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Laryngology

Laryngitis obscuring an anterior glottic mass

January 22, 2016  |  James D. Thompson, MD; Jaime Eaglin Moore, MD; Robert T. Sataloff, MD, DMA, FACS

Anterior masses, such as the one seen in this case, can cause glottic insufficiency and vocal strain.

Intratonsillar metastasis of EBV-positive nasopharyngeal carcinoma

January 22, 2016  |  Matthew R. Naunheim, MD, MBA; Linda N. Lee, MD; Harrison W. Lin, MD; Peter M. Sadow, MD, PhD; Daniel G. Deschler, MD

Abstract

We present the case of a 47-year-old man with a history of Epstein-Barr-virus-positive nasopharyngeal carcinoma who developed a metastasis to the palatine tonsil. To the best of our knowledge, this is the first reported case of an intratonsillar metastasis of a nasopharyngeal...

Hemangioma of the soft palate

December 14, 2015  |  Yu-Hsuan Lin, MD; Yaoh-Shiang Lin, MD

Hemangioma is not commonly seen in the soft palate. A variety of symptoms may be present.

Globus sensation and laryngopharyngeal reflux

October 31, 2015  |  Michael J. Knabel, BS; Jonathan M. Bock, MD, FACS

Some study results have suggested that psychological factors such as depression and anxiety can influence the etiology of globus.

Laryngeal neurofibroma

October 31, 2015  |  Andreas Anagiotos, MD; Dirk Beutner, MD

Neurofibromas are rarely seen in the larynx. Common symptoms are stridor, hoarseness, dysphagia, dysphonia, and globus sensation.

Laryngeal tuberculosis: A public health concern

October 31, 2015  |  Matthew B. Zavod, MD, FACS

Physical examination findings in patients with laryngeal tuberculosis vary, but they can include edema, hyperemia, nodularity, ulcerations, exophytic mass, and obliteration of anatomic landmarks.

Laryngeal neuromas in a case of multiple endocrine neoplasia type 2B

October 31, 2015  |  Stanley W. McClurg, MD; Paul E. Wakely Jr., MD; Eugene G. Chio, MD

Abstract

Mucosal neuromas of the larynx in the setting of multiple endocrine neoplasia type 2B (MEN-2B) are extremely rare; to the best of our knowledge, only 2 other cases have been previously reported in the world literature. We describe a new case, which occurred in a 30-year old...

Severe necrosis of the palate and nasal septum resulting from intranasal abuse of acetaminophen

October 31, 2015  |  Scott A. Hardison, MD; Kristin K. Marcum, MD; Catherine Rees Lintzenich, MD

Abstract

Intranasal drug abuse frequently leads to sinonasal complications, particularly sinus, nasal, and palatal necrosis. Classically, this type of necrosis has been linked to cocaine use, but the intranasal abuse of prescription narcotics and other pain medications can also lead to...

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.

Schwannoma of the cervical esophagus: Report of 2 cases and a review of the literature

September 21, 2015  |  Yu-Long Wang, MD; Jian-Guang Sun, MD; Jian Wang, MD; Wen-Jun Wei, MD; Yong-Xue Zhu, MD; Yu Wang, MD; Guo-Hua Sun, MD; Kuan Xu, MD; Hui Li, MD; Ling Zhang, MD; Qing-Hai Ji, MD

Abstract

Schwannomas of the cervical esophagus are extremely rare, as fewer than a dozen reports have been published in the literature. Therefore, their clinical characteristics and management have not been definitively elucidated. We report 2 cases of cervical esophageal schwannoma (...

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...

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