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Pediatric Otolaryngology

Intrapharyngeal schwannoma in a pediatric patient

June 12, 2013  |  Nader Nassif, MD; Mariaelisabetta Cottelli, MD; Davide Farina, MD; and Marco Berlucchi, MD

Abstract

Schwannomas are benign peripheral nerve neoplasms that arise from Schwann cells. They usually occur in the adult population. The most common site in the head and neck region is the parapharyngeal space. Intrapharyngeal schwannomas are extremely rare, and those that have been...

Congenital cholesteatoma in a 3-year-old

April 18, 2013  |  Danielle M. Blake, BA; Senja Tomovic, MD; Robert W. Jyung, MD

 When a congenital cholesteatoma is diagnosed early as a localized circumscribed mass, it can be resected with a very low risk of recurrence.

Airway management in an infant with alobar holoprosencephaly and cebocephaly associated with maternal diabetes mellitus

April 18, 2013  |  Rajanya S. Petersson, MD; William A. Carey, MD; Dana M. Thompson, MD

Abstract

We report a case of alobar holoprosencephaly (HPE) and cebocephaly associated with uncontrolled maternal type 1 (insulin-dependent) diabetes mellitus. Alobar HPE is the most severe form of HPE. Patients with cebocephaly have ocular hypotelorism and a proboscis with a single,...

Bilateral mastoid subperiosteal abscesses in an infant

January 24, 2013  |  Hernan Goldsztien, MD; Kevin D. Pereira, MD

The finding of bilateral acute mastoiditis in an infant should prompt a search for underlying predisposing causes.

Sphenoethmoid sinusitis in a child resulting in a disastrous intracranial sequela

November 1, 2012  |  Aye Jane Sow, MS(ORL-HNS); Jeevanan Jahendran, MS(ORL-HNS); Charng Jeng Toh, MS(Neurosurg); Thean Yean Kew, FRCR

Abstract

Localized sphenoethmoid sinusitis in children is a rare occurrence. It is usually overlooked because of the misconception that the sinuses are not developed. We describe a case of localized acute sphenoid and right posterior ethmoid sinusitis that presented as right frontobasal...

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...

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...

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.

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