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1.
Nasopharyngeal cryptococcosis 总被引：1，自引：0，他引：1
R MALIK P MARTIN DI WIGNEY DB CHURCH W BRADLEY CR BELLENGER WA LAMB VR BARRS S FOSTER S HEMSLEY PJ CANFIELD DN LOVE 《Australian veterinary journal》1997,75(7):483-488
Naturally occurring cryptococcosis in five cats, a dog and a koala is described. Involvement of the nasopharynx was documented in all patients, and nasopharyngeal mass lesions accounted for the major presenting complaints in four. Signs referable to nasopharyngeal disease included snoring, stertor, inspiratory dyspnoea and aerophagia. Diagnoses were made by caudal rhinoscopy using a retroverted flexible endoscope, vigorous orthograde flushing with saline, or at necropsy. Concurrent cryptococcal rhinitis was present in all cases, although involvement appeared limited to the caudal nasal cavity in most cases. Typical signs of nasal cavity disease, such as sneezing and nasal discharge, were often absent. Treatment of nasopharyngeal cryptococcosis should include physical dislodgement or debulking of lesion(s) to provide immediate alleviation of upper airway obstruction, followed by systemic antifungal therapy to eliminate residual infection from the nasal cavity. Infections caused by Cryptococcus neoformans var gattii accounted for a disproportionately large number of these cases. 相似文献
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应用神经特异性烯醇化酶和多种激素标记物的免疫组化技术,在鼻咽部发现有两类神经内分泌细胞,即上皮性神经内分泌细胞(存在于披复上皮和陷窝腺体)和小细胞性神经内分泌细胞(弥散分布或灶状聚集于固有膜和陷窝腺体周围)。作者对这两类细胞的来源、生物学特性和病理意义作了探讨。 相似文献
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Robert L. Goring DVM James W. Ticer DVM PhD† Thelma L. Gross DVM‡ Norman Ackerman DVM† 《Veterinary radiology & ultrasound》1984,25(3):98-105
Contrast rhinography is a simple noninvasive procedure that may be a useful diagnostic method for positive-contrast radiographic evaluation of the nasal cavity, nasopharynx, and paranasal sinuses in the dog. A standardized and reliable technique was developed using healthy adult Greyhounds. The radiographic appearance of the regional anatomy after intranasal administration of positive-contrast medium was established. Four contrast media: 60% propyl iodine, 37% organically bound iodine, a 60% barium sulfate suspension, and a 30% barium sulfate suspension were evaluated on the basis of their radiographic contrast and detail, distribution, and degree of evoked tissue reaction as defined by clinical assessment. A 30% barium sulfate suspension was selected using these criteria. Contrast medium enhanced the radiographic appearance of the regional anatomy when compared with noncontrast techniques. A procedure for positive-contrast radiographic evaluation of the nasal cavity, nasopharynx, and paranasal sinuses is described in detail. Recommendations are made regarding methods of contrast medium administration and positioning to ensure uniform distribution within the area of interest. 相似文献
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Daji NOH Sooyoung CHOI Hojung CHOI Youngwon LEE Kija LEE 《The Journal of veterinary medical science / the Japanese Society of Veterinary Science》2021,83(9):1356
Pharyngeal collapsibility has been used as diagnostic criteria in dogs, whereas the normal range and quantitative method have not been studied. Dynamic and static computed tomography (CT) was performed in 23 normal Beagle dogs to quantify the nasopharyngeal collapsibility at different locations. Using dynamic CT, maximum and minimum nasopharyngeal cross-sectional areas (CSAs) were measured at the level of the cranial end of the soft palate, pterygoid hamulus, foramen lacerum, bony labyrinth, and caudal end of the soft palate. The ratio of all maximum and minimum CSA to nasopharyngeal CSA at the level of the caudal hard palate (rCSAmax and rCSAmin) and the nasopharyngeal collapsibility were calculated. The differences of rCSAmax, rCSAmin, and nasopharyngeal collapsibility were analyzed at various locations. The nasopharyngeal collapsibility at the level of foramen lacerum, bony labyrinth, and caudal end of soft palate were higher than the others. At the level of the caudal end of the soft palate, rCSAmin was lower than that of the foramen lacerum and bony labyrinth, whereas rCSAmax at foramen lacerum was higher than that of the caudal end of the soft palate. These results indicated that the nasopharynx at the level of foramen lacerum and caudal end of the soft palate were considered notable locations for evaluating collapsibility. Dynamic CT could show the nasopharyngeal dynamic profile and will be an adequate modality for evaluating nasopharynx. Our results will be helpful for further comparative studies in dogs with and without nasopharyngeal collapse. 相似文献
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MICHELE P. LAURENSON ALLISON L. ZWINGENBERGER DEREK D. CISSELL LYNELLE R. JOHNSON MATIE J. McPETERS MATHIEU P. SPRIET SANDRA L. TAYLOR RACHEL E. POLLARD 《Veterinary radiology & ultrasound》2011,52(4):357-361
