Idiopathic bilateral auricular petrification

March 31, 2012     Karl J. Alsey, MbChB, MRCS, Simon R. Freeman, MBChB, FRCS, and Ajay Nigam, MBBS, FRCS
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Introduction Auricular petrification refers to calcification within the auricle. This should be differentiated from the much rarer auricular ossification, which involves the formation of lamellar bone with fibrous tissue, fat cells, and haversian canals and which can only be diagnosed histologically. We report the case of a 40-year-old man with...

Myxoid malignant fibrous histiocytoma presenting as a midline nasal mass

March 31, 2012     Jaimie DeRosa, MD and Jeffrey R. Smit, MD
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Introduction Otolaryngologists must have a high degree of clinical suspicion for midline nasal masses in children. Benign tumors-including dermoid cysts, gliomas, and vascular malformations, as well as neoplasms of the head and neck-need to be considered. This report describes the histopathology of a rare pediatric non-rhabdomyosarcoma soft-tissue...

Germ cell tumor metastatic to the oral cavity

March 31, 2012     Luis Lee, MD, Randy Oppenheimer, MD, and Lakshmi Jayaram, MD
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Introduction It is estimated that at any one time in the United States, 28.2% of the population has an oral cavity lesion.1 The hard palate is the most common location (25.9% of cases), and the gingiva is the second most common (20.4%).1 Most lesions in the oral cavity are benign, and only 2% of all cancers are found there.2

Congenital os vomer agenesis: Case report and literature review

March 31, 2012     Ediz Yorgancilar, MD, Muzeyyen Yildirim, MD, Ramazan Gun, MD, Faruk Meric, MD, and Ismail Topcu, MD
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Introduction The nasal septum is composed of the os vomer, the crests of the palatine and maxillary bones, the perpendicular lamina of the ethmoid bone, and quadrilateral septal cartilage.1 Defects in the nasal septum can be caused by many different factors; among them are tuberculosis, irritation, neoplasia, trauma, infection, and chronic...

Intracranial sarcoid granuloma as an extension of severe sinonasal sarcoidosis

March 31, 2012     Stephen M. Wold, MD and John T. Sinacori, MD
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Introduction Sarcoidosis is a chronic, multisystem, granulomatous disease of unknown etiology that manifests with a wide range of symptoms and clinical findings. Predominantly a disease of the pulmonary system, it can affect nearly every part of the body. Head and neck involvement is rather uncommon, occurring in 9 to 15% of patients.1 Central...

Topical measles-mumps-rubella vaccine in the treatment of recurrent respiratory papillomatosis: Results of a preliminary randomized, controlled trial

March 31, 2012     Jin Lei, MD, Wang Yu, MD, Lin Yuexin, MD, Chen Qi, MD, Sun Xiumin, MD, and Zhang Tianyu, PhD
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Introduction Recurrent respiratory papillomatosis (RRP) is a chronic disease of the larynx. Many therapies have been tried, but there is no known cure and it remains difficult to treat. Although RRP is a generally benign condition, if left untreated it could spread throughout the respiratory tract and become fatal. Funding/support: This study was...

Poorly differentiated small-cell neuroendocrine carcinoma of the submandibular gland: A case report

March 31, 2012     Mary Scaduto, MD, Laura Matrka, MD, Manisha Shah, MD, Paul Wakely Jr., MD, and Enver Ozer, MD
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Introduction Neuroendocrine tumors include both neuroendocrine carcinoma (NEC), which is of epithelial origin, and nonepithelial neural tumors, such as olfactory neuroblastoma and paraganglioma. The paraganglion system functions in fetal life to serve the role that the adrenal medulla will largely assume after it develops-that is, to secrete and...

Endoscopic view of the ostium of the posterior ethmoid sinus

March 31, 2012     Eiji Yanagisawa, MD, FACS, Dewey A. Christmas, MD, and Joseph P. Mirante, MD, FACS
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In the case illustrated here, the patient underwent left endoscopic sinus surgery to treat a 5-year history of recurrent sinusitis. At the time of surgery, the left superior turbinate and superior meatus were visualized. The posterior ethmoid ostium was seen opening into the superior meatus (figure, A). Endoscopic ethmoidotomy was carried out...

Palatoglossal flap: A novel approach to cover herniated fat during tonsillectomy

March 31, 2012     Parker A. Velargo, MD and Jerome W. Thompson, MD
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An important but under-reported complication of tonsillectomy is the herniation of parapharyngeal fat into the tonsillar bed. The presence of a connection between the parapharyngeal space and the oral cavity may lead to a deep neck infection, carotid injury/blowout from salivary enzymes, or subcutaneous/intrathoracic emphysema, which can lead to...

Lateral ectopic thyroid: A case diagnosed preoperatively

March 31, 2012     Héctor Prado, MD, Alejandro Prado, MD, and Bertha Castillo, MD
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Introduction An ectopic thyroid is a mass of benign thyroid tissue that is located at a site other than the pretracheal area anterior to the second through fourth tracheal rings.1,2 Ectopic thyroid is uncommon, with a reported prevalence in the range of 1 per 100,000 to 300,000 population; among patients with thyroid disease, the prevalence ranges...