Trauma

Silent vocal fold hemorrhage

October 31, 2012     Thomas M. d'Arville, MD; Rima A. DeFatta, MD; Robert T. Sataloff, MD, DMA, FACS
article

Although most vocal fold hemorrhages resolve spontaneously, accurate and timely diagnosis permits the laryngologist to prescribe precautions that will prevent further damage. This is especially important for patients who use their voices in their professions.

Laryngeal ulceration and hemoptysis secondary to inadvertent alendronate overdose: Case report and review of the literature

October 31, 2012     John Hanna, DO; Joseph Bee, DO; and Robert T. Sataloff, MD, DMA, FACS
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Abstract

Alendronate is commonly used in the treatment of osteoporosis and other bone diseases. Its drug profile includes many recognized side effects, and the literature includes case reports of esophageal irritation and ulceration. However, little has been published about laryngeal effects. We describe the case of a 77-year-old man who presented with hemoptysis secondary to laryngeal ulceration caused by the inadvertent misuse of alendronate. This case highlights the need for otolaryngologists to be familiar with alendronate and its side effects.

Dysphagia after strangulation

September 7, 2012     Jenna Briddell, MD; Andrew Mallon, DO; Rima A. DeFatta, MD; Farhad Chowdhury, DO; Matthew Nagorsky, MD, FACS
article

Patients with an isolated cornu fracture can be asymptomatic in the acute setting, only to develop symptoms of chronic odynophagia and globus sensation months after the inciting injury.

Temporary blindness and ophthalmoplegia due to local anesthetic infiltration of the nasal septum

June 4, 2012     Devrim Bektas, MD; Neslihan Kul, MD; Nurettin Akyol, MD; Ahmet Ural, MD; Refik Caylan, MD
article

Abstract

We report the case of a 35-year-old man who developed blindness and ophthalmoplegia during local anesthetic infiltration of the nasal septum. The complications were temporary, and the patient had full recovery without treatment. The vascular anatomy of the area and possible pathogenic mechanisms are discussed, with some suggestions on the prevention of this complication.

Endoscopic orbital decompression of an isolated medial orbital wall fracture: A case report

December 15, 2011     Erdogan Gultekin, MD, Zafer Ciftci, MD, Omer N. Develioglu, MD, Oner Celik, MD, Murat Yener, MD, and Mehmet Kulekci, MD
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Abstract

Motor vehicle and bicycle accidents are the most common causes of blunt head trauma. Other common etiologies are falls, physical violence, and sports accidents. Blunt trauma toward the superior orbital rim, lateral orbital rim, frontal region, and cranium may lead to intraorbital hematoma. A fracture following the blunt head trauma may form a one-way valve, which leads to orbital emphysema and a more pronounced increase in orbital pressure. Increased tissue pressure in an enclosed space will eventually lead to an inevitable decrease in tissue perfusion. It is important to treat the patient within the first 48 hours following the trauma, which is accepted as the “critical period.” In this report we present a case involving a 42-year-old man who was admitted to our clinic with left periorbital pain, edema, proptosis, and blurred vision after experiencing physical violence. The medical history and physical examination findings, along with imaging studies and a description of the endoscopic orbital decompression procedure within the first 24 hours, are reported.

Submental intubation to facilitate the management of maxillofacial trauma

September 20, 2011     Robert T. Adelson, MD
article

An unusual presentation of an asymptomatic neck mass

August 15, 2011     Rapahel Nach, MD, Lorraine M. Smith, MD, MPH, and Hootan Zandifar, MD
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Characteristics of nasal injuries incurred during sports activities: Analysis of 91 patients

August 15, 2011     C. Ron Cannon, MD, Rob Cannon, BS, Kevin Young, MD, William Replogle, PhD, Scott Stringer, MD, and Elizabeth Gasson, RN, MSN
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Abstract

Nasal injuries are among the most common sports injuries. We conducted a prospective, observational study of 91 patients, aged 7 to 60 years (mean: 18.3), who had sustained a nasal injury while engaging in a sport, exercise, or other recreational physical activity. We found that a substantial proportion of these injuries occurred in females (29.7% of cases). A high percentage of injuries (86.8%) occurred in those who had been participating in a noncontact sport; the sport most often implicated was basketball (26.4%). Also, injuries were more common during organized competition as opposed to recreational play (59.3 vs. 40.7%). Of the 91 nasal injuries, 59 (64.8%) were fractures, most of which were treated with a closed reduction. Almost all of the patients in this study (92.3%) were able to return to their sport. We conclude that most sports-related nasal fractures are not preventable.

Self-induced subcutaneous facial emphysema in a prisoner: Report of a case

June 13, 2011     Mahmoud Goudarzi, MD and Jafar Navabi, MD
article

Abstract

Subcutaneous cervicofacial emphysema is a rare condition that results from various causes. Initially it might be misdiagnosed and managed as other clinical entities, such as angioedema. We report a case of self-induced subcutaneous facial emphysema in a prisoner who sought better living conditions by simulating an emergency.

Nasal septal abscess

March 31, 2011     Jordan Cain, MD and Soham Roy, MD, FACS, FAAP
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Postaural inflammatory pseudotumor: An extremely unusual complication of trauma in a child

March 1, 2011     Ashwani Sethi, MS, Vikas Malhotra, MS, Deepika Sethi, MS, and Sonu Nigam, MD
article

Abstract

We report the case of a 12-year-old boy who presented with a rapidly enlarging, painless mass behind the ear following trauma to the area. The mass was excised, and histopathologic and immunohistochemical evaluations revealed it to be an inflammatory pseudotumor. At 1 year postoperatively, the child exhibited no evidence of recurrence.

Traumatic hemorrhage and rapid expansion of a cervical lymphatic malformation

January 1, 2011     Nishant Bhatt, MD, Helen Perakis, MD, Tammara L. Watts, MD, PhD, and Jack C. Borders, MD
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