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Trauma

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.

Superior omohyoid muscle flap repair of cervical esophageal perforation induced by spinal hardware

December 19, 2014  |  Christopher Chase Surek, DO; Douglas A. Girod, MD, FACS

Cervical esophageal perforation is a rare and life-threatening condition. Its prompt diagnosis and treatment require a high index of suspicion. Cervical spine hardware is an uncommon cause of posterior esophageal perforation. Management has included a variety of musculofascial flaps for surgical...

Black thyroid

October 18, 2014  |  Darrin V. Bann, PhD; Neerav Goyal, MPH, MD; Henry Crist, MD; David Goldenberg, MD, FACS

Despite the benign impact of minocycline on thyroid function, several studies have reported an association between black thyroid and thyroid cancer.

Chronic rhinosinusitis in patients requiring surgical repair of a midface fracture

September 18, 2014  |  Joshua C. Yelverton, MD; Peter Jackson, MD; Robert S. Schmidt, MD

Abstract

Midface fractures commonly occur following trauma to the face and may cause changes in the normal sinus outflow system. To the best of our knowledge, no study has examined the incidence of rhinosinusitis following midface fractures. We report the incidence of chronic...

Complex posterior arytenoid dislocation

May 8, 2014  |  Rima A. DeFatta, MD; Jenna Briddell, MD; Robert T. Sataloff, MD, DMA, FACS

Arytenoid cartilage dislocation is an uncommon entity that is frequently misdiagnosed as vocal fold paresis or paralysis. The most common cause of dislocation is endotracheal intubation injury.

Unilateral sensorineural hearing loss and facial nerve paralysis associated with low-voltage electrical shock

February 12, 2014  |  Mahmut Ozkiris;, MD

Abstract

Electrical injuries can occur as a result of contact with low- or high-voltage electricity. Low-voltage injuries are more common, as they usually occur in the home, but reports in the literature are few. After exposure to electric current, almost every organ system in the body...

Iatrogenic subcutaneous emphysema after dental treatment

February 12, 2014  |  Young S. Paik, MD; Kevin W. Lollar, MD; and C.W. David Chang, MD

Abstract

Subcutaneous emphysema as a complication of a dental procedure is uncommon. When it does occur, it can result in significant and sometimes alarming cervicofacial swelling. Management in most cases involves close observation while awaiting spontaneous resolution. However, in...

Nonmicroscopic reconstruction of subtotally amputated/torn auricles: Report of 3 cases

February 12, 2014  |  Shuaib K. Aremu, FWACS

Abstract

Otolaryngologists are increasingly expected to perform a variety of minor surgical procedures in both elective and emergency situations. Surgical repair of the subtotally amputated/torn auricle, hitherto the realm of plastic surgeons, is a procedure that can be performed both...

Vocal fold fixation caused by penetration of a high-velocity steel projectile

January 21, 2014  |  Chau-Shiang Guo, MD; Chi-Kung Ho, MD, MPH; and Ruey-Fen Hsu, MD, MPH

Abstract

Vocal fold fixation as a result of trauma caused by a foreign body is rare. We report a unique case of vocal fold fixation caused by traumatic penetration of a shard of steel in a 31-year-old steelworker. While the patient was at work, an airborne projectile suddenly pierced...

Temporal bone fracture

January 21, 2014  |  Danielle M. Blake, BA; Senja Tomovic, MD; Robert W. Jyung, MD

Transverse fractures account for approximately 20% of temporal bone fractures. They occur secondary to frontal or occipital head trauma, and they run perpendicular to the petrous pyramid.

A preliminary study of the use of ultrasound in defining nasal fractures: Criteria for a confident diagnosis

October 24, 2013  |  Farhad Ardeshirpour, MD; Keith M. Ladner, MD; Carol G. Shores, MD, PhD; William W. Shockley, MD

Abstract

Nasal fractures are usually diagnosed by clinical examination, with or without the support of imaging studies. While plain-film radiography lacks sensitivity and specificity for diagnosing nasal fractures, and computed tomography (CT) is not always practical or cost-effective,...

Traumatic tracheostomy and spent bullet aspiration after a gunshot injury: A case report

August 22, 2013  |  Jack Barasa, MD; Peter M. Nthumba, MD; and Peter Bird, FRACS

Abstract

Penetrating tracheal injuries are rare. Even rarer is the finding of intrabronchial foreign bodies caused by penetrating objects. We report a patient who experienced a gunshot injury to the trachea and mandible. The tracheal wound was debrided and used as a tracheostomy; a...

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