The author conducted a study to identify and categorize those vestibular disorders that were the most common among elderly patients at his private clinic over a 20-year period. He reviewed the records of 735 patients aged 65 to 90 years. The most common diagnosis was vertigo and/or disequilibrium, which occurred in 164 patients (22.3%). Of this group, 121 patients (73.8%) had a peripheral vestibular disorder and 43 (26.2%) had a central vestibular disorder. The characteristics of these cases are discussed.
Malignant melanomas involving the mucosa are rare and aggressive lesions. Their rarity has made the formulation of staging and treatment protocols very difficult, as most of the available information comes from case reports and small case series. We conducted a retrospective study to analyze the behavior of melanomas of the oral mucosa in patients who were treated at Tata Memorial Hospital in Mumbai, a tertiary care referral center for malignancies and one of the largest cancer centers on the Indian subcontinent. During the 22-year period from January 1986 through December 2007, we found only 13 such cases, which had occurred in 8 men and 5 women, aged 26 to 70 years (mean: 37.5). All patients had been offered surgery with curative intent. Mucosal melanomas have exhibited a greater tendency for distant recurrence than for local treatment failure, which is why adjuvant radiation therapy has not been shown to confer any consistent benefit. In our study, only 3 of the 13 patients (23.1%) remained alive 2 years after diagnosis, despite aggressive treatment. Tumor staging, optimal treatment, and prognostic factors for oral mucosal melanoma are far from clear, and further research is needed. Despite the small number of patients in this study, it still represents one of the largest series of oral mucosal melanoma patients in India.
Malignant melanomas are aggressive tumors that usually occur on the skin. Skin melanomas have been studied extensively, and clear-cut staging, treatment, and prognostic information is available. However, melanomas occurring in the mucous membranes, which are relentlessly malignant, are very uncommon, and the available information on...
Regardless of what level of training one is at, we strongly agree with, support, and praise the editors' valuable point that supporting current trainees in scholarly pursuits is crucial for the continued advancement of our specialty
We would like to thank the editors of major otolaryngology journals for their insightful editorial entitled “The Value of Resident Presentations at Scientific Meetings,” published in The Laryngoscope and other prominent oto-laryngologic journals.1-14 We strongly agree on the importance of encouraging research among...
Dyspnea is a common complaint among pregnant women; upper airway obstruction is a rare cause of it. We report a case of supraglottic hemangioma in a 20-year-old pregnant woman who presented with increasing dyspnea and hoarseness at 40 weeks of gestation. She gave birth to a healthy 3,100-g girl by caesarean delivery under epidural anesthesia. She was able to breathe easily during the postpartum period. This case represents a rare instance of dyspnea caused by a supraglottic hemangioma in a pregnant woman.
Dyspnea is a common symptom during pregnancy. It may develop as a result of decreasing lung capacity, anemia, preeclampsia, or cardiac hypertrophy.1,2 Gestational dyspnea as a result of supraglottic laryngeal hemangioma is very rare.
Hemangiomas are benign vascular lesions that can occur in the head and neck. Hemangiomas of the...
Strobovideolaryngoscopy revealed a mass along the medial aspect of the left arytenoid cartilage.
A 33-year-old woman presented with a 3.5-week history of dysphonia. Her voice was constantly weak, breathy, and strained, and she had voice fatigue. She also complained of frequent throat clearing, a globus sensation, and mild dysphagia. In addition to signs of laryngopharyngeal reflux, strobovideolaryngoscopy revealed a mass along the medial...