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Head and Neck

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...

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...

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...

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,...

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...

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...

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...

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.

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.

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...

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...

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