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Head and Neck

Two cases of thyroid rupture after blunt cervical trauma

July 21, 2015  |  Ji Hoon Shin, MD; Yong Bae Ji, MD; Jin Hyeok Jeong, MD; Seung Hwan Lee, MD; Kyung Tae, MD

Abstract

The consequences of thyroid gland rupture following blunt cervical trauma can be quite grave. Almost all of these cases are associated with preexisting thyroid lesions; the traumatic rupture of a previously normal thyroid gland is very rare. Both surgical and nonsurgical...

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-...

Oncocytic mucoepidermoid carcinoma of the parotid gland: A case report and review of the literature

July 21, 2015  |  Deepali Jain, MD; Nabeen C. Nayak, MD

Abstract

Oncocytic metaplasia rarely has been reported in mucoepidermoid carcinomas. Most salivary gland lesions with oncocytic change are benign; therefore, it is important to distinguish mucoepidermoid carcinoma from other entities that may show prominent oncocytic change. We report a...

Cervical lipoblastoma: An uncommon presentation

July 21, 2015  |  Rohaizam Jaafar, MD; Tang Ing Ping, MS(ORL-HNS); Doris Evelyn Jong Yah Hui, MS(ORL-HNS); Mohammad Zulkarnaen Ahmad Narihan, MPath

Abstract

Lipoblastoma is extremely rare and mainly occurs in children younger than 3 years old. It is predominantly found in the extremities and trunk. Head and neck region occurrences are rare; only 4 such cases involving patients who presented with stridor have been previously...

Intraductal infusion of steroids in patients with Sjogren syndrome to treat painful salivary swelling: Report of 2 cases

June 5, 2015  |  Henry R. Diggelmann, MD; Henry T. Hoffman, MD, MS, FACS

Abstract

Painful salivary swelling in patients with Sjögren syndrome presents the clinician with a difficult-to-manage condition, and treatment options are limited. We report 2 cases that demonstrate the utility of a clinic-based intraductal corticosteroid infusion for the treatment of...

Maggot infestation of an ulcerated neck wound

June 5, 2015  |  Sidharth V. Puram, MD, PhD; Margaret S. Carter, MD; Daniel Deschler, MD, FACS

The presence of maggots was hardly deliberate in this case, but these larvae successfully debrided a locally recurrent necrotic lymph node.

ACE-inhibitor-related angioedema

June 5, 2015  |  Norman J. Chan, MD; Ahmed M.S. Soliman, MD

There is debate regarding whether patients who experience ACE-inhibitor-related angioedema can be safely switched to angiotensin receptor blockers.

Anaplastic large-cell lymphoma presenting as a nasopharyngeal mass and cervical lymphadenopathy

June 5, 2015  |  Gregory R. Dion, MD, MS, Capt.; Col. Mark D. Packer, MD

Abstract

Cervical lymphadenopathy in adults has a broad differential diagnosis, including bacterial and viral infections, Kikuchi-Fujimoto disease, systemic lupus erythematosus, and various neoplasms. Many of its etiologies share similar symptomatology and presentations, which...

Maxillary myxoma: A case report and review

June 5, 2015  |  Matthew P. Connor, MD, Capt.; Michael Neilson, DMD, Maj.; Cecelia E. Schmalbach, MD

Abstract

An odontogenic myxoma is a rare, benign tumor that is found almost exclusively in the facial bones, usually the mandible. The diagnosis poses a challenge because its features overlap with those of other benign and malignant neoplasms. We present an unusual case of odontogenic...

Nonossifying fibroma (metaphyseal fibrous defect) of the mandible in a 15-year-old boy

June 5, 2015  |  Abul Ala Syed Rifat Mannan, MD; N. Gopendro Singh, MD; Salah Al-Waheeb, MBBCh, FRCPC, FRCPath; Taher N.M. Taher, MBBCh, BDS, MOMS; Emad El Din A.M. Mohammed, BDS, MSc, PhD

Abstract

We describe a rare case of nonossifying fibroma of the mandible in a 15-year-old boy who presented with a left mandibular swelling. Conventional imaging showed an expansile radiolucent lesion involving the angle and the body of the left mandible. The lesion was curetted, and a...

Use of fluoroscopic guidance to remove a migrating esophageal foreign body

June 5, 2015  |  Ramanuj Sinha, MS; Utpal Jana, MS; Soumya Ghatak, MS; Gautam Biswas, MS; Jayanta Saha, MS; Indranil Sen, MS

Abstract

Ingested foreign bodies that migrate extraluminally are rare. In such cases, exploration of the neck via an external approach is the recommended procedure to remove the object. However, locating such a foreign body can be a difficult task. We report what we believe is the first...

Duplication of the right internal jugular vein: A case report

June 5, 2015  |  Srinivasalu Bathala, FRCS(ORL-HNS); Zvoru G. Makura, FRCS(ORL-HNS)

Abstract

We present a case of duplication of the right internal jugular vein (IJV) in a patient who underwent neck dissection as part of the management of carcinoma of the larynx. The patient was a 63-year-old man who presented to the otolaryngology department with a 7-month history of...

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