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Persistent stapedial artery with ankylosis of the stapes footplate

August 22, 2018  |  Fiona C. Hill, MBBS; Bing Teh, MBBS; Michael Tykocinski, FRACS

Persistent stapedial artery may present as a pulsatile middle ear mass or may appear as an incidental finding during middle ear surgery.

Fourth branchial pouch sinus: A report of 7 cases and review of the literature

August 22, 2018  |  Indranil Pal, MS; Saumitra Kumar, MS; Ankur Mukherjee, MS, DNB; Bibhas Mondal, MS; Anindita Sinha Babu, MD

Abstract

A fourth branchial pouch sinus often manifests quite late in life as a recurrent neck abscess, suppurative thyroiditis, or pseudothyroiditis. Demonstration of the sinus opening in the piriform fossa by hypopharyngoscopy in combination with ultrasonography of the neck provides...

Bilateral massive pharyngoceles

August 22, 2018  |  Norair Adjamian, DO; Lyndsay L. Madden, DO; Libby J. Smith, DO

The differential diagnosis of pharyngoceles can be vast, and misdiagnosis often can occur without proper imaging studies.

A South African first: Congenital absence of the cartilaginous nasal septum

January 14, 2018  |  Yahya Atiya, MBBCh, MMed (ORL), FCORL

Abstract

Congenital absence of the cartilaginous nasal septum has been reported just once in the literature. We present a case of a young child, diagnosed by exclusion, with complete agenesis of the cartilaginous septum. We believe it is only the second case worldwide, and the first in...

Cornelia de Lange syndrome: What every otolaryngologist should know

August 24, 2017  |  Michael J. Eliason, MD, USN, LCDR; Jonathan M. Melzer, MD, USN, LCDR; Thomas Q. Gallagher, DO, USN, CDR

Abstract

Cornelia de Lange Syndrome (CdLS) can be expressed in multiple organ systems requiring a variety of specialists, including pediatric otolaryngology. We present the case of a 20-month-old boy with CdLS actively managed by an aerodigestive team consisting of pediatric...

Bilateral second branchial cleft fistulae in a boy with congenital heart disease

July 18, 2017  |  Yi-Fang Lee, MD; En-Li Shiau, MD

The diagnosis of branchial anomalies depends on good history taking, physical examination, proper image studies, and a high index of suspicion and clinical awareness.

Correlation among external auditory canal anomaly, temporal bone malformation, and hearing levels in patients with microtia

June 20, 2017  |  Kun Chen, MS; Liu Liu, MS; Runjie Shi, MD; Peihua Wang, MD; Dong Chen, MD; Hua Xiao, MD

Abstract

We conducted a retrospective study to evaluate the relationship between external auditory canal (EAC) anomaly, temporal bone abnormality, and hearing levels using objective scoring systems in Chinese patients with microtia. The study population consisted of 106 ears of 94...

Anomalous stapes in Down syndrome

January 25, 2017  |  Daniel T. Ginat, MD, MS

It is important to consider the presence of inner ear anomalies in Down syndrome, which occur in up to approximately 75% of this population

Aberrant position of nonrecurrent inferior laryngeal nerve: Report of 3 cases and a review of the literature

June 14, 2016  |  Thomas J. Willson, MD; Jayne Stevens, MD; Nathan Salinas, MD; Joseph A. Brennan, MD

Abstract

The presence of a nonrecurrent inferior laryngeal nerve (NRILN) is a significant risk factor for nerve injury during thyroid, parathyroid, and vascular surgeries involving the paratracheal area of the head and neck. The objective of this report is to review the association...

A rare cause of conductive hearing loss: High lateralized jugular bulb with bony dehiscence

June 14, 2016  |  James G. Barr, MRCS(ENT), BSc, BM; Pranay K. Singh, MD, FRCS, (ORL-HNS)

Abstract

We present a rare case of pediatric conductive hearing loss due to a high lateralized jugular bulb. An 8-year-old boy with a right-sided conductive hearing loss of 40 dB was found to have a pink bulge toward the inferior part of the right eardrum. Computed tomography showed a...

The rare fourth branchial cleft anomaly

April 30, 2016  |  Jonathan A. Harounian, MD; David Goldenberg, MD; Jason G. May, MD

The treatment for fourth branchial anomalies is complete surgical excision because of the risk of infection and life-threatening abscesses.

Case series: Internal jugular vein ectasia in pediatric patients

January 22, 2016  |  Neha A. Patel, MD; Shai Shinhar, MD

Abstract

Jugular vein ectasia is a dilation of the vein without tortuosity. This finding can easily be misdiagnosed or overlooked. Because of its rarity, many pediatricians, otolaryngologists, and pediatric surgeons are unfamiliar with this diagnosis and how to manage it. We report a...

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