October 31, 2008 Esther Kim, MD, Karla Hansen, MD, and James Frizzi, MD, FACS
article
Abstract
Eagle syndrome, which is an uncommon sequela of elongation of the styloid process, can manifest as pain in the anterolateral neck, often with referred pain to the ear. In most cases, the elongation is an acquired condition, often occurring as a result of a traumatic incident, including tonsillectomy. We describe the case of a 57-year-old man who experienced unremitting right neck pain for several years following an accidental fall. A multidisciplinary investigation identified an elongated styloid process. Surgical shortening of the structure provided definitive relief of the patient's symptoms. We review the anatomy of the peristyloid structures and discuss the etiology, diagnosis, and treatment of Eagle syndrome.
September 25, 2008 Mark A. Ginsburg, DO, Robert L. Eller, MD, and Robert T. Sataloff, MD, DMA
June 30, 2008 Ioannis Moumoulidis, MD, MRCS and Helen Fernandes, FRCS; Ran De, FRCS
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Abstract
Various complications with use of a Mayfield head clamp have been reported, from minor skin necrosis and lacerations to the more significant extradural hematomas and meningitis. To the best of our knowledge, our report describes for the first time in the medical literature, the uncommon complication of frontal sinus fracture and cerebrospinal flu-id leak caused by a scalp pin of a head clamp used during a frontal craniotomy. The cerebrospinal fluid leak settled with conservative management, and no surgical intervention was necessary. Clinicians should appreciate the possibility of such a complication and assess preoperative scans for frontal sinuses that extend to a high level, as in our patient.
April 30, 2008 Marc Cohen, MD, Vishad Nabili, MD, and Dinesh K. Chhetri, MD
March 1, 2008 Sandeep P. Dave, MD and Steven D. Handler, MD
February 1, 2008 Mark A. Ginsburg, DO, Robert L. Eller, MD, and Robert T. Sataloff, MD, DMA
January 1, 2008 Juan Gomez, MD, Enrique Palacios, MD, FACR, and Jagan D. Gupta, MD
January 1, 2008 Oleg Militsakh, MD and J. David Kriet, MD, FACS
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Abstract
We report a case of diplopia that was exacerbated by chewing in a patient who had sustained facial fractures in a motorcycle crash. The diplopia was corrected surgically 1 year following the accident. To the best of our knowledge, masticatory diplopia as a result of adhesion of the temporalis muscle to the periorbita secondary to facial trauma has not been previously reported.
December 1, 2007 Lester D. R. Thompson, MD, FASCP
September 30, 2007 Robert J. Stokroos, MD, PhD; Pim van Dijk, PhD
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Abstract
Cochlear implantation is considered to be a safe and effective treatment for severe to profound sensorineural hearing loss. Device failures are rare. We report the cases of 2 patients-a 44-year-old woman and a 3-year-old boy-with cochlear implants who were referred to our tertiary cochlear implant center for treatment of magnet migration secondary to mild head trauma. The migra-tion had led to device failure in both cases. Surgical re- exploration was performed with nonmagnetic instruments, and both magnets were easily returned to their proper place. Postoperatively, implant function was restored to previous levels, and wound healing was uncomplicated. The incidence of magnet migration in cochlear implant patients is unknown. A few cases have been reported in children, but to the best of our knowledge, ours is the first report of magnet migration in an adult.
August 31, 2007 Melinda Davis-Malesevich, BS; Albert Merati, MD
article
Posterior glottic stenosis (PGS) can be devastating. It is estimated to occur in 4% of patients who have been intubated for 1 week and in 14% of those who have been intubated for up to 2 weeks.
August 31, 2007 Daniel H. Coelho, MD; Nilesh Vasan, MD, FRACS
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A 51-year-old man fell while hiking and sustained a mild concussion and a fractured lower leg. Computed tomography (CT) of the head detected no intracranial pathology, but it did incidentallyshow a mass in the right infratemporal fossa.
