Paragangliomas are rare, benign vascular tumours that can present in the head and neck region with a wide clinical spectrum. The clinical presentation and management approaches are examined from a Jamaican perspective.
Objective: Paragangliomas are slow-growing tumours that present with varied clinical spectra. Early recognition is paramount in achieving reduced morbidity and mortality. There is a paucity of data regarding head and neck paragangliomas (HNPGs) in the Caribbean literature. This study aimed to reflect the clinical experience in the management of HNPGs at two Jamaican tertiary referral centres: the Kingston Public Hospital (KPH) and the University Hospital of the West Indies (UHWI).
Epistaxis is stated as one of the most common otolaryngology emergencies. Minor epistaxis originates from the anterior septum and is secondary to nose picking in children and dessication of the mucosa in adults from dry air. Major epistaxis lacks a precise definition but is characterised as being difficult for patients to control which results in a visit to the emergency department. There is a high prevalence of elevated blood pressure readings and hypertension among our patients with epistaxis. Most cases of epistaxis can be managed successfully with non-surgical treatment.