Some study results have suggested that psychological factors such as depression and anxiety can influence the etiology of globus.
A 61-year-old man was evaluated for a 2-month history of globus sensation and throat irritation. He also complained of daily reflux and heartburn that had not responded to ranitidine therapy; to that point, he had not tried a proton-pump inhibitor (PPI). He described a feeling of food sticking in his chest while eating, which he often cleared...
Mucosal neuromas of the larynx in the setting of multiple endocrine neoplasia type 2B (MEN-2B) are extremely rare; to the best of our knowledge, only 2 other cases have been previously reported in the world literature. We describe a new case, which occurred in a 30-year old woman who presented with dysphagia, dysphonia, and cough. On examination, she was found to have multiple laryngeal mucosal neuromas throughout the glottis and supraglottis. She underwent surgical resection of these lesions with resolution of her symptoms.
Multiple endocrine neoplasia type 2B (MEN-2B) is an autosomal dominant syndrome that is commonly associated with medullary thyroid carcinoma (MTC), pheochromocytoma, marfanoid habitus, and mucosal neuromas. These mucosal neuromas commonly occur on the lips, tongue, and buccal mucosa of patients with MEN-2B; only rarely do they affect...
Dermoid cysts are rare lesions of the head and neck that usually present in children as an asymptomatic, slowly growing mass. We report a case that demonstrates that dermoid cysts can present later in life as a recurrent acute infection. Our patient was a 48-year-old man with a 22-year history of recurrent abscesses of the tongue and floor of the mouth that had required a tracheotomy and multiple hospitalizations. Magnetic resonance imaging performed between acute episodes revealed the presence of a 1.8-cm lesion within the tongue musculature. The patient underwent resection, and pathology was consistent with a lingual dermoid cyst. At 2 years of follow-up, he experienced no recurrence of symptoms.
Dermoid cysts are rare benign lesions that are found throughout the body. Approximately 7% of all dermoid cysts occur in the head and neck, and 1.6% occur in the oral cavity.1,2 The floor of the mouth is the most common site involved in the oral cavity; dermoid cysts have also been reported in the tongue, lips, and buccal mucosa.3
Before the development of functional endoscopic sinus surgery (FESS), total intranasal ethmoidectomy was performed without the aid of telescopes.
Langerhans cell histiocytosis has an unpredictable natural history, which ranges from rapidly fatal progressive disease to spontaneous resolution.
A 10-year-old boy presented to our clinic with a 1-month history of left postauricular pain accompanied by otorrhea. On physical examination, left mastoid tenderness was noted. Otoscopic examination revealed that a soft-tissue mass with a smooth surface was occupying the entire external auditory canal, and a stalk was adhering to the posterior...