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Huge primary leiomyosarcoma of the thyroid gland

November 8, 2018  |  Yong Tae Hong, MD; Ki Hwan Hong, MD

It is difficult to make an exact diagnosis of leiomyosarcoma before surgery and to distinguish it from anaplastic thyroid cancer,

Desmoid tumors of the head and neck: Two decades in a single tertiary care unit and review of the literature

November 8, 2018  |  Aleksi Schrey, MD, PhD; Maria Gardberg, MD, PhD; Riitta Parkkola, MD, PhD; Ilpo Kinnunen, MD, PhD


Desmoid tumors (DTs) of the head and neck have typically been classified as extra-abdominal, although the anatomic challenges of the head and neck warrant consideration of these DTs as a special entity. We present a review of DTs and describe our series of five patients with...

Eagle syndrome: Transient ischemic attack and subsequent carotid dissection

November 8, 2018  |  Thomas Sullivan, MD; Jordan Rosenblum, MD

Prophylactic contralateral styloidectomy was considered for this patient, but he was deemed a poor surgical candidate given his underlying cardiomyopathy and anticoagulation.

Serum levels of oxidative stress indicators and antioxidant enzymes in Bell palsy

November 8, 2018  |  Nazim Bozan, MD; Ömer Faruk Kocak, MD; Canser Yılmaz Demir, MD; Mehmet Emre Dinc, MD; Koray Avcı, MD; Halit Demir, PhD; Ahmet Faruk Kıroglu, MD


We conducted a prospective study to comparatively evaluate serum levels of malondialdehyde, an oxidative stress indicator, and the antioxidant enzymes glutathione, catalase, and superoxide dismutase in patients with Bell palsy. Our study population was made up of 30 patients...

A rare case of coexisting lacrimal sac adenocarcinoma and transitional cell carcinoma

November 8, 2018  |  Tsutomu Nomura, MD, DDS, PhD; Daisuke Maki, MD; Fumihiko Matsumoto, MD, PhD; Taisuke Mori, DDS, PhD; Seichi Yoshimoto, MD, PhD


Lacrimal sac tumors are rare and difficult to diagnose. We present a case of coexisting lacrimal sac adenocarcinoma and transitional cell carcinoma in a 73-year-old woman who presented with swelling of the inner canthus. Biopsy identified the growth as an adenocarcinoma. After...

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


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...

No difference in disease-free survival after oral cancer resection with close tumor margins in patients with and without postoperative radiotherapy

September 27, 2018  |  Britta Kaltoft Welinder, MD; Mads Lawaetz, MD; Laura M. Dines, MD, PhD; Preben Homøe, MD, PhD, DMSc


We conducted a retrospective follow-up study to determine if adjunctive radiotherapy (RT) affected disease-free survival in patients with oral squamous cell carcinoma (SCC) who were found to have close surgical margins after tumor resection. Our study population was made up of...

Nondisseminated rhinosporidiosis with multisite involvement in the head and neck

September 27, 2018  |  K Devaraja, MS; Prem Sagar, MS; Chirom Amit Singh, MS; Rajeev Kumar, MS


Rhinosporidiosis is a communicable disease prevalent in tropical countries that affects one or more mucocutaneous sites such as the nasal cavity, pharynx, skin, bronchus, genitals, and bone, in isolation or together. We report a case of multicentric rhinosporidiosis involving...

Histoplasmosis of the head and neck in the immunocompetent patient: Report of 2 cases

September 27, 2018  |  Ashley P. O'Connell Ferster, MD; Aaron Jaworek, MD; Amanda Hu, MD, FRCSC


Histoplasmosis of the head and neck is rarely seen in immunocompetent patients. We report 2 new cases of histoplasmosis of the head and neck in immunocompetent patients, one an 80-year-old man and the other a 57-year-old man. The older man presented with oral cavity...

Bilateral spontaneous temporomandibular joint herniation: A case report and literature review

September 27, 2018  |  Daniel C. O'Brien, MD, MAS; Kaylee R. Purpura, MD; Adam M. Cassis, MD


In this article we report the case of a 41-year-old man with bilateral aural fullness and hearing loss. On examination he was found to have bilateral, dehiscent anterior canal walls with herniation of the mandibular condyle. This herniation partially obstructed the canals and...

Castleman disease

August 22, 2018  |  Jason E. Cohn, DO; Jing Zhou, MD, PhD; Amanda Hu, MD

HIV-negative Castleman disease has been associated with autoimmune disease, collagen vascular disorders, pulmonary arterial hypertension, and glomerulopathy.

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


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...


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