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Larynx

Primary laryngeal tuberculosis: An unusual cause of hoarseness

October 18, 2014  |  Peter Fsadni, MD, MRCP(UK); Claudia Fsadni, MD, MRCP(UK), MSc(Lond); Brendan Caruana Montaldo, MD, FACP

Abstract

Tuberculosis (TB) of the larynx is usually associated with concomitant pulmonary TB, but approximately 20% of cases represent primary disease. We report the case of an 85-year-old woman with asthma who presented with a 6-month history of persistent hoarseness. Bronchoscopy...

Fish bone impaction in the supraglottis

October 18, 2014  |  Willis S.S. Tsang, FRCSEd(ORL); John K.S. Woo, FRCS(ORL); C. Andrew van Hasselt, M Med (Otol)

The most common sites of fish bone impaction are the tonsils, tonsillar pillars, tongue base, valleculae, and piriform fossa. Impaction in the supraglottic area is extremely uncommon.

Postoperative management in laryngeal cancer with subglottic extension and histologically negative nodes: Which patients need adjuvant radiotherapy?

August 28, 2014  |  Federico Ampil, MD; Cherie-Ann O. Nathan, MD; Timothy Lian, MD; Roxana Baluna, MD, PhD; Edward Milligan, MD; Gloria Caldito, PhD

Abstract

We conducted a study of 19 patients who had laryngeal cancer with subglottic extension (LCSE) and pathologically negative lymph nodes (pN0) following total laryngectomy and neck dissection (TLND). These patients had undergone surgery during a 17-year period from 1986 through...

Saccular cyst as a complication of medialization laryngoplasty: A case report

August 28, 2014  |  Brent J. Benscoter, MD; Lee M. Akst, MD

Abstract

We report the case of a 54-year-old woman who presented for evaluation of deterioration in her voice and swallowing function, which had begun after she had undergone a medialization laryngoplasty for unilateral vocal fold paralysis. Findings on examination and imaging revealed...

Invasive primary aspergillosis of the larynx presenting as hoarseness and a chronic nonhealing laryngeal ulcer in an immunocompetent host: A rare entity

July 14, 2014  |  Mimi Gangopadhyay, MD; Kaushik Majumdar, MD; Arghya Bandyopadhyay, MD; and Anup Ghosh, MS(ENT)

Abstract

Primary aspergillosis usually affects the paranasal sinuses, orbit, ear, and lower respiratory tract. Laryngeal aspergillosis usually occurs as a result of secondary invasion from the tracheobronchial tree, more commonly in immunocompromised hosts. Primary laryngeal...

The role of contact endoscopy in screening for premalignant laryngeal lesions: A study of 141 patients

May 8, 2014  |  Marisa Klancnik, MD; Ivo Gluncic, MD, PhD; Drasko Cikojevic, MD, PhD

Abstract

At their earliest stage, pathologic lesions of the laryngeal epithelium are macroscopically invisible. Ideally, these lesions should be detected before their clinical manifestations appear so that prompt management can be initiated. However, most diagnostic modalities are...

A "nail-biting" case of an airway foreign body

May 8, 2014  |  Parker A. Velargo, MD; Jennifer D. McLevy, MD

While cases of large, completely obstructing foreign bodies in the subglottis would lead to sudden respiratory distress, the initial presentation of smaller foreign bodies in the subglottis can be quite similar to croup, presenting with biphasic stridor, cough, and/or the steeple sign....

Resolution of laryngeal granuloma with high-dose prednisone

May 8, 2014  |  Matthew L. Mesick, MD; Philip A. Weissbrod, MD

Laryngeal manifestation of pemphigus vulgaris is extremely rare and typically associated with ulcerations, bullae, and crusting.

Multiple plasma cell granulomas of the larynx in a young man

March 19, 2014  |  Courtney Shires, MD; Sandeep Samant, MD, FACS

Abstract

Plasma cell granuloma of the larynx is a rare benign lesion of unknown etiology, with only 21 cases reported previously. We report an additional case of plasma cell granuloma in which a 26-year-old man experienced a 1.5 x 3.4-cm, completely obstructing subglottic lesion....

Conservative cricoid surgery for chondrosarcoma: A case report

February 12, 2014  |  Elena Gaio, MD; Giandomenico Maggiore, MD; Alessandra Canesso, MD; and Riccardo Artico, MD

Abstract

We present the case of a 39-year-old man who presented with hoarseness and progressively worsening dyspnea. Findings on laryngoscopy and computed tomography strongly suggested the presence of a chondrosarcoma. The patient underwent open surgery for removal of the lesion with...

Recurrent pyogenic granuloma in a noncompliant patient

January 21, 2014  |  David Galos, MD; Farhad R. Chowdhury, DO; Reena Gupta, MD; Yolanda D. Heman-Ackah, MD; and Robert T. Sataloff, MD, DMA, FACS

Patients occasionally develop multiple recurrent granulomas even after excellent reflux control (including fundoplication), voice therapy, surgical removal (including steroid injection into the base of the granuloma), angiolytic laser therapy, and other treatments.

A case of cicatricial pemphigoid of the larynx successfully treated with plasmapheresis therapy

October 24, 2013  |  Takeshi Kusunoki, MD; Katsuhisa Ikeda, MD

Conventional therapy for cicatricial pemphigoid has consisted of the administration of a steroid alone or a steroid plus an immunosuppressant.

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