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Transnasal esophagoscopy and the diagnosis of a mediastinal foregut duplication cyst

August 22, 2013  |  Amarbir S. Gill, BS and Jennifer L. Long, MD, PhD

Foregut duplication cysts are true mucus-filled cysts lined with a thin epithelial layer, arising from either bronchogenic, esophageal, or neuroenteric precursor tissue.

Primary laryngeal actinomycosis in an immunosuppressed woman: A case report

July 22, 2013  |  Tarik Abed, MBBS; Jay Ahmed, MBBS; Niamh O'Shea, MBBS; Simon Payne, FRCPath; Gavin W. Watters, FRCS


We report a rare case of primary laryngeal actinomycosis, which occurred in a 35-year-old woman with end-stage renal failure secondary to systemic lupus erythematosus with membranous glomerulonephritis. The patient, who had been on long-term immunosuppression therapy, presented...

Pigmented villonodular synovitis of the temporomandibular joint

July 22, 2013  |  Helen Giannakopoulos, DDS, MD; Joli C. Chou, DMD, MD; Peter D. Quinn, DMD, MD


Pigmented villonodular synovitis (PVNS) is a proliferative disorder that affects synovium-lined joints, bursae, and tendon sheaths. It appears in both diffuse and localized forms, depending on the extent of synovial involvement. PVNS rarely involves the temporomandibular joint...

Infected sublingual hematoma: A rare complication of frenulectomy

July 22, 2013  |  Amal Isaiah, MD, DPhil; Kevin D. Pereira, MD, MS

Given the spectrum of potential poor outcomes, some consensus has emerged in favor of early surgical management of significant ankyloglossia.

Nasal actinomycosis mimicking a foreign body

July 22, 2013  |  Dimitrios Batzakakis, MD; Petros D. Karkos, AFRCS, MPhil, PhD; Sotirios Papouliakos, MD; Samuel C. Leong, MRCS, DO-HNS; Ioannis Bardanis, MD


Nasal actinomycosis is a rare disease. We present a case of nasal actinomycosis causing symptoms similar to those of a nasal foreign body. A 34-year-old woman presented with a long history of halitosis and unilateral offensive, purulent rhinorrhea. Rigid nasendoscopy showed a...

Large osteoma of the external auditory canal

July 22, 2013  |  Takashi Iizuka, MD; Takuo Haruyama, MD; Keiko Nagaya, MD

Mucocele: Retention and extravasation types

March 25, 2013  |  Lester D.R. Thompson, MD

The extravasation type is the most common mucocele, more common in children and young adults, with a peak in the second decade of life.

Hypopharyngeal lipoma causing obstructive sleep apnea: Discovery on dental cone-beam CT

March 25, 2013  |  Ashok Balasundaram, BDS, DDS, MDS, MS, Diplomate ABOMR


Cone-beam computed tomography (CBCT) is primarily used for a variety of dental purposes, but it may also yield nondental findings that can have significant implications for patient health. For example, physicians should be aware that CBCT can identify some of the etiopathogenic...

External auditory canal exostosis

January 24, 2013  |  Joseph A. Ursick, MD; Jose N. Fayad, MD

Exostoses, composed of immature layers of lamellar bone that cause a progressive stenosis of the external ear canal, are typically bilateral, occur at suture lines, and are associated with repeated exposure to cold water.

Ectopic thymus presenting as a retropharyngeal mass: Surgical approach

January 24, 2013  |  Abby R. Nolder, MD; Amit Agarwal, MD; Emily Howard, MD, PhD; Gresham T. Richter, MD


Cervical ectopic thymus is a rare cause of solid neck masses in children. Most children are asymptomatic, but some may present with a palpable neck mass, with or without compressive symptoms. Cervical ectopic thymus is often discovered incidentally and mistaken for an infection...

Castleman disease of the neck: An uncommon location

January 24, 2013  |  Lorena Garza Garcia, MD; Enrique Palacios, MD, FACR; Alexander Quiroz-Casian, MD; Harold Neitzschman, MD, FACR

Patients with the hyaline vascular variant of Castleman disease tend to be asymptomatic, although some have complained of symptoms caused by compression of adjacent structures, and others have reported a palpable mass.

Pilomatricoma of the pinna

January 24, 2013  |  Aroor Rajeshwary, MS (ENT); Gangadhara Somayaji, MS (ENT); Sai Manohar, MS (ENT)


A 4-year-old boy presented with a painless swelling over the right pinna of 4 months' duration. Histopathologic examination of the excised mass revealed features of pilomatricoma-a rare, benign skin neoplasm arising from hair follicle matrix cells. The unusual location of the...


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