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Head and Neck

An imaging study of the facial nerve canal in congenital aural atresia

October 31, 2015  |  Shouqin Zhao, PhD; Demin Han, PhD; Zhenchang Wang, PhD; Jie Li, MD; Yanni Qian, MD; Yuanyuan Ren, MD; Jiyong Dong, MD

Abstract

We conducted a prospective study to investigate the abnormalities of the facial nerve canal in patients with congenital aural atresia by computed tomography (CT). Our study population was made up of 99 patients-68 males and 31 females, aged 6 to 22 years (mean: 13.5)-who had...

Unusual primary tumors presenting as papillary carcinomas metastatic to the neck

October 31, 2015  |  Agnes Dupret-Bories, MD, PhD; Marc Wilt, MD; Pierre Kennel, MD; Anne Charpiot, MD, PhD; Jean-Francois Rodier, MD, FACS

Abstract

The presence of a metastatic papillary carcinoma in the neck is presumptive evidence of a primary thyroid neoplasm since neck metastases of other primary tumors are uncommon. Immunohistochemical studies may be required to diagnose these metastases. We report 2 cases in which an...

Noninvasive intraoperative angiography for reconstruction of head and neck defects

October 31, 2015  |  Shiva P. Daram, MD; Justin M. Sacks, MD; Michael E. Kupferman, MD

Abstract

Reconstruction of head and neck defects after cancer resection involves the use of local, pedicled musculocutaneous, and free flaps. Flap failure is often caused by vascular insufficiency, and it is associated with the presence of cardiovascular or peripheral vascular disease,...

An unusual presentation of a lingual dermoid cyst

October 31, 2015  |  Megan L. Durr, MD; Annemieke van Zante, MD, PhD; Steven D. Pletcher, MD

Abstract

Dermoid cysts are rare lesions of the head and neck that usually present in children as an asymptomatic, slowly growing mass. We report a case that demonstrates that dermoid cysts can present later in life as a recurrent acute infection. Our patient was a 48-year-old man with a...

Soft palate mass

October 31, 2015  |  Evan Longfield, MD; Matthew W. Stark, MD; Anita Jeyakumar, MD, FACS

Although pleomorphic adenomas are mostly benign, they have the potential to grow very large yet remain asymptomatic.

Pleomorphic sarcoma of the neck

September 21, 2015  |  Lester D. Thompson, MD

Pleomorphic sarcoma is an uncommon neoplasm in the head and neck now that refinements in diagnostic techniques have more accurately classified tumors that used to be placed in this category.

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...

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...

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...

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...

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...

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...

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