January 24, 2013 Mark D. Wilkie, MBChB; Samuel C. Leong, MPhil; Alessandro Panarese, FRCS; Arnab Banerjee, FRCS
article
Due to the development of Hib vaccines, the epidemiology of epiglottitis has shifted dramatically back toward adult presentations, with a marked decline in the incidence among children.
December 31, 2012 Jaime Eaglin Moore, MD and Andrew Heller, MD
article
Patients whose body mass index (BMI) is 30 or greater have a higher likelihood of a distorted anatomy, which can make tracheotomy tube placement difficult.
October 31, 2012 John Hanna, DO; Joseph Bee, DO; and Robert T. Sataloff, MD, DMA, FACS
article
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.
January 25, 2012 Unnikrishnan K. Menon, MS(ENT), DNB(ENT), N.V. Deepthi, MBBS, and Indudharan R. Menon, MS(ENT), DLO, DNB(ENT)
article
Abstract
We report an uncommon case of symptomatic venous malformation of the larynx in a 22-year-old man, and the successful surgical management thereof. A detailed radiologic investigation of the lesion was done, followed by surgical excision via a suprahyoid pharyngotomy using cold instruments. Long-term follow-up was maintained, and the patient had subjective and objective resolution of his symptoms and signs at 3 years postoperatively. We conclude that radiology can reveal hitherto unsuspected extensions of vascular malformations in the neck and that surgical excision is a viable mode of treatment in upper aerodigestive venous malformations.
April 30, 2011 Brett Travis, MD, Enrique Palacios, MD, FACR, and Curt L. McCarty, MD
December 17, 2010 Penelope J. Harris, MD and Michael B. Osswald, MD
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Abstract
Pasteurella multocida is a gram-negative coccobacillus that primarily affects animals. P multocida infections in humans are usually associated with animal contact. To the best of our knowledge, only 7 cases of P multocida epiglottitis have been previously reported in the English-language literature; none of these cases occurred in a patient with chronic lymphocytic leukemia. We describe what we believe is the first reported case of P multocida epiglottitis in a patient with chronic lymphocytic leukemia, and we review the previous reports of this rare entity.
December 1, 2007 Takeshi Kusunoki, MD, Katsuhisa Ikeda, MD, Kiyotaka Murata, MD, Shozo Nishida, MD, and Masanobu Tsubaki, MD
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Abstract
Laryngeal plasmacytoma is rare in Japan; to the best of our knowledge, only 8 other cases have been previously reported. We report a new case of extramedullary plasmacytoma of the larynx in a 76-year-old Japanese woman. Immunohistochemical investigation revealed that her disease had not progressed to multiple myeloma. The patient declined radiotherapy, and her condition remained stable at the 6-month follow-up.
October 31, 2007 Stefanie K. Horne, MD, Peter G. Michaelson, MD, and Erik Weitzel, MD
April 1, 2006 Rajaraman Durai, MS, MRCS; Syed Hashmi, FRCS
article
Abstract
Primary malignant melanoma of the epiglottis is extremely rare. Until now, only 4 cases have been reported in the world literature. We describe a new case of epiglottic primary malignant melanoma in a 74-year-old man who presented with hoarseness and a foreign-body sensation. Clinical examination revealed the presence of a small, whitish, polypoid tumor on the laryngeal surface of the epiglottis; no other primary melanoma was detected. Wide excision of the lesion was performed, and microscopy revealed that it contained melanin-pigmented tumor cells in both the mucosa and submucosa. Immunostaining was positive for S-100 protein. The patient was treated with radiotherapy, and he remained well 1 year after the diagnosis with no evidence of recurrence.
November 1, 2005 Surinder K. Singhal, MS; Ramandeep S. Virk, MS; Harsh Mohan, MD; Sanjeev Palta, MD; Arjun Dass, MS
article
Abstract
Lipomas of the larynx are rare. When they do occur, they are important because some require that the surgeon perform a tracheotomy to prevent a fatal airway obstruction. We report a case of myxolipoma''that is, a lipoma with foci of myxomatous degeneration''of the epiglottis in a 56-year-old woman. We successfully treated the tumor with intubation and surgery; tracheotomy was not necessary. To the best of our knowledge, myxolipoma of the epiglottis in an adult has not been previously reported in the English-language literature.
