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Chronic invasive fungal sinusitis causing a pathologic Le Fort I fracture in an immunocompetent patient

September 19, 2016  |  Amy L. Richter, MD; K. Kelly Gallagher, MD


We describe the case of a 77-year-old immunocompetent woman with a history of chronic rhinosinusitis who presented with a pathologic Le Fort I fracture after a forceful sneeze. Imaging revealed diffuse sinus opacification and a Le Fort type I complex fracture involving the...

Functional and psychological impact of nasal bone fractures sustained during sports activities: A survey of 87 patients

August 21, 2016  |  Paul Lennon, FRCS(ORL-HNS); Sam Jaber, MRCS; John E. Fenton, FRCSI, FRCS(ORL)


Nasal bone fractures that require reduction are a common sequela of sports injuries. We conducted a survey to ascertain the outcomes of patients who had experienced a nasal bone fracture and who subsequently underwent manipulation under anesthesia. We reviewed data on 217 nasal...

Ketamine-snorting-induced nasal septum perforation

July 18, 2016  |  Keng-Kuang Tsai, MD; Chih-Hung Wang, MD, PhD

Ketamine causes vasoconstriction, and long-term abuse leads to mucosal ischemia, atrophy and, ultimately, necrosis, followed by underlying cartilage or bone destruction.

The effects of round window membrane injury and the use of a model electrode application on hearing in rats

March 16, 2016  |  Murat Koc, MD; Abdullah Dalgic, MD; Mehmet Ziya Ozuer, MD


We conducted an animal experiment to investigate the effects of mechanical trauma to the round window with the placement of a model electrode inserted into the scala tympani on the cochlear reserve, and to determine the efficacy of topical steroids in preventing hearing loss in...

Slag injury to the tympanic membrane

January 22, 2016  |  Emily Marchiano, BA; Robert W. Jyung, MD

The presence of slag can be confirmed on CT, which can be used to evaluate damage to the ossicles and the proximity of the foreign body to nearby structures such as the carotid canal.

Two cases of sublingual hematoma as a manifestation of child abuse

December 14, 2015  |  Muneesh Mehra, MD; Antonia E. Chiesa, MD; Andrew P. Sirotnak, MD


Common intraoral manifestations of child abuse include tears of the frenula, burns, and pharyngeal perforations. Sublingual hematomas can also occur as a result of trauma, but to the best of our knowledge, only 1 case has been previously described in the context of child abuse...

Severe necrosis of the palate and nasal septum resulting from intranasal abuse of acetaminophen

October 31, 2015  |  Scott A. Hardison, MD; Kristin K. Marcum, MD; Catherine Rees Lintzenich, MD


Intranasal drug abuse frequently leads to sinonasal complications, particularly sinus, nasal, and palatal necrosis. Classically, this type of necrosis has been linked to cocaine use, but the intranasal abuse of prescription narcotics and other pain medications can also lead to...

Sensorineural hearing loss after ossicular manipulation and drill- generated acoustic trauma in type I tympanoplasty with and without mastoidectomy: A series of 51 cases

September 21, 2015  |  K. Cagdas Kazikdas, MD; Kazim Onal, MD; Nadir Yildirim, MD


Recognized causes of high-frequency sensorineural hearing loss (SNHL) after tympanoplasty with and without mastoidectomy include acoustic trauma from manipulation of the ossicles, the noise generated by suctioning and, in the case of mastoidectomy, the noise generated by...

Two cases of thyroid rupture after blunt cervical trauma

July 21, 2015  |  Ji Hoon Shin, MD; Yong Bae Ji, MD; Jin Hyeok Jeong, MD; Seung Hwan Lee, MD; Kyung Tae, MD


The consequences of thyroid gland rupture following blunt cervical trauma can be quite grave. Almost all of these cases are associated with preexisting thyroid lesions; the traumatic rupture of a previously normal thyroid gland is very rare. Both surgical and nonsurgical...

Prophylactic antibiotic therapy for fractures of the maxillary sinus

April 28, 2015  |  Robert S. Schmidt, MD; Kelley M. Dodson, MD; Richard A. Goldman, MD


We conducted a study to examine the incidence of acute sinusitis following maxillary sinus fractures, as well as the impact of antibiotics in the postinjury period. Fifty patients who presented to our institution with a fracture of the maxillary sinus were prospectively...

Group A beta streptococcal infections in children after oral or dental trauma: A case series of 5 patients

January 19, 2015  |  Brittany E. Goldberg, MD; Cecile G. Sulman, MD; Michael J. Chusid, MD


Group A streptococcus (GAS) produces a variety of disease processes in children. Severe invasive diseases such as necrotizing fasciitis can result. Traumatic dental injuries are common in the pediatric population, although the role of dental injuries in invasive GAS disease is...

Endoscopic view of nasopharyngeal scarring

January 19, 2015  |  Joseph P. Mirante, MD, FACS; Dewey A. Christmas, MD; Eiji Yanagisawa, MD, FACS

A finding of fibrous or scar tissue in the nasopharynx usually indicates previous trauma or surgery in the area. The most common iatrogenic cause is adenoidectomy.


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