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Madelung disease: Multiple symmetric lipomatosis

March 19, 2014  |  Enrique Palacios, MD, FACR; Harold R. Neitzschman, MD, FACR; Jeremy Nguyen, MD

Patients with multiple symmetric lipomatosis commonly also suffer from various neuropathies, especially paresthesias and autonomic neuropathy.

Cervical accessory tragus: An unusual pediatric neck mass

January 21, 2014  |  Thomas R. Lowry, MD

An accessory tragus occurs as the result of a developmental anomaly of the first branchial arch, and it may be associated with other branchial cleft abnormalities.

Angioleiomyoma on the dorsum of the nose excised via an open rhinoplasty approach

December 20, 2013  |  Philip W. Stather, MBChB; Zuhair O. Kirresh, FRCS; Paul N. Jervis, FRCS

Abstract

We describe what we believe is the first reported case of an angioleiomyoma on the dorsum of the nose. The patient was a 65-year-old woman who presented with a year-long history of an intermittently recurrent lump on the right side of the dorsum. The lesion was removed via an...

Glial choristoma of the middle ear

December 20, 2013  |  Karen A. Shemanski, DO; Spencer E. Voth, DO; Lana B. Patitucci, DO; Yuxiang Ma, MD, PhD; Nikolay Popnikolov, MD, PhD; Christos D. Katsetos, MD, PhD; Robert T. Sataloff, MD, DMA, FACS

Abstract

Glial choristomas are isolated masses of mature brain tissue that are found outside the spinal cord or cranial cavity. These masses are rare, especially in the middle ear. We describe the case of an 81-year-old man who presented with left-sided chronic otitis media, mastoiditis...

Langerhans cell histiocytosis: Temporal bone invasion in an adult

October 24, 2013  |  Richard L. Alexander, MD, PhD, MBA; Mary L. Worthen, BS; Changlee S. Pang, MD; John S. May, MD

Despite the characteristic of extensive destruction of the temporal bone in this disease, the facial nerve is surprisingly resistant to destruction, and facial nerve palsy is rare.

Hemangiopericytoma of the parapharyngeal space

September 19, 2013  |  Brian A. Fishero, MD; Kelly M. Guido, MD; Howard S. McGuff, DDS; Josefine M. Heim-Hall, MD; Frank R. Miller, MD, FACS

Abstract

Hemangiopericytomas of the head and neck are rarely found in the parapharyngeal space. We report the case of a 53-year-old woman who presented with a globus sensation in her throat. Imaging detected a left submucosal oropharyngeal mass that extended into the prestyloid...

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.

Large osteoma of the external auditory canal

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

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

Abstract

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...

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.

Pigmented villonodular synovitis of the temporomandibular joint

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

Abstract

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...

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

Abstract

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...

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