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Larynx

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...

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.

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....

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...

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.

Larynx: Nodules and polyps

September 19, 2013  |  Lester D.R. Thompson, MD

Nodules usually affect the anterior to middle thirds of the true vocal folds, and they are nearly always bilateral.

Comparison of complication rates associated with stapling and traditional suture closure after total laryngectomy for advanced cancer

August 22, 2013  |  Brett A. Miles, DDS, MD; Deborah Larrison, MD; and Larry L. Myers, MD

Abstract

We conducted a retrospective, matched-cohort, case-control study to compare complication rates associated with two wound closure procedures-stapling vs. traditional hand suturing-following total laryngectomy. Our study population was made up of 42 consecutively presenting...

A systematic review of proton-pump inhibitor therapy for laryngopharyngeal reflux

August 22, 2013  |  Uchechukwu C. Megwalu, MD

Abstract

The author performed a MEDLINE literature search to identify and evaluate all randomized, placebo-controlled trials of the treatment of laryngopharyngeal reflux (LPR) with an oral proton-pump inhibitor (PPI) that have been published since 1966. Eight such trials that included a...

Laryngotracheal rhinosporidiosis

July 22, 2013  |  J. Madana, MS; Deeke Yolmo, MS; S. Gopalakrishnan, MS; Sunil K. Saxena, MS

Abstract

Rhinosporidiosis is a chronic granulomatous disease caused by Rhinosporidium seeberi. It usually affects mucous membranes of the nose, nasopharynx, and ocular conjunctiva. Cutaneous, laryngeal, tracheal, genital, and bony dissemination is rare. Laryngotracheal...

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