Case Report
Management of Lymphoepithelial Cyst of Vallecula by Coblator, a Case Report and Literature Review
Munishwara Galigekere Bhyranna*
,
Deeksha Devaki Devaraj,
Thrupthi Galigekere Munishwara,
Swarna Kamala Sugantharajan,
Vinay Shridhar Bhat
Issue:
Volume 13, Issue 1, June 2025
Pages:
1-4
Received:
23 February 2025
Accepted:
19 March 2025
Published:
31 March 2025
Abstract: Introduction: Lymphoepithelial cyst (LEC) of vallecula is an uncommon benign lesion. Cysts in vallecula can present with odynophagia, dysphagia, dysphonia and stridor. Many times, they can be asymptomatic. They can pose difficulty in intubation. On endoscopic evaluation it may mimic the appearance of a lipoma because of its yellowish appearance. Management of this requires adequate visualization and instrumentation. It can be done under endoscopic guidance or laryngoscopy by using cold steel method or laser or coblator. Because of rarity of the lesion, case has been reported. Case report: A 54-year-old male presented with odynophagia. An upper gastrointestinal endoscopy done by gastroenterologist revealed a mass in left vallecula and was then referred to otorhinolaryngologist. Excision was done using coblator under endoscopic guidance under general anaesthesia. Coblator enabled precise excision with adequate hemostasis without multiple repeated instrumentations. Histopathology confirmed it as a Lymphoepithelial cyst. Patient was discharged the next day with oral antibiotics and analgesics and at follow up was asymptomatic and endoscopic examination showed a well healed site of the lesion. Conclusion: Lymphoepithelial cyst of vallecula is a rare lesion. It can be excised using coblator under endoscopic guidance with advantage of having better precision, reduced bleeding, faster recovery compared to conventional methods. This technique can be used for other vallecular benign lesions as well.
Abstract: Introduction: Lymphoepithelial cyst (LEC) of vallecula is an uncommon benign lesion. Cysts in vallecula can present with odynophagia, dysphagia, dysphonia and stridor. Many times, they can be asymptomatic. They can pose difficulty in intubation. On endoscopic evaluation it may mimic the appearance of a lipoma because of its yellowish appearance. Ma...
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Case Report
Thrombectomy of the Anterior Cerebral Artery Through a Trans-Anterior Communicating Artery Approach: A Case Report
Tingjie Ma,
Dong Xu*
Issue:
Volume 13, Issue 1, June 2025
Pages:
5-10
Received:
3 April 2025
Accepted:
14 April 2025
Published:
29 April 2025
Abstract: Objective: Acute anterior cerebral artery (ACA) occlusion is a rare condition and sometimes leads to significant neurological deficits. Mechanical thrombectomy through the ipsilateral carotid artery can achieve recanalization in most acute occlusions of the anterior cerebral artery. However, ipsilateral carotid artery occlusion will significantly increase the difficulty and risk of thrombectomy of the anterior cerebral artery. Case presentation: A 50-year-old man presented with a sudden onset of right hemiparesis, dysarthria, and symptoms of confusion. Computed tomographic angiography revealed acute left ACA occlusion and chronic occlusion of the ipsilateral internal carotid artery. Thrombectomy of the ipsilateral anterior cerebral artery via the occluded internal carotid artery is both difficult and time-consuming. We performed thrombectomy of the left anterior cerebral artery through the right internal carotid artery via the anterior communicating artery. The target vessel was successfully recanalized and the patient achieved good results. There is no report about thrombectomy of contralateral anterior cerebral artery through the anterior communicating artery. Conclusion: This case prompt that it is feasible to use the anterior communicating artery as the thrombectomy path for the contralateral anterior cerebral artery distal medium vessel occlusion.
Abstract: Objective: Acute anterior cerebral artery (ACA) occlusion is a rare condition and sometimes leads to significant neurological deficits. Mechanical thrombectomy through the ipsilateral carotid artery can achieve recanalization in most acute occlusions of the anterior cerebral artery. However, ipsilateral carotid artery occlusion will significantly i...
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Research Article
The Inverted Easel: A Novel Technique for Mento-Labial Harmonization Using Hyaluronic Acid Filler
Issue:
Volume 13, Issue 1, June 2025
Pages:
11-16
Received:
26 February 2025
Accepted:
3 April 2025
Published:
26 May 2025
DOI:
10.11648/j.ass.20251301.13
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Abstract: Facial harmonization of the lower third is essential for achieving proportionate, youthful, and natural aesthetic results. Conventional filler techniques for this region often rely on bolus injections that may overcorrect the mental fat pad, leading to projection irregularities and compromised outcomes. This study introduces the "Inverted Easel" technique, a novel and minimally invasive method for mento-labial elongation using hyaluronic acid (HA) filler. The approach emphasizes anatomical precision through vector-based filler distribution to safely enhance vertical dimensions without volumetric excess. Nineteen patients underwent treatment with a single-entry cannula technique using UP Deep®, a biphasic, high-density HA filler. Retrograde linear threading was performed along four radial vectors originating from a central chin point—two medial and two lateral—creating a scaffold that mimics an inverted easel. No bolus injections were used. Facial assessments were conducted with Quantificare® 3D imaging software, measuring changes in mento-labial distance and lower third facial height at baseline and 30 days post-treatment. Of the 12 patients with complete imaging data, 10 demonstrated measurable improvements, with an average increase of 1.76 mm in mento-labial distance and 1.86 mm in lower third facial height. No serious adverse events were reported. Minor side effects, including transient edema and erythema, resolved within 72 hours. Patient-reported satisfaction was high, with 90% rating the outcome as "very satisfied" according to the Global Aesthetic Improvement Scale (GAIS). The Inverted Easel technique provides a safe, reproducible, and anatomically respectful strategy for lower facial harmonization. Its refined injection design enhances structural support while minimizing risks of overcorrection. These results suggest that the method is well-suited for subtle yet impactful lower face elongation, particularly in patients seeking balanced, natural results.
Abstract: Facial harmonization of the lower third is essential for achieving proportionate, youthful, and natural aesthetic results. Conventional filler techniques for this region often rely on bolus injections that may overcorrect the mental fat pad, leading to projection irregularities and compromised outcomes. This study introduces the "Inverted Easel" te...
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