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Trauma

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...

Case report: Inadvertent carotid artery injury during myringotomy as a result of carotid artery dehiscence

July 22, 2013  |  Christopher Schutt, MD; Sharmila Dissanaike, MD; John Marchbanks, MD

Abstract

We report the case of a 3-year-old girl whose internal carotid artery was pierced during a myringotomy. Postoperative computed tomography demonstrated that the complication was caused by a dehiscent carotid canal wall; contralateral dehiscence was also present. The patient had...

Traumatic ossicle extrusion into the external auditory canal

June 12, 2013  |  Manish Gupta, MS(ENT); Sunder Singh, MS(ENT); and Monica Gupta, MD(Med)

Abstract

We report a rare case of incus dislocation into the external auditory canal following a head injury. The patient was a 35-year-old man who presented to the surgical emergency unit with a head injury that he had sustained during a traffic accident. An x-ray of the skull detected...

Pressure ulcer of the pinna

June 12, 2013  |  Mainak Dutta, MS; Soumya Ghatak, MS; and Ramanuj Sinha, DLO, MS, DNB

Pressure ulcers over the pinna usually develop as a result of local compression from oxygen mask tubing.

Endoscopic management of a large temporal lobe encephalocele

December 31, 2012  |  Sofia Avitia, MD and Ryan F. Osborne, MD, FACS

Encephaloceles arise when brain contents from the temporal lobe herniate through the middle cranial fossa and into the lateral sphenoid sinus.

Endoscopic view of iatrogenic nasal septal perforations

December 31, 2012  |  Dewey A. Christmas, MD; Joseph P. Mirante, MD, FACS; Eiji Yanagisawa, MD, FACS

While many surgically created nasal septal perforations are asymptomatic, others can create long-term problems.

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

November 1, 2012  |  John Hanna, DO; Joseph Bee, DO; and Robert T. Sataloff, MD, DMA, FACS

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...

Silent vocal fold hemorrhage

November 1, 2012  |  Thomas M. d'Arville, MD; Rima A. DeFatta, MD; Robert T. Sataloff, MD, DMA, FACS

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.

Dysphagia after strangulation

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

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

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...

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