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An unusual presentation of papillary thyroid carcinoma in a pediatric patient: A case report

December 10, 2018  |  Matthew G. Cravens, BS, BA; Tyson J. Nielsen, MD; Erynne A. Faucett, MD; Audrey B. Erman, MD


Cystic neck masses in the pediatric population are common but rarely concerning for malignancy. Given this typically benign nature, they are frequently managed conservatively. Here we present an unusual case of a waxing and waning cystic neck mass in a pediatric patient. After...

Huge neck lymphangioma removed in toto with minimal access

December 10, 2018  |  Vikas Malhotra, MBBS, MS(ENT), DNB; Nikhil Arora, MBBS, MS(ENT), DNB; Pankhuri Mittal, MBBS, MS(ENT), DNB

Treatment selection should be based on the size, depth, and location of the lesion, as well as potential morbidity and surgical complications.

A fistulating oropharyngeal lesion

December 10, 2018  |  Richard Heyes, MBChB (Hons), MRCS DO-HNS; Courtney M. Tomblinson, MD; David G. Lott, MD


Post-transplant lymphoproliferative disorder (PTLD) is a unifying term for a spectrum of lymphoid expansion entities brought about by immunosuppression. It can present throughout the head and neck, and tonsillar involvement is not limited to children. We report the case of a 67...

Evaluation of bendable surgical suction devices made of shape-memory alloy for the endonasal transsphenoid removal of pituitary tumors

December 10, 2018  |  Ronny Grunert, PhD; Sandra Klietz, BEng; Paul A. Gardner, MD; Juan C. Fernandez-Miranda, MD; Carl H. Snyderman, MD, MBA


In minimally invasive surgeries, it can be difficult to reach desired anatomic areas with rigid instruments, especially when obstacles are present in the surgical corridor (e.g., during transnasal pituitary surgery). We developed a new kind of suction device constructed of the...

Aggressive fibromatosis of the parotid gland

December 10, 2018  |  Vishaal Patel, MD; Virginia Falvello, MD; Marion Hughes, MD; Barry Schaitkin, MD


Extra-abdominal fibromatosis (EAF) is a rare, locally aggressive tumor that originates in fascial structures. It accounts for less than 0.3% of all tumors diagnosed. Head and neck tumors account for only 7% of those, and only a few cases occurring in the parotid gland have been...

Destructive lesion of the temporomandibular joint: A case of tophaceous pseudogout

December 10, 2018  |  Jessica B. Howell, MD; Yula A. Indeyeva, MD; Stephanie E. Ambrose, MD; Evan R. Reiter, MD


Tophaceous pseudogout of the temporomandibular joint is a rare entity that clinically and radiographically mimics neoplastic or infectious conditions. Diagnosis requires histopathologic examination. Given the rarity of this condition, there is a paucity of information...

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...

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...

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.

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,

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...