2. Name Diagnosis Decision
Azza Ahmed
47years
Glomus jugulare Surgical excision of extracranial part
±preoperative embolization Then
radiotherapy
Ready
Hamida
Mohamed
70yrs
Vagal paraganglioma 3D CTA of neck Then transcervical
approach
Requested
Sanaa Mohamed
59yrs
Glomus jugulare FISCH A app Then second stage
excision of intracranial part with
NS
Ready
Osama fathy
63yrs
Rt transglottic well differentiated SCC TL + RT MRND +lt SND Done by
Prof Dr
Hossam
Thabet
Previous Meeting Decisions
3. Hanafy
mahmoud
77yrs
T4b invasive SCC With esophageal
extension
Palliative CRT +Gastrostomy Referred to
oncolgy
Safia Ali
67 yrs
Skull base osteomyelitis EAC Swab for C&S Referral
to otology unit
Done
Ewis Hassan
62yrs
Post RT residual SCC TL +gastric pull up + Frozen
section
Ready
Hany abdallah
60yrs
Rt transglottic Mod diff SCC RT referred to
oncology
Mohamed
Ibrahim
67yrs
Nasopharyngeal recurrence Palliative gastrostomy referred to GIT
4. El hady Ibrahim
42 yrs
Vallecular cyst Surgical excision ready
Sannia Ahmed
57 yrs
Tracheal granuloma CT chest Renal function test
Rheumatological profile
Bronchoscopy+Tracheal biopsy
requested
Essam saeid
42yrs
Post laser cordotomy granulation
tissue
laser trimming Done
Prof dr
/Hisham
Abdelfattah
Mohamed Bakr
29yrs
PITS Bronchoscopic dilatation if
needed
Informed
5. Date Name Surgery Surgeon
12/6/2023 Osama Fathy TL+ Bil MRND Prof. Dr. Hossam Thabet
Res. Hend Khamis
Res. Ahmed Thabet
Res Ahmed Mohy
13/6/2023 Essam saad Laser trimming Prof.Dr. Hesham Abdelfattah
Res. Hend Khamis
Said Ibrahim Retromandibular lesion Did
surgical excision excision
Prof.Dr. Hesham Abdelfattah
Res. Hend Khamis
Res. Ahmed Thabet
14/6/2023 Magda Post TT VC paralysis did
Posterior laser cordotomy
Prof Dr Yassin Bahgat
Res Hend Khamis
Res Ahmed Mohy
Rea Eman Zayed
Hamido Right Transglottic mass did
DL & biopsy
Res Hend Khamis
Res Ahmed Thabet
Ramadan Vocal Cord Polyp did MLS
Res Hend Khamis
Res Ahmed Mohy
Head & Neck Operative List
6. we have 5 cases
1 case cancer larynx
2 cases of protid swelling
1 case of TCF
1 case of post TT VC paralysis
7. Elsayed AbdElrazek
64 yrs
Retired “ Driver”
Abees - Alexandria
Smoker 1p/d for 50yrs
Quitted since 5 Months
Complaint:
HOV since 1 y
Stridor since 3 months
Mid line neck swelling since 3 Months
Progressively increasing in size
No aspiration
Dysphagia to solid since 2 months
8. • PMHx: HTN
Hx of ICU admission and intubation for 13 days
due cardiogenic shock (2/2023) and during
intubation accidently discovered supraglottic
mass so advised to follow up with ENT
department
PSHx :
DL and Biopsy+tracheostomy (19/4/2023)
9. DL 19/4/2023
Examination revealed a mass involving supraglottic
area ,lt VC ,lt pyriform fossa with subglottic extension
and involving Ant commissure + Anterior ⅓ of Rt VC
10. Neck Examination :
• tracheostomized
• Neck swelling in the mid line more prominent on lt side
3*7 cm
hard
fixed to the underlying structure
and to overlying skin (skin invasion)
• Indefinite laryngeal framework
• Absent laryngeal click
• Bil deep cervical LN felt
32. Abdelrazek Ahmed Mahmoud
• 55 yr old male pt
• Labor
• Smoker 1.5 pack/ Day for 30yrs
• Residence: karmouz –Alexandria
• Complaint:
Rt sided cheak swelling since
2 M with stationary course
No fever
No HOV
No Dysphagia
No Aspiration
Referred fom Prof. DR / Emad Magdy
33. PMHx: Free
PSHx: hernioplasty since 26 yrs
Head & Neck examination :
Rt sided parotid swelling
elevating RT ear lobule
3*4cm in size
painless
mobile
showing no signs of inflammation
the mass is not attached to the underlying structure nor
the overlying skin
firm /smooth surface
Intact laryngeal framework /click
No palpable LN at time of examination
79. Amany Abdelmenem
• 36 yrs
• Housewife
• Non smoker
• Residence: Elbehira
•C/O
• lt sided cheek swelling SINCE
5 yrs slowly increasing in size
No fever
No HOV
No Dysphagia
No Aspiration
Referred fom Prof Dr Hossam Thabet
80. PMHx: Free
Pshx: CS
lt sided swelling at the angle of mandible
No elevation of ear lobule
2x2cm in size
painless
mobile
not attached to skin or surrounding
firm /smooth surface
Intact laryngeal framework /click
No palpable LN
FN : intact Bil
84. Diaa Sobhy
• 25 years
• Non-Smoker
• Residency : ElBehira
Complaint
• HOV since 2021
• No Aspiration
• No Dysphagia
• No stridor
• Referred from Prof.Dr/Alaa Gafaar
86. PMHx: free
PSHx:
Condition started since 2017 by RTA & Intubation for 4 MO
Developped Stridor 10 days after Discharge
Urgent tracheostomy ElDelingat General Hospital
11/2017 >> RA (2nd & 3rd tracheal rings) Tanta
2018 trail of weaning>>failed (Stridor)
Bronchoscopic Examination 6/2018 By Prof Dr Alaa Gafaar
Stenosis at site of anastomosis>Balloon Dilatation+application of Mitomycin
LASER excision of granulation tissue +Dilatation+weaning 8/2021
By Prof Dr Alaa Gafaar
92. Soad Ibrahim
• 55 yrs
• Housewife
• Residence: kafr eldawar
• non smoker
COMPLAINT:
• Mild stridor since 2 m
• Infrequent aspiration since 2 m
• No HOV
• No Dysphagia
Referred Prof Dr Hesham Abdelfatah
93. Pmhx: HTN , oEltroxin 25
HX OF ICU admission since 1month on aspiration pneumonia
TSH 0.41 (5/2023)
PSHX :
TT in 2010 (no available data about pathology )
she developed HOV and stridor 1 wk after surgery
Emergant tracheostomy was done
Rt laser cordotomy was done 2 m later
Successful weaning
94. •Neck examination :
• midline neck swelling 2*2 cm mobile with deglution
•Intact laryngeal framework /click
• No palpable LN
scar of TT and tracheostomy
