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Trauma

A novel etiology for pneumolabyrinth after temporal bone fracture without otic capsule involvement

November 3, 2017  |  Thomas J. Muelleman, MD; Vidur Bhalla, MD; Hinrich Staecker, MD, PhD

Abstract

Pneumolabyrinth has been considered an indicator of otic capsule involvement in temporal bone fractures. We present a novel theory for the etiology of pneumolabyrinth in a trauma patient without an otic capsule fracture: passage of intrathecal air into the labyrinth. Our...

Recognizing malleus fracture in a woman with a head injury after a fall

August 24, 2017  |  Janet S. Choi, MD, MPH; Nathan Tu, MD; John L. Go, MD; Elina Kari, MD

Diagnosis of ossicular injuries is often challenging due to their subtle appearance on CT scans, especially in the presence of hemotympanum or opacification of the middle ear cavity.

Facial trauma caused by electronic cigarette explosion

March 24, 2017  |  Brian Vaught, MD; Joseph Spellman, MD; Anil Shah, MD; Alexander Stewart, MD; David Mullin, MD

Abstract

Electronic cigarettes are increasingly popular as a supposed safer alternative to tobacco cigarettes or a smoking cessation tool. Research and debate have focused primarily on possible adverse effects caused by the inhaled aerosol produced by electronic cigarettes and on...

Auricular complications in parotid, temporal bone, infratemporal fossa, and lateral skull base surgery

February 20, 2017  |  Patrick S. Carpenter, MD; Ryan C. Burgette, MD; John P. Leonetti, MD; Sam J. Marzo, MD

Abstract

Neoplasms located in the parotid region, temporal bone, infratemporal fossa, and lateral skull base represent a challenge due to their difficult anatomic location and surrounding neurovascular structures. A variety of surgical approaches are appropriate to access this area,...

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 from  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.

Chronic invasive fungal sinusitis causing a pathologic Le Fort I fracture in an immunocompetent patient

September 19, 2016  |  Amy L. Richter, MD; K. Kelly Gallagher, MD

Abstract

We describe the case of a 77-year-old immunocompetent woman with a history of chronic rhinosinusitis who presented with a pathologic Le Fort I fracture after a forceful sneeze. Imaging revealed diffuse sinus opacification and a Le Fort type I complex fracture involving the...

Functional and psychological impact of nasal bone fractures sustained during sports activities: A survey of 87 patients

August 21, 2016  |  Paul Lennon, FRCS(ORL-HNS); Sam Jaber, MRCS; John E. Fenton, FRCSI, FRCS(ORL)

Abstract

Nasal bone fractures that require reduction are a common sequela of sports injuries. We conducted a survey to ascertain the outcomes of patients who had experienced a nasal bone fracture and who subsequently underwent manipulation under anesthesia. We reviewed data on 217 nasal...

Ketamine-snorting-induced nasal septum perforation

July 18, 2016  |  Keng-Kuang Tsai, MD; Chih-Hung Wang, MD, PhD

Ketamine causes vasoconstriction, and long-term abuse leads to mucosal ischemia, atrophy and, ultimately, necrosis, followed by underlying cartilage or bone destruction.

The effects of round window membrane injury and the use of a model electrode application on hearing in rats

March 16, 2016  |  Murat Koc, MD; Abdullah Dalgic, MD; Mehmet Ziya Ozuer, MD

Abstract

We conducted an animal experiment to investigate the effects of mechanical trauma to the round window with the placement of a model electrode inserted into the scala tympani on the cochlear reserve, and to determine the efficacy of topical steroids in preventing hearing loss in...

Slag injury to the tympanic membrane

January 22, 2016  |  Emily Marchiano, BA; Robert W. Jyung, MD

The presence of slag can be confirmed on CT, which can be used to evaluate damage to the ossicles and the proximity of the foreign body to nearby structures such as the carotid canal.

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