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Head and Neck

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...

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...

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...

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.

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...

Comparison of SPECT/CT and planar MIBI in terms of operating time and cost in the surgical management of primary hyperparathyroidism

October 31, 2015  |  Dhave Setabutr, MD; Kavita Vakharia, MD; Stephen J. Nogan, MD; George N. Kamel, MD; Thomas Allen, MD; Brian D. Saunders, MD; David Goldenberg, MD

Abstract

We conducted a retrospective study to compare operating times and costs in patients who underwent guided parathyroidectomies with either (1) technetium-99m (99mTc) multiplex ion-beam imaging (MIBI) parathyroid scintigraphy with single-photon emission computed...

"Cannonball" delayed pulmonary metastases in parotid adenoid cystic carcinoma

October 31, 2015  |  David X. Liu, BS; Juan S. Gomez, MD; Enrique Palacios, MD, FACR; Jeremy Nguyen, MD

Optimal imaging studies for perineural invasion can be obtained with magnetic resonance imaging, which demonstrates abnormal enhancement of the cranial nerves involved.

An intrathyroidal thyroglossal duct cyst

October 31, 2015  |  Robert Saadi, BS; David Goldenberg, MD, FACS

Thyroglossal duct cysts  are classically midline, associated with the hyoid bone, move with swallowing or tongue protrusion, and often initially present with some degree of inflammation.

Pitfalls in imaging the submandibular glands with PET/CT

October 31, 2015  |  Enrique Palacios, MD, FACR; Michael Ellis, MD, FACS; Edward C. Lam, MD; Harold Neitzschman, MD, FACR, FACNM; Morgan Haile, MD

Abstract

Imaging of the submandibular glands can provide vital information about malignant neoplastic processes. One of these modalities, fluorine-18 fluorodeoxyglucose-positron-emission tomography/computed tomography (FDG-PET/CT), has become very important in the detection of...

Vascular malformation with phleboliths involving the parotid gland: A case report with a review of the literature

October 31, 2015  |  Caleb Ho, MD; Benjamin L. Judson, MD; Manju L. Prasad, MD

Abstract

Phleboliths within the parotid gland are exceedingly rare. We report a case of a venous malformation with multiple phleboliths that involved the left parotid gland and extended into the extraparotid tissue in a 43-year-old woman. We also review 13 similar cases that have been...

Masseter flap for reconstruction of defects after excision of buccal mucosa cancers with intact mandible

October 31, 2015  |  Pankaj Chaturvedi, MS; Sandeep Lerra, MS(ENT); Farheen Ustad, MS; Prathamesh S. Pai, MS(ENT); Devendra A. Chaukar, MS; Anil K. D'Cruz, MS

Abstract

Among the reconstructive options available for buccal mucosa defects with an intact mandible, free flap with microvascular anastomosis is the best option. However, in the developing world, with poor resources, limited infrastructure, and high patient load, this cannot be...

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