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Laryngology

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Editors Picks

Surgical management of parapharyngeal space tumors: The role of cervical and lateral skull base approaches

December 7, 2016  |  Arturo Mario Poletti, MD; Siba P. Dubey, MS; Giovanni Colombo, MD; Giovanni Cugini, MD

Abstract

We conducted a retrospective study to analyze the role of the cervical and lateral skull base approaches in the surgical excision of parapharyngeal space (PPS) tumors. Our study population was made up of 34 patients-15 males and 19 females, aged 13 to 73 years (mean: 50.6)-who...

The "lake road sign": Another way to track the sulcus vocalis

December 7, 2016  |  Gauthier Desuter, MD, MSc; Delphine de Cock de Rameyen, MD; Donatienne Boucquey, MSc

Hypothetically, the lake road sign also could be applicable to mucosal bridges.

Rare primary mucosal melanoma of the larynx

December 7, 2016  |  Adam Blanchard, MD; Jeremy B. Nguyen, MD; Philip Daroca, MD; Paul Friedlander, MD; Eleanor Lewin, MD; James Vu, MD, MBA; Enrique Palacios, MD, FACR

Abstract

Few cases of primary mucosal melanoma of the larynx have been documented in the literature, so only a limited amount of data exists regarding its diagnosis and treatment. The prognosis is poor, as patients often present at a late stage with regional or distant metastases. We...

Undifferentiated pleomorphic sarcoma of the vocal fold

December 7, 2016  |  Chang-Yeong Jeong, MD; Choung-Soo Kim, MD

Abstract

Undifferentiated pleomorphic sarcoma, previously called malignant fibrous histiocytoma, usually arises in the extremities and retroperitoneum. Primary laryngeal undifferentiated pleomorphic sarcoma is very rare, with only 63 cases having been reported in the literature...

Features of oral, pharyngeal, and laryngeal lesions in bullous pemphigoid

October 25, 2016  |  Masafumi Ohki, MD; Shigeru Kikuchi, MD, PhD; Atsushi Ohata, MD, PhD; Yuka Baba, MD; Junichi Ishikawa, MD; Hirohito Sugimoto, MD

Abstract

Bullous pemphigoid is an autoimmune bullous disease characterized by skin lesions, with or without oral lesions. The occurrence of pharyngolaryngeal lesions is very rare in affected patients. We conducted a study to investigate the characteristics of oral and pharyngolaryngeal...

A novel approach to excision of distal tracheal granulation tissue in tracheostomy patients with difficult anatomy

October 25, 2016  |  Allison Rasband-Lindquist, MD; Keith Sale, MD

Abstract

Tracheostomy predisposes patients to various complications. The most common late complication is granuloma formation; others include tracheal stenosis, bleeding, infection, and fistula development. Small granulomas may not require treatment, but large ones necessitate removal...

Novel management of an isolated comminuted cricoid cartilage fracture

October 25, 2016  |  Aurora G. Standlee, MD, CPT, MC, USA; Derek J. Rogers, MD, MAJ, MC, USA

Abstract

Laryngeal trauma is a rare occurrence that can result in significant morbidity and mortality. Isolated cricoid cartilage fractures are exceedingly rare, and their treatment is highly variable. We describe a case of an isolated comminuted, uncalcified cricoid cartilage fracture...

Spontaneous laryngeal barotrauma depicted on CT

October 25, 2016  |  Daniel T. Ginat, MD

Laryngeal injuries may result fromĀ  external laryngeal trauma or, less often, internal processes such as iatrogenic causes and sneezing with a closed airway.

Clinical course of acute laryngeal hematoma associated with vocal fold fixation

October 25, 2016  |  Wan-Chun Tsai, MD; Jih-Chin Lee, MD; Chih-Hung Wang, MD, PhD; Hsin-Chien Chen, MD, PhD

Disruptions of the anterior commissure, multiple displaced cartilage fractures, and larger open lacerations require open laryngeal exploration.

Hemorrhagic polyp with large occult sulcus vocalis in a singer

September 19, 2016  |  Meghan O'Brien, DO; Libby J. Smith, DO

A sulcus can decrease the functional vibratory property of the vocal fold free edge and result in dysphonia.

Hypopharyngeal strictures and webs

August 21, 2016  |  Mark A. Fritz, MD; Gregory N. Postma, MD

These thin, web-like narrowings can often be missed or underappreciated on contrast swallows yet can be markedly symptomatic.

Vocal fold granulomas

August 21, 2016  |  Helen Lesser, BS; Amy Rutt, DO; Robert T. Sataloff, MD, DMA, FACS

Occasionally, even after excellent reflux control, surgical removal and steroid injection into the base of the granulomas, application of mitomycin C, and voice therapy, patients develop recurrent granulomas.