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Upper aerodigestive tract frostbite from inhalation of automotive nitrous oxide

September 27, 2018  |  Stephen A. Chan, BS; Kristan P. Alfonso, MD; Brett T. Comer, MD

Abstract

Nitrous oxide, a cryogenic gas, may be abused as an inhalant for its euphoric properties. If inhaled, nitrous oxide may cause frostbite to the oral cavity and upper aerodigestive tract, with possible airway compromise due to edema. In this article we describe what is, to the...

Esophageal perforation as a complication of the Heimlich maneuver in a pediatric patient: A case report

August 18, 2018  |  Shira L. Koss, MD; William E. Karle, MD; Gregory Dibelius, MD; Ameet Kamat, MD; Craig Berzofsky, MD

Abstract

We report a case of cervical esophageal perforation caused by the Heimlich maneuver in a healthy 16-year-old boy. The patient reported a short coughing episode while eating rice, and his mother performed the Heimlich maneuver on him. Five days later, he presented to the...

Iatrogenic external auditory canal stenosis induced by silver nitrate

April 30, 2018  |  Samantha J. Mikals, MD; Zhen Huang, MD, MBA; Brian K. Reilly, MD, FACS, FAAP; Ashkan Monfared, MD

Further scientific study is needed on silver nitrate's effect on the tissues of the ear canal and mastoid bone to determine the extent of the inflammation caused by the foreign body reaction.

Head and neck surgical reconstruction in Operation Iraqi Freedom and Operation Enduring Freedom-Afghanistan: A systematic review

December 12, 2017  |  Samantha J. Mikals, MD; Joshua M. Jabaut, MD; Art A. Ambrosio, MD

Abstract

Historically, head and neck injuries constituted 16 to 20% of all nonfatal combat injuries. However, advances in body and vehicle armor in the context of the use of ambushes and improvised explosive devices by enemy combatants have resulted in fewer fatalities from head and...

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,...

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.

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.

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...

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