Browsing by Author "Valjarević, Svetlana (56246443000)"

Introduction Laryngeal edema is a rare complication of angina Ludovici. Infections of this region are mostly of dentogenic origin, less often caused by tonsillitis or other infections in the pharynx. We present a case of a patient with laryngeal edema and dyspnea caused by a lower jaw tooth infection and an ipsilateral submandibular abscess. Case outline The clinical picture of our patient progressed rapidly – from toothache, painful swelling of the floor of the oral cavity, submandibular and submental regions, bilaterally, all the way to life-threatening dyspnea. A flexible nasopharyngolaryngoscopy was performed. Swelling of the base of the tongue on the left side was observed, along with pronounced edema of the aryepiglottic fold on the same side, which narrowed the breathing space. Since the breathing space was significantly reduced, the patient was urgently hospitalized. The surgical treatment was carried out in the form of an external incision and drainage of the abscess collection of the left submandibular region, with the use of oxygen support and parenteral therapy, in accordance with the recommendations from the available medical literature. Constant monitoring of saturation levels indicated a significant improvement after just a few hours of medicamentous therapy. Conclusion The goal of our work is to point out a very rare but serious complication, laryngeal edema, which can lead to airway obstruction even in the first few days of the development of the infection, and endanger the life of the patient. © 2023, Serbia Medical Society. All rights reserved.

Detailed knowledge of the anatomy of the nasal cavity and paranasal sinuses is very important in the diagnosis of pathological processes, planning of endoscopic surgery, and radiologic guiding techniques during certain operations. Observational study. Clinic of Neurosurgery, Institute and Department of Anatomy and Pathology, Clinic and Department for Otorhinolaryngology and Maxillofacial Surgery, Faculty of Medicine. Two heads with brains were serially cut in the axial and coronal planes. 73 individuals, who were enrolled among 1848 patients, underwent examination by multidetector computerized tomography. A nasal septal deviation was seen in 65.8%, and septal pneumatization in 11%. Superior concha pneumatization was observed in 1.4% of patients, middle concha bullosa in 30.2%, and its hypoplasia in 1.4%. The lamina papyracea dehiscence was also present in 1.4%. The uncinate process was absent in 1.4%, and it was pneumatized in 4.2%. Agger nasi cells were noticed in 34.3%, and Haller and Onodi cells in 20.7% each. The olfactory fossa was shallow in 9.7%, deep in 31.6%, and very deep in 58.9%. Absence of the frontal sinus was seen in 9.7%. The presellar type of the sphenoidal sinus was present in 11%, the sellar in 35.7%, and the postsellar in 53.5%. Hypoplasia of the maxillary sinus was revealed in 1.4%, and hyperpneumatization in 4.2%. The sinus floor was usually below the level (60.3%), at the same level (20.7%), or above the level of the nasal floor (19.2%). The bony septum within the sinus was seen in 52.1%. The presented data are of a great significance in order to avoid a misdiagnosis of the anatomic variations, to make a proper diagnosis of certain diseases, and for safe endonasal operations. © 2021, Association of Otolaryngologists of India.

Introduction While mucosal melanoma of the head and neck remains an uncommon condition, its incidence has been on the rise in recent decades. Within the larynx, the supraglottis represents the most frequently affected subsite, followed by the glottis, with hoarseness being the predominant symptom. Given the tumor’s aggressive behavior and its challenging location, it is often overlooked until it progresses to an advanced stage, which significantly worsens the prognosis. Case report A 45-year-old male patient with stridorous breathing presented to the emergency room. An indirect laryngoscopy revealed a transglottic mass occupying the left piriform recess and the entire laryngeal inlet, leading to an exceptionally narrowed airway. Urgent tracheostomy was performed. Contrast-enhanced computed tomography of the neck identified an ulceroproliferative mass in the larynx, spanning the supraglottic, glottic, and subglottic regions, causing airway narrowing and extending into the left pyriform sinus. Laryngoscopy was performed, and biopsy of the laryngeal lesion confirmed a diagnosis of malignant melanoma. Unfortunately, the patient refused further surgical and oncological treatment, as well as additional diagnostic procedures. Four months after the initial diagnosis, the patient was lost to follow-up. Conclusion Laryngeal melanoma is an uncommon condition that can necessitate an emergency tracheostomy. Since melanoma can be mistaken for other laryngeal malignancies, immunohistochemical analysis plays a crucial role in making an accurate diagnosis. Early detection of the disease is vital. © 2025, Serbia Medical Society. All rights reserved.