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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...

Intraparotid arterial aneurysm treated with embolization followed by surgical resection

December 31, 2012  |  Daniel T. Ganc, MD; Charles Prestigiacomo, MD; Soly Baredes, MD


We describe the case of a 41-year-old woman who presented to a local facial plastic surgeon for evaluation of a cosmetic defect of the cheek of 1 month's duration. When imaging revealed the presence of a vascular mass, the patient was referred to us. Further imaging...

Intraoperative view of a glomus tympanicum

December 31, 2012  |  Waitsz T. Chang, MRCS; Willis S.S. Tsang, FRCSEd(ORL)

For the treatment of a small glomus tympanicum, surgical excision via an anterior tympanotomy approach is possible.

Cervical thoracic duct cyst: Importance of preoperative suspicion for appropriate management of left-sided neck mass

December 31, 2012  |  Matthew T. Gill, MD; Timothy S. Lian, MD; Joel D. Thibodeaux, MD; Cherie-Ann O. Nathan, MD, FACS


Cervical thoracic duct cysts occur infrequently but are an important consideration when evaluating cystic supraclavicular masses. Only 22 cases have been reported to date. We review the clinical presentation, evaluation, and treatment of 2 cases of large thoracic duct cysts...

Sinonasal teratocarcinosarcoma with intracranial extension: Case report and literature review

December 31, 2012  |  Shafik N. Wassef, MD; Payal Kapur, MBBS, MD; Samuel L. Barnett, MD; Larry L. Myers, MD, FACS


Sinonasal teratocarcinosarcoma (SNTCS) is an extremely rare malignancy of the paranasal sinuses that possesses the histopathologic features of both teratomas and carcinosarcomas. We report the case of a 58-year-old white man who presented with a 1-year history of a...

Obstructive sleep apnea syndrome induced by laryngeal lesions: Two cases

November 1, 2012  |  Taha Tahir Bekci, MD; Mesut Tezer, MD; Nurdogan Ata, MD; Levent Emre, MD


We describe 2 cases of obstructive sleep apnea syndrome (OSAS) that were found to be caused by the presence of laryngeal masses. Both patients presented with a long-standing history of snoring, gasping for air while sleeping, excessive daytime sleepiness, and morning headaches...


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