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Endoscopic view of sphenoid sinusitis adjacent to an intracranial aneurysm

July 5, 2012  |  Dewey A. Christmas, MD; Joseph P. Mirante, MD, FACS; Eiji Yanagisawa, MD, FACS

Cases of isolated sphenoid sinusitis unresponsive to medical therapy can be treated endoscopically using sinus balloon dilation.

BREAKING NEWS: Supreme Court Upholds Affordable Care Act

June 28, 2012  | 

Individual mandate is upheld as a tax

Intraparotid neurofibromatosis

June 4, 2012  |  Ryan F. Osborne, MD, FACS; Jason S. Hamilton, MD, FACS; Reena Gupta, MD, FACS

Neurofibromas, which occur in the peripheral nervous system, frequently begin asymptomatically, but as they grow and compress underlying nerve fascicles, they can cause pain, weakness, and numbness.

Endoscopic view of compensatory hypertrophy of the middle turbinate

June 4, 2012  |  Dewey A. Christmas, MD; Joseph P. Mirante, MD, FACS; Eiji Yanagisawa, MD, FACS

Compensatory hypertrophy of the middle turbinate can occur when a patient's nasal septum is markedly deflected to one side, enlarging the airway and hence giving the middle turbinate an unusually large space in which to expand.

Mycoplasma an unlikely cause of bullous myringitis

June 4, 2012  |  Lisa Cramer, BA; Dina M. Emara, MBBCh; Arun K. Gadre, MD, FACS

Despite common belief, Mycoplasma pneumoniae is an extremely rare causative agent for bullous myringitis. Instead, it is caused by the same organisms responsible for acute otitis media.

Laryngeal lipoma

June 4, 2012  |  Rima A. DeFatta, MD; Tre Landrum, DO; Joseph Whitten, MD; Robert T. Sataloff, MD, DMA, FACS

Simplified approach to auricular cartilage grafts

June 4, 2012  |  Ivan Wayne, MD

A posterior approach to harvesting auricular cartilage--used to correct both functional and aesthetic problems in facial plastic surgery--minimizes visible scars and postoperative contour deformities. This method also permits the simultaneous harvesting of perichondrium and soft-tissue for use as a thin onlay graft.

Telemedicine in otolaryngology–head and neck surgery

June 4, 2012  | 

Telemedicine holds a practical place in the field of otolaryngology. Programs in Alaska and Queensland, Australia, have been found beneficial and cost-effective.

A case of a giant submandibular gland calculus perforating the floor of the mouth

June 4, 2012  |  Raffaele Rauso, MD; Giulio Gherardini, MD, PhD; Paolo Biondi, MD; Gianpaolo Tartaro, MD; Giuseppe Colella, MD, DDS

Abstract

Sialolithiasis is characterized by the obstruction of salivary gland secretion by a calculus. It is associated with swelling, pain, and infection of the affected gland. More than 80% of all salivary calculi occur in the submandibular gland. One reason for this is the makeup of the saliva in the submandibular gland, which includes a higher mucus content, a greater degree of alkalinity, and greater concentrations of calcium and phosphate salts compared with the saliva of the parotid and sublingual glands. Other factors are that its duct is longer and its saliva flows against gravity. Sialoliths that reach several centimeters in diameter (megaliths, or giant calculi) are rare. Perforation of the floor of the mouth by a giant calculus is extremely rare. We report such a case in a 56-year-old man who presented with a 2-day history of severe pain in the left sublingual area and painful swelling in the left submandibular area. Removal of the stone and the left submandibular gland was performed via an extraoral incision. On gross examination, the sialolith measured 5.6 cm.

Adenoid cystic carcinoma of the nasal cavity: A case report

June 4, 2012  |  Angel J. Perez, MD, LT MC USN; Parul Goyal, MD

Abstract

Adenoid cystic carcinoma (ACC) is the most common malignant tumor of the minor salivary glands. The sinonasal tract is a common site of ACC occurrence, second only to the oral cavity. Of all cases of sinonasal ACC, a minority (22 to 35%) arise in the nasal cavity. Three histologic patterns of ACC have been described: cribriform, tubular, and solid. Compared with the cribriform and tubular forms, predominantly solid-type ACCs have been associated with higher rates of perineural invasion, higher S-phase fractions, and a higher incidence of aneuploidy. The histologic differentiation of solid-pattern ACC from other sinonasal malignancies typically requires the identification of one or both of the other ACC patterns in the same specimen. We present the case of a 39-year-old man with solid-pattern ACC arising in the nasal cavity. The tumor was resected endoscopically. We also discuss the relevant literature regarding the histologic diagnosis, prognosis, and treatment options for solid-pattern ACC.

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