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Pediatric Otolaryngology

Tongue base cyst in a 6-week-old boy

October 8, 2012  |  Joel Y. Sun, BA; Ron B. Mitchell, MD; Seckin O. Ulualp, MD

After excision, a histologic finding of an epithelial lining without ectopic thyroid tissue confirms the diagnosis of a lingual thyroglossal duct cyst.

Spontaneous cervicofacial subcutaneous emphysema secondary to pneumomediastinum in an otherwise asymptomatic child

October 4, 2012  |  Tripti Maithani, MS; Debraj Dey, MS; Chandermohan Sharma, MS

Abstract

A 12-year-old boy presented with subcutaneous emphysema of the face, neck, and upper chest. He had no significant history that suggested any specific cause, and initial investigations revealed no underlying pathology. Computed tomography of the chest...

Juvenile xanthogranuloma of the tympanic membrane: A case report

September 7, 2012  |  Michael W. Chu, MD; Alice Werner, MD; Stephanie A. Moody-Antonio, MD

Abstract

Juvenile xanthogranuloma (JXG) is a benign, non-Langerhans cell histiocytic lesion that generally affects infants and children. These lesions characteristically appear as a solitary, yellow, cutaneous nodule of the head, neck, or trunk. Subcutaneous and...

Allergic fungal rhinosinusitis in children

July 5, 2012  |  Ross Shockley, MD; Soham Roy, MD

Allergic fungal rhinosinusitis most often occurs in adolescents or young adults who exhibit nasal obstruction, congestion, purulent or clear rhinorrhea, anosmia, and headache--classic manifestations of chronic sinusitis.

Mesenchymal hamartomas of the pediatric head and neck

July 5, 2012  |  Matthew L. Carlson, MD; Amy M. Saleh, MD; Keith J. Kaplan, MD; Shelagh A. Cofer, MD

Abstract

We describe the fifth published report of a mesenchymal hamartoma presenting as a cheek mass. A 5-month-old infant was brought to our institution for evaluation of an enlarging left-sided congenital cheek mass. Over time, the lesion had...

Is routine analysis of pediatric tonsillectomy specimens worth the money?

May 1, 2012  |  Marc C. Thorne, MD, MPH, Assistant Professor, Associate Program Director

Although gross pathologic analysis may seem like a good alternative to examining every specimen microscopically, from the point of view of cost-effectiveness, it is the worst option and is quite unlikely to identify significant pathology.

Bilateral congenital lacrimal fistulae: A case report

May 1, 2012  |  Lei Zhuang, MD; Christin L. Sylvester, DO; Jeffrey P. Simons, MD

Abstract

A congenital lacrimal fistula is a rare developmental anomaly, usually unilateral. While it is often asymptomatic, some patients present with epiphora or discharge. We report the case of a 4-year-old boy with bilateral lacrimal fistulae. No other systemic, nasal, or ocular...

Myxoid malignant fibrous histiocytoma presenting as a midline nasal mass

April 1, 2012  |  Jaimie DeRosa, MD and Jeffrey R. Smit, MD

Abstract

Myxoid malignant fibrous histiocytoma is a rare type of pediatric non-rhabdomyosarcoma soft-tissue sarcoma. The case of a 5-year-old girl is presented, highlighting the potential for multiple pitfalls and aberrant differential diagnoses that need to be identified for successful...

Juvenile aggressive cemento-ossifying fibroma of the sinonasal tract: Case report

November 22, 2011  |  Sampan Singh Bist, MBBS, MS, Saurabh Varshney, MS, Rakesh Kumar, MS, Sanjeev Bhagat, MS, and Nitin Gupta, MS

Abstract

Cemento-ossifying fibroma (COF) is a rare nonodontogenic tumor of the periodontal membrane that arises from the mesodermal germ layer. Clinically, these lesions are usually asymptomatic, slowly growing, and well circumscribed. However, they have demonstrated an aggressive...

Osteosarcoma of the skull base in a 15-year-old boy

October 27, 2011  |  Gretchen M. Oakley, BA, Dary J. Costa, MD, Ron B. Mitchell, MD, and Cirilo Sotelo, MD

Ballpoint pen ingestion in a 2-year-old child

July 14, 2011  |  Anaïs Rameau, MD, CM, MSc, Sumeet M. Anand, MD, and Lily H.P. Nguyen, MD, CM, MSc, FRCS(C)

Abstract

A 2-year-old girl ingested a ballpoint pen, which was found on chest x-ray to have lodged in the lower esophagus and stomach. The pen, which measured nearly 15 cm in length, was removed via rigid esophagoscopy without complication. To the best of our knowledge, this is the...

Myofibroma of the zygomatic bone in an older child: A case report

July 14, 2011  |  Engin Acıoğlu, MD, Gül Özbilen Acar, MD, Yalçın Alimoğlu, MD, Harun Cansız, MD, and Sergülen Dervişoğlu, MD

Abstract

Myofibroma/myofibromatosis is a rare mesenchymal disorder that is part of a heterogeneous group of approximately 20 disorders that are classified primarily according to the proliferation of benign fibrous elements. These lesions can arise during a wide range of ages, with many...

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