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Laryngology

Silastic injection for vocal fold medialization resulting in a false-positive finding on F18 FDG-PET/CT

September 21, 2015  |  Ayman Mahfouz, MBBS; Meeran Naji, MSc, MRCS, FRCR; Wing Yan Mok, BSc, MBBS, FRCR; Ali S. Taghi, MBBS, MD, FRCS(ORL-HNS); Zarni Win, MRCP, FRCR

Abstract

A false-positive uptake of F18-fluorodeoxyglucose (FDG) on positron-emission tomography/computed tomography (PET/CT) can result in confusion and misinterpretation of scans. Such uptakes have been previously described after injection of polytetrafluoroethylene (Teflon) into the...

Posthemorrhagic polyp: Risk of misdiagnosis of the cause of glottic insufficiency

September 21, 2015  |  Massi Romanelli-Gobbi, MD; Julia Ellerston, MA; Rima A. DeFatta, MD; Joel Portnoy, MD; Robert T. Sataloff, MD, DMA, FACS

Patients with vocal fold hemorrhage often present with sudden dysphonia and may not be able to recall an inciting event.

A large laryngeal pleomorphic leiomyosarcoma arising from a small pedicle without mucosal invasion: Case report

September 21, 2015  |  Napadon Tangjaturonrasme, MD

Abstract

Laryngeal leiomyosarcoma is a rare mesenchymal malignancy of the head and neck region. The author presents a case of an atypical laryngeal leiomyosarcoma that featured a large pedunculated lesion without mucosal invasion. This feature has not been previously described in the...

Adult-onset familial vocal fold paralysis

September 21, 2015  |  Ida Amir, MRCS, DOHNS; Yanick J. Crow, MBBS, PhD, MRCP; Pradeep Morar, MD, FRCS(ORL-HNS)

Abstract

We describe the cases of 2 brothers in their early 50s, born to consanguineous parents, who presented with acute stridor as a result of adult-onset bilateral abductor vocal fold paralysis. Both patients had a history of adult-onset asthma. No other associated symptoms were...

Giant Zenker diverticulum

August 27, 2015  |  Vini Balakrishnan, MS; Jason Handwerker, MD; Sunil P. Verma, MD

Open procedures are typically preserved for larger sacs and cases in which transoral access is limited.

Supraglottoplasty in a 39-year-old woman

August 27, 2015  |  Hilary M. Caruso Sales, DO; Amanda Hu, MD, FRCSC; Robert T. Sataloff, MD, DMA, FACS

In this case, the patient's larynx was diffusely erythematous and edematous, with thick secretions and severe posterior “cobblestoning.”

Analysis of predisposing factors for complications of percutaneous tracheostomy

August 27, 2015  |  Ivan Domènech, MD, PhD; Paula Cruz Toro, MD; Jordi Tornero, MD; Ana Giordano, MD; Àngela Callejo, MD

Abstract

Since the turn of the century, percutaneous tracheostomy (PT) has become an alternative to the classic open technique and is an elective procedure in intensive care units at most centers. We conducted a prospective study to identify and quantify the complication rate with PT...

Salivary gland adenoid cystic carcinoma

July 21, 2015  |  Lester D.R. Thompson, MD

Tumors are poorly circumscribed with an infiltrative border, including extracapsular extension beyond the salivary gland.

A rare case of malignant fibrous histiocytoma (pleomorphic undifferentiated sarcoma NOS) of the vocal fold

July 21, 2015  |  Jin Pyeong Kim, MD; Jin Yong Kim, MD; Gyung Hyuck Ko, MD; Seung Hoon Woo, MD

Abstract

Malignant fibrous histiocytoma, also known as pleomorphic undifferentiated sarcoma not otherwise specified, arises in numerous organs. The first-line treatment is complete excision of the mass, but in some cases postoperative chemo- and/or radiotherapy is recommended. Only a...

Anthracosis: An unusual cause of vocal fold paralysis

July 21, 2015  |  Sedat Aydin, MD; Ozlem Celebi, MD; Merve Kiroglu, MD; Mehmet Gökhan Demir, MD

Abstract

Anthracotic pigmentation in the bronchial mucosa is a bronchoscopic finding of pneumoconiosis, or evidence of heavy atmospheric soot. This pigmentation in the tracheobronchial mucosa is surrounded by calcified or noncalcified lymph nodes. Anthracosis is not a previously known...

Upper aerodigestive amyloidosis

July 21, 2015  |  Jaime Eaglin Moore, MD; Amanda Hu, MD; Al Hillel, MD

As the patient was asymptomatic, close observation and only laser excision were recommended if the patient's condition progressed.

Laryngeal findings and acoustic changes in light cigar smokers

June 5, 2015  |  Abdul-latif Hamdan, MD, FACS; Randa Al-Barazi, MD; Jihad Ashkar, MD; Sami Husseini, MD; Alexander Dowli, MD; Nabil Fuleihan, MD

Abstract

The aim of this prospective study was to look at the laryngeal findings and acoustic changes in light cigar smokers in comparison to nonsmokers, in the setting of a voice clinic. A total of 22 cigar smokers and 19 nonsmokers used as controls were enrolled in the study....

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