Background: Double-lumen endotracheal (DLT) is commonly used for one-lung ventilation and lung separation during thoracic surgery. There are case reports of medically induced laryngeal granulomas, mainly in patients a...Background: Double-lumen endotracheal (DLT) is commonly used for one-lung ventilation and lung separation during thoracic surgery. There are case reports of medically induced laryngeal granulomas, mainly in patients after single-lumen endotracheal (SLT) tube intubation and tracheotomy, and giant granulomas of the vocal cords due to double-lumen bronchial tube insertion have rarely been reported. Case presentation: A 49-year-old female patient underwent single-port thoracoscopy after DLT intubation as well as a wedge resection of the lower lobe of the left lung, which caused giant vocal process granulomas (VPGs) postoperatively. Based on a retrospective analysis of the general condition, current medical history, past medical history, and visual laryngoscopic observation of the vocal folds tissue, which ruled out preoperative vocal fold granuloma formation, we hypothesized that double-lumen bronchial catheter intubation may have been the primary cause of her vocal fold granuloma formation. Conclusions: Giant granuloma of the vocal folds after DLT insertion is a rare postoperative complication;therefore, if DLT intubation is to be performed, the anesthesiologist should choose an appropriate intubation plan and deal with it promptly to avoid the risk factors to ensure that the patient’s perioperative period is safe and smooth. In addition, if postoperative complications are encountered, they should be followed up and observed on time.展开更多
The first International Conference on Modern Process Mineralogy and Mineral Processing, organized by the Nonferrous Metals Society of China and hosted by Beijing General Research Institute of Mining and Metallurgy,was...The first International Conference on Modern Process Mineralogy and Mineral Processing, organized by the Nonferrous Metals Society of China and hosted by Beijing General Research Institute of Mining and Metallurgy,was held on September 22-25,1992,in Beijing,China.About 350 scholars and experts from 25 countries and regions showed up at the conference and 130 papers were presented,among them 98 papers are of mineral processing.Some of the papers given in mineral processing are summed up as follows.展开更多
Objective: To discuss the surgical treatment of recurrent osteoma of the mastoid process of the temporal bone, that obstructed external auditory canal causing unilateral conductive hearing loss. Setting: The study was...Objective: To discuss the surgical treatment of recurrent osteoma of the mastoid process of the temporal bone, that obstructed external auditory canal causing unilateral conductive hearing loss. Setting: The study was carried out in ENT Clinic, University Clinical Center of Kosovo, Prishtina, Kosovo. Design: Retrospective review of a clinical case. Patient, Intervention and Result: We treated surgically with success a 14-year-old boy with osteoma of mastoid process, obstructing the external auditory canal of the left ear and causing conductive hearing loss. Axial and coronal computed tomography scans revealed an compact bone lesion that obstructed the canal. Complete removal of the lesion was achieved by a retroauricular approach. Conclusion: In order to achieve complete removal of the osteoma, drilling of the lesion must be performed not through the tumor, but around the osteoma, in the surrounding bone tissue.展开更多
文摘Background: Double-lumen endotracheal (DLT) is commonly used for one-lung ventilation and lung separation during thoracic surgery. There are case reports of medically induced laryngeal granulomas, mainly in patients after single-lumen endotracheal (SLT) tube intubation and tracheotomy, and giant granulomas of the vocal cords due to double-lumen bronchial tube insertion have rarely been reported. Case presentation: A 49-year-old female patient underwent single-port thoracoscopy after DLT intubation as well as a wedge resection of the lower lobe of the left lung, which caused giant vocal process granulomas (VPGs) postoperatively. Based on a retrospective analysis of the general condition, current medical history, past medical history, and visual laryngoscopic observation of the vocal folds tissue, which ruled out preoperative vocal fold granuloma formation, we hypothesized that double-lumen bronchial catheter intubation may have been the primary cause of her vocal fold granuloma formation. Conclusions: Giant granuloma of the vocal folds after DLT insertion is a rare postoperative complication;therefore, if DLT intubation is to be performed, the anesthesiologist should choose an appropriate intubation plan and deal with it promptly to avoid the risk factors to ensure that the patient’s perioperative period is safe and smooth. In addition, if postoperative complications are encountered, they should be followed up and observed on time.
文摘The first International Conference on Modern Process Mineralogy and Mineral Processing, organized by the Nonferrous Metals Society of China and hosted by Beijing General Research Institute of Mining and Metallurgy,was held on September 22-25,1992,in Beijing,China.About 350 scholars and experts from 25 countries and regions showed up at the conference and 130 papers were presented,among them 98 papers are of mineral processing.Some of the papers given in mineral processing are summed up as follows.
文摘Objective: To discuss the surgical treatment of recurrent osteoma of the mastoid process of the temporal bone, that obstructed external auditory canal causing unilateral conductive hearing loss. Setting: The study was carried out in ENT Clinic, University Clinical Center of Kosovo, Prishtina, Kosovo. Design: Retrospective review of a clinical case. Patient, Intervention and Result: We treated surgically with success a 14-year-old boy with osteoma of mastoid process, obstructing the external auditory canal of the left ear and causing conductive hearing loss. Axial and coronal computed tomography scans revealed an compact bone lesion that obstructed the canal. Complete removal of the lesion was achieved by a retroauricular approach. Conclusion: In order to achieve complete removal of the osteoma, drilling of the lesion must be performed not through the tumor, but around the osteoma, in the surrounding bone tissue.