The pharynx is anatomically complex and evaluation can be difficult even with cross‐sectional imaging. Eight animals had computed tomography (CT) studies of the head performed with the mouth open and closed. The studies were anonymized and evaluated by four radiologists for visibility of six anatomic regions (dorsal wall of nasopharynx, lumen of nasopharynx, dorsal margin of the soft palate, ventral margin of the soft palate, oropharynx, and laryngopharynx) and for certainty of a normal or abnormal diagnosis of four different anatomic regions (nasopharynx, soft palate, oropharynx, and laryngopharynx). Mean visual scores differed significantly between mouth positions and were improved when the mouth was open. The ability of radiologists to classify anatomic regions as normal or abnormal vs. unsure also varied between mouth positions, and there was greater uncertainty when the mouth was closed. In addition, estimated volume of the air‐filled nasopharynx differed significantly as a function of mouth position and was greater when the mouth was open (mean=1.187 cm3, SE=0.177) vs. closed (mean=0.584 cm3, SE=0.116). Computed tomographic evaluation of the pharynx can be improved with the mouth open. 相似文献
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Robert L. Goring DVM James W. Ticer DVM PhD† Norman Ackerman DVM Thelma L. Gross DVM‡ 《Veterinary radiology & ultrasound》1984,25(3):106-123
Positive-contrast rhinography is a simple noninvasive procedure that can be used for radiographic evaluation of the nasal cavity, nasopharynx, and paranasal sinuses in the dog. After assuring the safety of the procedure, it was employed for evaluation of six dogs with nasal and paranasal disease. Contrast rhinography contributed to the identification and assessment of the disease and aided in the diagnosis in dogs where survey radiography was not helpful. This paper proposes the use of positive-contrast rhinography for radiographic evaluation of diseases affecting the nasal cavity, nasopharynx, and paranasal sinuses in the dog. 相似文献
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Patients suffering from upper respiratory disease such as chronic nasal congestion, sneezing, nasal discharge, and epistaxis invite complete evaluation of their paired nasal cavities. Thorough assessment of these cavities employs sundry diagnostic procedures that enable the investigating clinician to characterize the internal structures of the nasal cavities. After the conscious patient undergoes a complete physical examination, a gross assessment of its external nasal structures is established and areas of physical asymmetry are noted. A working anatomic knowledge of these asymmetric foci helps to guide the next diagnostic steps. The patient is then placed under general anesthesia, during which, in list order, imaging studies, rhinoscopy, and nasal biopsy or foreign body retrieval, are performed. 相似文献
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The computed tomographic (CT) findings of histopathologically confirmed nasopharyngeal polyps are described in 13 cats. Most polyps were mildly hypoattenuating to adjacent muscles and isoattenuating to soft-tissue (n= 13), homogeneous (n = 12) and with ill-defined borders (n = 10) on precontrast images. After contrast medium administration, the polyps were homogeneous (n = 11), with well-defined borders (n = 13), oval (n = 13), and had rim enhancement (n = 13). Nasopharyngeal polyps were pedunculated in 11 cats with a stalk-like structure connecting the polyp through the auditory tube to an affected tympanic bulla. All cats had at least one tympanic bulla severely affected, with CT images identifying: (1) complete (n = 12) or partial (n = 1) obliteration of either the dorsal or ventral compartments with soft-tissue attenuating material; (2) pathologic expansion (n = 13) with wall thickening (n = 10) that was asymmetric in nine cats; and (3) identification of a polyp-associated stalk-like structure (n = 11). Nine cats had unilateral tympanic bulla disease ipsilateral to the polyp, and four cats had bilateral tympanic bulla disease, most severe ipsilateral to the polyp with milder contralateral pathologic changes. Two cats had minimal osteolysis of the tympanic bulla. Enlargement of the medial retropharyngeal lymph node was seen commonly (n = 8), and in all cats it was ipsilateral to the most affected tympanic bulla. One cat had bilateral lymphadenopathy. CT is an excellent imaging tool for the supportive diagnosis of nasopharyngeal polyps in cats. CT findings of a well-defined mass with strong rim enhancement, mass-associated stalk-like structure, and asymmetric tympanic bulla wall thickening with pathologic expansion of the tympanic bullae are highly indicative of an inflammatory polyp. 相似文献
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John S. Mattoon DVM Terry C. Gerros DVM MS Jill E. Parker DVMD Cathleen A. Carter DVM Rebecca M. LaMarche DVM 《Veterinary radiology & ultrasound》1997,38(5):384-386
A 9 month old female llama was presented with inspiratory dyspnea. Radiographically, there was a large soft tissue mass nearly occluding the nasopharynx. During endoscopic examination three nasopharyngeal bots were identified embedded in the mass. The larvae were removed and the patient treated with ivermectin. The patient was discharged one week later free of clinical respiratory disease. In follow-up radiographs made 6 weeks later, only residual radiopacity in the area of the mass remained. 相似文献