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Head and Neck

Case series: Internal jugular vein ectasia in pediatric patients

January 22, 2016  |  Neha A. Patel, MD; Shai Shinhar, MD

Abstract

Jugular vein ectasia is a dilation of the vein without tortuosity. This finding can easily be misdiagnosed or overlooked. Because of its rarity, many pediatricians, otolaryngologists, and pediatric surgeons are unfamiliar with this diagnosis and how to manage it. We report a...

Granular cell (Abrikossoff) tumor in the head and neck: A series of 5 cases

January 22, 2016  |  Petros Koltsidopoulos, MD, PhD; Konstantinos Chaidas, MD; Paschalis Chlopsidis, MD; Charalambos Skoulakis, MD, PhD

Abstract

We evaluated a series of 5 patients-3 men and 2 women, aged 39 to 70 years (mean: 54.4)-with a granular cell tumor (GCT) of the head and neck in an effort to better define the clinical presentation, imaging characteristics, and surgical management of this type of tumor. In all...

Huge lipoma of the right parotid gland: Case report and review of 42 cases

January 22, 2016  |  Timuçin Baykul, DDS, PhD; M. Asım Aydın, DDS, DMD, PhD; Yavuz Fındık, DDS, PhD; Derya Yıldırım, DDS, PhD

Abstract

Lipomas are rarely found in the parotid gland region. Because of their rarity at this site, they are not often considered in the differential diagnosis of parotid tumors. The parotid lipoma is a slowly growing, asymptomatic, freely movable, soft mass. Preoperative diagnosis is...

Hemangioma

January 22, 2016  |  Ashley E. Kita, MD; Jennifer L. Long, MD, PhD

Hemangiomas can occur anywhere blood vessels are present; they have been observed in deeper tissues such as the larynx, muscles, liver, and brain.

Four cystic parathyroid adenomas in a 71-year-old man

January 22, 2016  |  Darrin V. Bann, MD, PhD; David Goldenberg, MD, FACS

Management of hyperparathyroidism-jaw tumor syndrome centers on parathyroidectomy to control the complications of hyperparathyroidism, but the extent of the parathyroidectomy that should be performed is controversial.

Clival lesion: Atypical osteomyelitis vs. a neoplastic process

January 22, 2016  |  Mike C. Butterfield, MD; Juan S. Gomez, MD; Ngoc Ly, MD; Enrique Palacios, MD, FACR

The differential diagnosis of a clival lesion includes malignancy, infection, meningioma, and chordoma. In this patient, a recurrent neoplasm was suspected because of his medical history and the imaging findings

Two cases of sublingual hematoma as a manifestation of child abuse

December 14, 2015  |  Muneesh Mehra, MD; Antonia E. Chiesa, MD; Andrew P. Sirotnak, MD

Abstract

Common intraoral manifestations of child abuse include tears of the frenula, burns, and pharyngeal perforations. Sublingual hematomas can also occur as a result of trauma, but to the best of our knowledge, only 1 case has been previously described in the context of child abuse...

Raeder syndrome: Paratrigeminal oculosympathetic syndrome presenting as a manifestation of chronic sinusitis

December 14, 2015  |  Cedric V. Pritchett, MD; Mark A. Zacharek, MD

Abstract

Raeder syndrome (paratrigeminal oculosympathetic syndrome) is a rare clinical entity characterized by ipsilateral trigeminal sensory deficits, ptosis, and miosis, with an absence of anhidrosis secondary to interruption of the postganglionic oculosympathetic pathway. Going back...

An unusual tongue base mass in an infant: Tongue base sialolipoma

December 14, 2015  |  Dawn T. Teo, MBBS; Romaine F. Johnson, MD, MPH; John E. McClay, MD

Abstract

Sialolipoma is a rare tumor that occurs in the head and neck. We present a case arising from a minor salivary gland in an infant. The 6-month-old infant presented with difficulty swallowing, frequent reflux, and snoring that had been worsening several weeks before presentation...

Core biopsy as a simple and effective diagnostic tool in head and neck focal myositis

December 14, 2015  |  Chun Yee Tan, MBBS; Sheldon Chong, MBBS, MS; Chi-Kee Leslie Shaw, MBBS, MS, FRACS

Abstract

Most unilateral head and neck masses are benign, although malignancy is a possibility in some cases. However, there are other rare causes of unilateral neck masses, such as focal myositis, which is a rare, benign condition belonging to the family of inflammatory pseudotumors of...

Pemphigus vulgaris: An underdiagnosed cause of oral ulcer

December 14, 2015  |  Avijit Choudhury, MBBS; Tamoghna Jana, MBBS, DLO; Saumik Das, MBBS, DLO, MS, DNB; Ramanuj Sinha, MBBS, DLO, MS, DNB

Diagnosis of pemphigus vulgaris requires a high degree of clinical suspicion, along with timely mucosal biopsy for histopathologic examination and a direct immunofluorescence study.

Reconstruction after resection of a lower lip squamous cell carcinoma with a submental island flap

December 14, 2015  |  Jin Pyeong Kim, MD; Hyun Woo Park, MD; Jung Je Park, MD; Seung Hoon Woo, MD

Abstract

Lip cancer is the most common malignancy of the oral cavity and the second most common cancer in the head and neck. Typically, squamous cell carcinoma of the lower lip is an ulcerated lesion with raised margins. Surgery is the best treatment for lower lip cancer. The lips are...

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