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Progressive blindness caused by an unusual sphenoid sinus dehiscence

September 19, 2013  |  Mariana Marquez, MD; Enrique Palacios, MD, FACR; Jeremy Nguyen, MD; Harold R. Neitzschman, MD, FACR, FACNM, FAAP

The optic nerve and other important structures in the anterior skull base can be involved in chronic sphenoidal sinus disease.

Coexisting first and bilateral second branchial fistulas in a child with nonfamilial branchio-otic syndrome

July 22, 2013  |  Jose Florencio F. Lapena Jr., MA, MD; Genilou Liv M. Jimena, MD


We describe what we believe is only the third reported case of coexisting first and bilateral second branchial fistulas associated with nonfamilial branchio-otic syndrome. The patient was a 6-year-old girl who presented with bilaterally draining anterior neck puncta, a...

Relief from cluster headaches following extraction of an ipsilateral infected tooth

June 12, 2013  |  Matthew R. Hoffman, PhD; and Timothy M. McCulloch, MD


A 60-year-old man with a 7-year history of cluster headaches was seen by an oral surgeon for evaluation of pain in the left upper second molar ipsilateral to the side affected by the headaches. During extraction of the tooth, infection, decay, and inflammation were discovered....

Anterior jugular phlebectasia and tinnitus: A case report

March 25, 2013  |  Roshan Kumar Verma, MS, DNB, MNAMS; Rahul Modi, MS; Naresh K. Panda, MS, DNB, FRCS


Abnormal dilation of a normal anterior jugular vein is a rare anomaly and usually presents as a neck lump. To the best of our knowledge, this is the first report in the literature of such a case in which the patient presented with severe tinnitus. Excision of the dilated...

Internal carotid artery in zone IIb and its implications: A case report

March 25, 2013  |  Drew P. Plonk, MD; J. Dale Browne, MD, FACS


The potential for aberrant anatomy in the neck should be respected in order to avoid unexpected and potentially devastating injury during surgical and other procedures. Anatomic variations involving the internal carotid artery are believed to exist in as much as 6% of the...

Intranasal tooth and associated rhinolith in a patient with cleft lip and palate

March 25, 2013  |  Gisele da Silva Dalben, DDS, MSc; Vivian Patricia S. Vargas, DDS; Bruno A. Barbosa, MSc; Marcia R. Gomide, PhD; Alberto Consolaro, PhD


We report the case of a 9-year-old girl who presented with a complaint of a malodorous bloody discharge from the left naris. The patient had previously undergone a complete repair of left-sided cleft lip and palate. Clinical examination revealed hyperplasia of the nasal mucosa...

Large bilateral internal auditory meatus associated with bilateral superior semicircular canal dehiscence

January 24, 2013  |  Leonardo Manzari, MD; Paola Scagnelli, MD


Superior semicircular canal dehiscence and an abnormally wide internal auditory meatus are clinical entities characterized by vestibular and cochlear symptoms. These symptoms are induced by hypersensitivity of labyrinthine receptors secondary to a bone defect of the otic...

Unilateral parotid agenesis associated with pleomorphic adenoma of ipsilateral accessory parotid gland

January 24, 2013  |  Ashu Bhalla Seith, MD, MAMS; Ankur Gadodia, MD, DNB, MNAMS, FRCR; Raju Sharma, MD, MNAMS; Rajinder Parshad, MS


Congenital agenesis of the parotid gland is rare, and its association with accessory parotid tissue is even rarer. We report an unusual case of unilateral agenesis of the left parotid gland associated with pleomorphic adenoma of the left accessory parotid gland. To best of our...

Bipolar radiofrequency-induced interstitial thermoablation for oral cavity vascular malformations: Preliminary results in a series of 5 children

November 1, 2012  |  Senol Civelek, MD; Ibrahim Sayin, MD; Ibrahim Ercan, MD; Burak Omur Cakir, MD; Suat Turgut, MD


We report our assessment of the effectiveness of bipolar radiofrequency-induced interstitial thermoablation (BRIT) for the treatment of certain oral cavity vascular malformations in 5 children. Two of these patients had lymphangiomatous macroglossia (LM), 1 had lymphangioma...

Embryogenic cervico-thyro-piriform tract

October 4, 2012  |  J. Madana, MS, DNB; Deeke Yolmo, MS; Sunil Kumar Saxena, MS; S. Gopalakrishnan, MS


Branchial cleft fistulae are rare congenital anomalies that arise from the abnormal persistence of branchial remnants. Branchial arch anomalies are rare. They usually present as a lateral neck mass or abscess in the form of acute suppurative thyroiditis. A...

Middle fossa repair of bilateral large congenital tegmental defects with meningoencephaloceles

June 4, 2012  |  Anil Joshi, MS(ENT), MRCS; Wendy Smith, FRCS(ORL–HNS); David A. Moffat, FRCS


Spontaneous temporal meningoencephaloceles are unusual. When they do occur, they present with a variety of signs and symptoms, which can make diagnosis and management challenging. We report the interesting case of a 49-year-old woman with bilateral...

Giant tracheocele with multiple congenital anomalies

May 1, 2012  |  J. Madana, MS, DNB; Deeke Yolmo, MS; Sunil Kumar Saxena, MS; S. Gopalakrishnan, MS


Tracheocele-an outpouching of tracheal mucous membrane-is an uncommon entity. It can occur as a congenital or acquired form. The congenital entity remains mostly dormant until adulthood, and then it typically presents as a herniation with multiple air-filled sacs. The acquired...


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