Displaced foreign objects should be removed from the antrum to prevent the development of maxillary sinusitis.
Patients with vocal fold hemorrhage often present with sudden dysphonia and may not be able to recall an inciting event.
A 66-year-old businessman, recreational singer, and flugelhorn player presented with complaints of diminished vocal stamina, hoarseness, loss of upper singing range, voice breaks, effortful phonation, and shortness of breath while speaking. He had a history of recurrent vocal fold hemorrhages that resulted in the formation of vocal fold masses,...
Meningiomas are common intracranial extra-axial masses. They are rarely encountered in extracranial locations; when they are, the most common head and neck locations are the paranasal sinuses and the temporal bone. Meningiomas in children are very rare, especially in the neonatal period. The clinical presentation and clinical findings are often nonspecific. The diagnosis can be established by imaging and histopathologic examination with immunohistochemistry. We describe a case of primary sinonasal meningioma in a 2-year-old boy whose onset of symptoms had begun during the neonatal period. We discuss the clinical features, imaging results, and histopathologic and immunohistochemical findings in this case.
Intracranial extra-axial meningiomas are common neoplasms that rarely arise outside the brain and spinal cord. Primary extracranial meningiomas are less common than secondary tumors (i.e., an extracranial metastasis or an extension from an intracranial meningioma).1 When primary extracranial meningiomas do occur, the most common head...
Superficial temporal artery aneurysms are rare; when they do occur, they are usually associated with head trauma. Spontaneous true aneurysms of the superficial temporal artery are extremely rare. They are classified as true aneurysms when all three layers of the vessel are found to be involved on histologic examination. Therapeutic options include conservative management, image-guided embolization, and surgical excision. We report a case of an extracranial spontaneous aneurysm of the frontal branch of the superficial temporal artery. A 20-year-old man presented with an asymptomatic, pulsatile, 1-cm forehead mass that had gradually increased in size. The aneurysm was evaluated by clinical examination and three-dimensional computed tomographic angiography. Complete resection was performed with local anesthesia. Histologic examination revealed that the aneurysm involved all three layers of the blood vessel: the tunica intima, tunica media, and tunica adventitia. No atherosclerotic changes or inflammatory cells were found. To the best of our knowledge, this is only the third reported case of a histologically verified spontaneous aneurysm of the frontal branch of the superficial temporal artery. Awareness of this rare pathology in the differential diagnosis of a forehead mass may facilitate diagnosis and prevent complications.
Spontaneous aneurysms of the superficial temporal artery (ASTAs) are rare.1-3 When they do occur, they are usually diagnosed in patients in the seventh decade of life. Most cases have been reported in men, and the most common etiologic factor has been atherosclerosis.4 In younger patients, possible causes include arteritis or a...
Pituitary adenomas are benign tumors that arise within the anterior lobe (the adenohypophysis) of the pituitary gland in the sella turcica. As they grow, they can extend through the pituitary stalk and into the suprasellar compartment. The surgical management of these adenomas via a conventional intradural approach is fraught with a high risk of causing a large cerebrospinal fluid leak. We report a case of pituitary adenoma in a 60-year-old woman whose surgery was performed via a minimally invasive endoscopic transnasal transsphenoidal transtuberculum sellae extradural approach.
Pituitary adenomas account for 10 to 15% of all intracranial neoplasms.1 Tumors larger than 1 cm are called macroadenomas. The prevalence of macroadenomas is estimated to be 0.2%.1
The clinical symptoms of a patient with a pituitary adenoma depend on whether the tumor is secreting or nonsecreting (nonfunctioning). Approximately 80%...