Superior Thyroid Artery Originating from the Ascending Pharyngeal Artery

Background: The superior thyroid artery generally originates from the anterior surface of the external carotid artery. The superior thyroid artery originating from the ascending pharyngeal artery is an extremely rare anatomic variation. Nevertheless, some variations in the origin of the superior thyroid artery have been reported in the literature. Such knowledge is important during neck surgeries such as thyroidectomy and radical neck dissection. Here we report the first case of a superior thyroid artery arising from the ascending pharyngeal artery. Case report: During a routine dissection on the neck, a superior thyroid artery originating from the ascending pharyngeal artery was observed on the right side, in a 37-year-old male cadaver. The superior thyroid artery had two segments, a superior (or horizontal) segment and an inferior (or vertical) segment. The superior segment passed posterior to the linguofacial trunk. The inferior segment passed posterior to the superior laryngeal artery and an artery that went to the infrahyoid muscles. These last two arteries came directly from the external carotid artery. The superior thyroid artery terminated in two branches (one lateral and one medial) 6 mm above the superior pole of the right thyroid lobe. Conclusion: The origin of the superior thyroid artery from the ascending pharyngeal artery is an extremely rare anatomical variation. A thorough knowledge of the variations in origin of the superior thyroid artery is decisive for head and neck surgeries

Historical Case of Cervical Penetrating Wound: From First Aid to Surgical Intervention

Objective. We report a case of cervical penetrating wound by posing the problem of its support and by analyzing the chain of survival of a patient to human sacrifice. Case Report. It was an 11-year-old boy admitted to the hosting service of cervical penetrating wound emergency occurring in a context of human sacrifice by weapon (knife). On admission, the conscious patient had a left cervical hematoma at the level of the cervical zone II and severe signs of acute anemia. The exploratory cervicotomy, carried out 12 hours after the trauma under transfusion, allowed us to highlight a section of the front edge of the sternocleidomastoid and previous jugular muscles under hyoid. We noted the presence of a linear wound of 1 cm at the level of the left internal jugular vein. The wound of the internal jugular vein has been repaired with the Prolene 4.O. The outcome was good, allowing the exit 10 days after cervicotomy. Conclusion. The causal circumstances of cervical penetrating wounds are diverse. Their importance or their severity depends on the causative circumstances dominated by aggression and attempts to autolysis. Human sacrifice, with use of the weapon, is an exceptional circumstance

Le traitement conservateur médical de la fistule œsotracheale

Les fistules œsotrachéales représentent une entité pathologique caractérisée par la présence d'une communication anormale entre l'arbre trachéal et l'œsophage. A travers un cas clinique de fistule œsotrachéale suite à l'ingestion d'un corps étranger, nous abordions l'aspect étiopathogénique, évaluer notre principe thérapeutique et faire une revue de la littérature. Il s'agit d'un patient de 15ans admis pour dysphagie évoluant depuis deux mois suite à l'ingestion d'un corps étranger à type de morceau d'os. L'œsophagoscopie sous anesthésie générale a permis l'extraction du corps étranger. Le Transit Oeso-gastro-duodénal (TOGD) en post-opératoire a objectivé l'orifice fistulaire siégeant au niveau de C7. L'absence de l'orifice fistulaire a été notée à J30 post-endoscopie au TOGD de contrôle. Le traitement médical est une alternative thérapeutique de la fistule œsotrachéale et doit être basé sur des critères bien définis

A novel de novo variant in the RUNX2 gene causes cleidocranial dysplasia in a Malian girl

Key Clinical Message Cleidocranial dysplasia (CCD) is a rare genetic skeletal disorder with only few cases reported in Africa, mostly based on clinical and radiological findings. We report the first case in Mali, caused by a novel de novo variant in the RUNX2 gene. Abstract Cleidocranial dysplasia (CCD) is a rare autosomal dominant skeletal dysplasia characterized by an aplastic/hypoplastic clavicles, patent sutures and fontanels, dental abnormalities and a variety of other skeletal changes. We report a novel de novo variant in the RUNX2 gene causing a severe phenotype of CCD in a Malian girl