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Laryngology

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...

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 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...

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.

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.

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...

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...

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 (...

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...

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