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Auricular solitary gouty tophus in a young adult

February 20, 2017  |  Chao-Yin Kuo, MD; Chih-Hung Wang, MD, PhD

The auricle, with its supersaturation of blood uric acid due to decreased temperature and reduced blood flow, is prone to develop gouty tophi.

Obstructing in utero oropharyngeal mass: Case report of a lymphatic malformation arising within an oropharyngeal teratoma

January 25, 2017  |  Todd J. Wannemuehler, MD; Christopher R. Deig, BA; Brandon P. Brown, MD; Stuart A. Morgenstein, DO

Abstract

An ex utero intrapartum treatment procedure was performed to deliver a fetus with a multiseptated, entirely cystic, 4.5 x 5.0 x 4.0-cm mass occupying the oropharynx and oral cavity with protrusion from the mouth. Surgical excision was performed, and final pathologic diagnosis...

Nasal gouty tophus

December 7, 2016  |  Pei-Hsun Liao, MD; Kuo-Ping Chang, MD

Surgical removal of gouty tophi is generally indicated when the lesions grow and cause symptoms or lead to cosmetic problems.

Features of oral, pharyngeal, and laryngeal lesions in bullous pemphigoid

October 25, 2016  |  Masafumi Ohki, MD; Shigeru Kikuchi, MD, PhD; Atsushi Ohata, MD, PhD; Yuka Baba, MD; Junichi Ishikawa, MD; Hirohito Sugimoto, MD

Abstract

Bullous pemphigoid is an autoimmune bullous disease characterized by skin lesions, with or without oral lesions. The occurrence of pharyngolaryngeal lesions is very rare in affected patients. We conducted a study to investigate the characteristics of oral and pharyngolaryngeal...

Breast cancer metastasis to the thyroid gland

October 25, 2016  |  Michael Goldenberg, MA; Joshua Warrick, MD; Mariano Russo, BS; Darrin V. Bann, MD, PhD

It is important to distinguish between metastatic disease and a second primary thyroid malignancy, which is more common than thyroid gland metastasis.

Epithelioid hemangioendothelioma of tongue presenting as a papilloangioma in a pregnant woman

August 21, 2016  |  Mainak Dutta, MS; Kuntal Roy, MD

Otolaryngologists dealing with proliferative, vessel-rich oral lesions should consider epithelioid hemangioendothelioma as one of the possibilities because it might recur or metastasize, requiring aggressive management.

Surgical management of a high jugular bulb

August 21, 2016  |  Daniel S. Roberts, MD, PhD; Brian Chen, MD; William Slattery, MD

Patient selection for surgical repair of a high dehiscent jugular bulb should include the presence of a codominant sigmoid sinus to avoid elevated postoperative intracranial pressure.

Blastomycosis of the nose: A case report

August 21, 2016  |  Thomas M. Jetmore, MD; Jennifer Phan, MD; Abideen O. Yekinni, MD, FACS

Abstract

Blastomyces dermatitidis is a thermally dimorphic fungus endemic to the North American soil near the Mississippi, Ohio, and St. Lawrence river valleys, as well as the Great Lakes Basin. It is responsible for blastomycosis, a systemic pyogranulomatous disease. Blastomycosis of...

Lingual osseous choristoma

July 18, 2016  |  Daniel T. Ginat, MD, MS; Louis Portugal, MD

When they occur, symptoms of lingual osseous choristomas may include globus sensation, dysphagia, gagging, nausea, and irritation.

Epitympanic meningoencephalocele presenting as a growing middle ear mass

July 18, 2016  |  James G. Naples, MD; John W. House, MD; Benjamin J. Wycherly, MD

This patient had a subtle middle ear mass without an obvious effusion at the initial presentation; on repeat examination, it became more obvious that this was a meningoencephalocele

Laryngeal amyloidosis

July 18, 2016  |  Karthik S. Shastri, MD; Amy L. Rutt, DO; Robert T. Sataloff, MD, DMA, FACS

The diagnosis of laryngeal amyloidosis should trigger evaluation for systemic amyloidosis.

Lichen nitidus on the dorsal tongue

April 30, 2016  |  Pedro Costa de Araujo, MD; Jerome R. Lechien, MD

This relatively uncommon, asymptomatic, idiopathic inflammatory eruption is usually found on the abdomen, pelvic area, or extremities, but rarely on the tongue.

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