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Head and Neck

Endoscopy-assisted resection of a submandibular gland mass via a thyroidectomy incision

September 21, 2015  |  Jin Pyeong Kim, MD; Jung Je Park, MD; Hyun Woo Park, MD; Seung Hoon Woo, MD

Abstract

Submandibular gland excision is traditionally performed via the transcervical approach. In an effort to avoid or reduce visible scarring and nerve injury, diverse innovative surgical trials have been conducted. We report the case of a submandibular gland mass that was...

Endoscopic transnasal transsphenoidal transtuberculum sellae extradural approach to suprasellar pituitary lesions: A case report

September 21, 2015  |  Tapan Nagpal, MS

Abstract

Pituitary adenomas are benign tumors that arise within the anterior lobe (the adenohypophysis) of the pituitary gland in the sella turcica. As they grow, they can extend through the pituitary stalk and into the suprasellar compartment. The surgical management of these adenomas...

Otolaryngologic manifestations of Noonan syndrome

September 21, 2015  |  Katie Geelan-Hansen, MD; Samantha Anne, MD, MS

Abstract

Noonan syndrome is an autosomal dominant disorder with associated anomalies that include short stature, congenital heart defects, developmental delay, and characteristic facial features among other abnormalities. Articulation deficiency and language delay are often present and...

Spontaneous true aneurysm of the superficial temporal artery presenting as an asymptomatic forehead mass

September 21, 2015  |  Nenad Zivkovic, MD, PhD; Milan B. Jovanovic, MD, PhD; Marko Markovic, MD, PhD; Sanja Milenkovic, MD, PhD

Abstract

Superficial temporal artery aneurysms are rare; when they do occur, they are usually associated with head trauma. Spontaneous true aneurysms of the superficial temporal artery are extremely rare. They are classified as true aneurysms when all three layers of the vessel are...

Base of tongue schwannoma

August 27, 2015  |  Gautam Bir Singh, MS; Rubeena Arora, MS; Sunil Garg, MS, DNB; Kiran Aggarwal, MD

On T1-weighted MRI, these lesions appear hypointense or isointense relative to the tongue muscle.

Using ultrasonic preoperative thyroid volume to determine incision length for minimally invasive thyroid surgery

August 27, 2015  |  Austin P. Daly, MD; Massi Romanelli-Gobbi, MD; Jeffrey L. Miller, MD; David Rosen, MD; David M. Cognetti, MD; Edmund A. Pribitkin, MD

Abstract

The determination of the volume of a diseased thyroid lobe or an entire gland by preoperative ultrasonography may enable surgeons to select candidates for a minimally invasive approach to thyroid lobectomy or total thyroidectomy. We retrospectively reviewed the charts of 71...

Missed skull base injury during sinonasal surgery: A dangerous scenario still existing

August 27, 2015  |  Mohamed H. Hassab, MD; Ahmed Z. Eweiss, MD, FRCS(ORL-HNS); Ahmed A. Ibrahim, MD

Abstract

Skull base injury is a known complication of sinonasal surgery. Cerebrospinal fluid (CSF) rhinorrhea has been reported to occur in 0 to 2.5% of these procedures. More extensive skull base injury may result in more serious complications. In this retrospective case series, we...

A study of neck and shoulder morbidity following neck dissection: The benefits of cervical plexus preservation

August 27, 2015  |  Massimiliano Garzaro, MD; Giuseppe Riva, MD; Luca Raimondo, MD; Laura Aghemo, MD; Carlo Giordano, MD; Giancarlo Pecorari, MD

Abstract

We conducted a study to evaluate the hypothesis that the preservation of cervical root branches of the cervical plexus is associated with greater shoulder mobility, less loss of face and neck sensation, and better quality of life (QoL) following functional neck dissection in...

Unusual sites of metastasis of papillary thyroid cancer: Case series and review of the literature

August 27, 2015  |  Rafael Antonio Portela, MD; Garret W. Choby, MD; Andrea Manni, MD; David Campbell, MD; Henry Crist, MD; David Goldenberg, MD

Abstract

Papillary thyroid cancer (PTC) is the most common malignancy of the thyroid gland. It typically spreads via lymphatic extension. The rate of regional PTC metastasis to the neck is relatively high, while metastases outside the deep cervical chain are rare. Distant metastases are...

Surgical resection of cervical schwannoma and paraganglioma: Speech and swallowing outcomes

August 27, 2015  |  Noah P. Parker, MD; Noel Jabbour, MD; Amy Anne Lassig, MD; Bevan Yueh, MD, MPH; Samir S. Khariwala, MD

Abstract

We conducted a retrospective study (1999 to 2009) at our tertiary care institution to evaluate speech and swallowing outcomes after the resection of cervical schwannoma or paraganglioma. Of 6 patients treated for schwannoma, 5 (83.3%) had immediate dysphonia and dysphagia. All...

Post-thyroidectomy hypocalcemia: Impact on length of stay

July 21, 2015  |  Joe Grainger, FRCS; Mohammed Ahmed, MRCP; Rousseau Gama, FRCPath; Leonard Liew, FRCS; Harit Buch, FRCP; Ronald J. Cullen, FRCS

Abstract

Hypocalcemia is a recognized complication following thyroid surgery. Variability in the definition of hypocalcemia and different opinions on its management can lead to unnecessary patient morbidity and longer hospital stays as a result of inappropriate or untimely treatment....

Sweet syndrome: A case report and review of the literature

July 21, 2015  |  Robert B. Contrucci, DO; Donna Bilu Martin, MD

Abstract

Sweet syndrome (acute febrile neutrophilic dermatosis) is a disorder of unknown etiology. It has been associated with autoimmune processes, malignancies, infections, drug reactions, and gastrointestinal disorders such as inflammatory bowel disease. We describe the case of a 51-...

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