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Pediatric Otolaryngology

Obstructing in utero oropharyngeal mass: Case report of a lymphatic malformation arising within an oropharyngeal teratoma

January 25, 2017  |  Todd J. Wannemuehler, MD; Christopher R. Deig, BA; Brandon P. Brown, MD; Stuart A. Morgenstein, DO

Abstract

An ex utero intrapartum treatment procedure was performed to deliver a fetus with a multiseptated, entirely cystic, 4.5 x 5.0 x 4.0-cm mass occupying the oropharynx and oral cavity with protrusion from the mouth. Surgical excision was performed, and final pathologic diagnosis...

Severe neck stiffness in a child with an undiagnosed Chiari malformation

January 25, 2017  |  Cameron E. Kliner, MS; Eric E. Berg, MD; Ron B. Mitchell, MD

Otologic symptoms, rather than headaches, may be the earliest manifestation of type I Chiari malformation.

Unusual case of dyspnea in a child

October 25, 2016  |  Stephanie Warrington, MD; Anita Jeyakumar, MD, FACS

Myeloid sarcomas of the head and neck in pediatric patients with myeloid leukemia

September 19, 2016  |  David W. Cuthbertson, MD; Jyotinder Nain Punia, MD; Vicki L. Owczarzak, MD

Abstract

Myeloid sarcoma is a rare extramedullary tumor composed of malignant myeloid cells that occur in the presence of myeloid leukemia. We report a case series of pediatric head and neck myeloid sarcomas representative of the epidemiology, symptomatology, laboratorial correlations,...

Isolated epiglottic lymphatic malformation in a 2-year-old: Diagnosis and treatment

September 19, 2016  |  Tate Naylor, BS; Anthony Sheyn, MD; Felicity Lenes-Voit, MD; Eric Berg, MD

Abstract

Airway obstruction in children has a wide differential diagnosis that includes laryngomalacia, infectious processes, paralysis, extrinsic compression, and other rare anatomic anomalies. Isolated laryngeal lymphatic malformations are rare developments that can manifest with...

Clinical, functional, and surgical findings in chronic bilateral otitis media with effusion in childhood

August 21, 2016  |  Svetlana Diacova, MD; Thomas J. McDonald, MD; Ion Ababii, MD, PhD

Abstract

We conducted a prospective, observational study over a 3-year period to compare the clinical, functional, and surgical findings in children with chronic bilateral otitis media with effusion who underwent one of three different types of treatment. Our study population was made...

Congenital granular cell tumor in a child with tetralogy of Fallot

July 18, 2016  |  Felicity Lenes-Voit, MD; Anthony Sheyn, MD; Debra Weinberger, MD

Although congenital granular cell tumors are always benign, they can cause feeding difficulties and airway obstruction.

Management of obstructive sleep apnea in children: A practical approach

July 18, 2016  |  Kevin D. Pereira, MD; Cindy K. Jon, MD, MPH; Peter Szmuk, MD; Rande H. Lazar, MD; Ron B. Mitchell, MD

Abstract

The management of sleep disordered breathing (SDB) in children differs between institutions, and there is a need for an updated review of current practice. Literature was reviewed using the PubMed database from 1995 to 2015 by four tertiary care providers experienced in the...

Infant with an unusual neck mass

April 30, 2016  |  Shiva Daram, MD; Ron B. Mitchell, MD

This case highlights the need to consider phlebectasias of the internal jugular vein when evaluating an infant with a compressible neck mass.

A case of pediatric parapharyngeal space ganglioneuroma

April 30, 2016  |  Natalie Garzorz, MD; Gillian R. Diercks, MD; Harrison W. Lin, MD; William C. Faquin, MD, PhD; Laura V. Romo, MD; Christopher J. Hartnick, MD, MS

Abstract

Ganglioneuromas are rare, benign neoplasms derived from sympathetic neural crest progenitor cells. In the pediatric population, ganglioneuromas usually develop in the mediastinum or retroperitoneum. We report the case of a 3-year-old boy who presented with a painless enlarging...

Otogenic lateral sinus thrombosis in children: A review of 7 cases

March 16, 2016  |  Jesse T. Ryan, MD; Maria Pena, MD; George H. Zalzal, MD; Diego A. Preciado, MD, PhD

Abstract

Otogenic lateral sinus thrombosis (LST) is a rare but serious intracranial complication of acute or chronic otitis media. Reported mortality rates have ranged from 8 to 25%; the pediatric mortality rate might be as low as 5%. Controversy still exists over the medical and...

Two cases of sublingual hematoma as a manifestation of child abuse

December 14, 2015  |  Muneesh Mehra, MD; Antonia E. Chiesa, MD; Andrew P. Sirotnak, MD

Abstract

Common intraoral manifestations of child abuse include tears of the frenula, burns, and pharyngeal perforations. Sublingual hematomas can also occur as a result of trauma, but to the best of our knowledge, only 1 case has been previously described in the context of child abuse...

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