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Pediatric Otolaryngology

Pediatric sensorineural hearing loss

June 9, 2014  |  Dennis J. Kitsko, DO, FACS, FAOCO

Children with hearing loss should avoid noise exposure, and families should be counseled to protect their child's hearing environment and to educate their children about the long-term need to avoid excessive noise exposure.

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....

Pediatric cervical sympathetic chain schwannoma with Horner syndrome: A rare case presentation

March 19, 2014  |  Sanjeev Bhagat, MS; Saurabh Varshney, MS; Sampan S. Bist, MS; and Nitin Gupta, MS


Schwannomas are rare, benign, slowly growing neurogenic tumors that originate in peripheral, spinal, or cranial nerves other than the optic and olfactory nerves. In the head and neck, these tumors usually arise from the vagus nerve and the cervical sympathetic chain in the...

Pseudo third cranial nerve palsy secondary to orbital ectopic lacrimal gland cyst: Management with functional endoscopic sinus surgery

February 12, 2014  |  Puneet S. Braich, BSc; Jonathan E. Silbert, MD; Andrew J. Levada, MD; and Neil R. Schiff, MD


An otherwise healthy 13-month-old girl was noted by her pediatrician to have developed a left head turn. The patient was referred to a pediatric ophthalmologist, who noticed signs of incomplete third cranial nerve palsy. Magnetic resonance imaging revealed the presence of an...

Cervical accessory tragus: An unusual pediatric neck mass

January 21, 2014  |  Thomas R. Lowry, MD

An accessory tragus occurs as the result of a developmental anomaly of the first branchial arch, and it may be associated with other branchial cleft abnormalities.

A rare cause of submandibular swelling in a 12-year-old child: Pleomorphic adenoma

January 21, 2014  |  Puneet S. Braich, MD, MPH; Shohan Shetty, MD; Archana Lingampally, MBBS; Michael S. Ajemian, MD, FACS; Mahesh H. Bhaya, MBBS, FACS


Pleomorphic adenoma is rare in pediatric populations, where viral and congenital problems are the usual culprits responsible for submandibular masses. We report the case of a 12-year-old child who presented with a painless right submandibular mass that had developed over the...

Recurrent chondro-osseous respiratory epithelial adenomatoid hamartoma of the nasal cavity in a child

January 21, 2014  |  Kazuhiro Nomura, MD, PhD; Takeshi Oshima, MD, PhD; Atsuko Maki, MD, PhD; Takahiro Suzuki, MD, PhD; Kenjiro Higashi, MD; Mika Watanabe, MD, PhD; Toshimitsu Kobayashi, MD, PhD


Chondro-osseous respiratory epithelial adenomatoid hamartoma (COREAH) is an extremely rare type of hamartoma. To the best of our knowledge, only 1 case has been previously reported. A 7-year-old girl presented with a case of COREAH of the bilateral nasal cavities. Polypous...

Bilateral dacryocystoceles as a rare cause of neonatal respiratory distress: Report of 2 cases

January 21, 2014  |  Mélanie Lecavalier, MD; Lily H.P. Nguyen, MD, MSc, FRCSC


Although obstruction of the nasolacrimal duct is a fairly common finding in newborns, development of a dacryocystocele (nasolacrimal duct cyst) is uncommon. Bilateral dacryocystoceles that expand intranasally and cause respiratory distress in the newborn are rarer still. We...

Tracheal bronchus in an 11-month-old infant

October 24, 2013  |  Robert Sprecher, MD, FACS, FAAP; Gary Josephson, MD, FACS, FAAP

The possibility of a tracheal bronchus should be entertained when a patient presents with recurrent right upper lobe pneumonia or right upper lobe collapse.

Infected sublingual hematoma: A rare complication of frenulectomy

July 22, 2013  |  Amal Isaiah, MD, DPhil; Kevin D. Pereira, MD, MS

Given the spectrum of potential poor outcomes, some consensus has emerged in favor of early surgical management of significant ankyloglossia.

Laryngeal plexiform neurofibroma in a child

June 12, 2013  |  Fikret Kasapoglu, MD; Talip Ozdemircan, MD; and Levent Erisen, MD


Neurofibromatosis (NF) is a genetically inherited, autosomal dominant disease, characterized by multiple cafe au lait spots, cutaneous neurofibromas and “Lisch nodules.” Neurofibromatosis can develop from a neural source at any age. However, neurofibroma of the larynx is...

Methicillin-resistant Staphylococcus aureus as a cause of neonatal suppurative parotitis: A report of two cases and review of the literature

June 12, 2013  |  Sean T. Donovan, MD; Grant T. Rohman, MD; John P. Selph, MD; Roy Rajan, MD; Rosemary M. Stocks, MD; and Jerome W. Thompson, MD, MBA


Suppurative parotitis is an uncommon entity identified in newborns. While Staphylococcus aureus has been frequently identified as the causative pathogen among the few patients diagnosed with neonatal suppurative parotitis (NSP), there has only been one prior case...


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