwise in cytopathology and histopathology examinations, we continued to treat the case as malignancy.

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Section: Resultsmentioning

confidence: 88%

Tornwaldt Cyst: Rare Benign Neoplasm Mimicking Nasopharyngeal Carcinoma

Gunterus¹,

Monik²

2021

Advances in Health Sciences Research

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“…Additionally, the cyst may have grown with the inflammation and become symptomatic. Microdebrider-assisted transnasal endoscopic Thornwaldt cyst marsupialisation is a safe method in the long term 14. We preferred to use this method in our case.…”

Section: Discussionmentioning

confidence: 94%

Combined surgical treatment for severe sleep apnoea, to improve BiPAP compliance

2015

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SUMMARYPositive airway pressure (PAP) devices are used in the treatment of obstructive sleep apnoea syndrome (OSAS). In cases of PAP failure, many different surgical methods can be used for the treatment. The authors present an unusual case of a patient with Bi-level PAP (BiPAP)-intolerant severe OSAS who was treated with combined surgical methods. A 55-year-old man was treated with BiPAP due to OSAS; he was admitted to the clinic with nose stuffiness, respiratory distress and BiPAP adherence with tolerance and compliance problems. Septal deviation, concha hypertrophy, lateral pharyngeal band hypertrophy and Thornwaldt cyst were determined in the examination. Combined surgical methods were administered. The patient's apnoea hypopnoea index (AHI) was 72.8 in diagnostic polysomnography. Preoperative AHI was 7.3 and postoperative AHI was 2.3 while using BiPAP and, after the surgery, the BiPAP intolerance was eliminated. The authors suggest that a combination of different surgical methods would be an adjuvant treatment to increase BiPAP compliance. BACKGROUND

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“…The cyst has a high signal intensity on T1-weighted, T2-weighted and fluid-attenuated inversion-recovery, with no enhancement with gadolinium contrast [ 18 ]. Computerized tomography can be used as well, with the TC appearing as a well circumscribed, low density lesion [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

Tornwaldt nasopharyngeal cyst: Case series and literature review

Alshuhayb¹,

Alkhamis²,

Aldossary

et al. 2020

International Journal of Surgery Case Reports

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Highlights Tornwald’s cyst is a rare benign disease of the nasopharynx. The disease has a diverse clinical presentation, with the majority of cases being discovered incidentally. Nasoendoscopy, imaging studies and pathological examination can be used to confirm the disease. Endoscopic surgical removal is an excellent safe measure for disease management.

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5 years follow up after transnasal endoscopic surgery of Thornwaldt's cyst with powered instrumentation

Cited by 13 publications

References 14 publications

Tornwaldt Cyst: Rare Benign Neoplasm Mimicking Nasopharyngeal Carcinoma

Tornwaldt Cyst: Rare Benign Neoplasm Mimicking Nasopharyngeal Carcinoma

Combined surgical treatment for severe sleep apnoea, to improve BiPAP compliance

Tornwaldt nasopharyngeal cyst: Case series and literature review

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