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Screening and management of postoperative hypoparathyroidism-induced hypocalcemia in thyroidectomized patients in the endocrine ward compared with the surgical ward

April 30, 2018  |  Nina Sauer, MD; Anne Lautenbach, MD; Katharina Pohl, MD; Gerhard Schon, MD; Hans-Peter Brose, MD; Clarissa Alexandra Schulze zur Wiesch, MD; Jens Carsten Aberle, MD


Transient hypoparathyroid-associated hypocalcemia is a common side effect after thyroidectomy. Not only may it be life-threatening, but it also can distinctly affect length of hospital stay and treatment costs. Screening and treatment practices are suspected to differ between...

A unique manifestation of Langerhans cell histiocytosis: Diagnostic and therapeutic considerations of atypical cases

April 30, 2018  |  Judit Kálmán, MD; Tamás Horváth, MD, PhD; Bálint Liktor, MD; Balázs Liktor, MD, PhD


Langerhans cell histiocytosis (LCH) is regarded as a clonal disease, usually carrying the activating BRAF mutation V600E. Although LCH theoretically may affect all types of human tissue and typically appears during childhood, temporal bone involvement in adult...

Undifferentiated sarcoma presenting as a slowly enlarging facial mass

April 30, 2018  |  Alexis Lopez, MD, MPH; Anton M. Kushnaryov, MD; Robert A. Weisman, MD


Head and neck sarcomas are rare and consist of a variety of histologic subtypes. We present a case of undifferentiated/unclassified sarcoma (UUS) of the maxillary sinus, a tumor subtype historically known as malignant fibrous histiocytoma (MFH) or undifferentiated...

Early experience in endoscopic transoral resection for parapharyngeal space tumors

April 30, 2018  |  Ling-zhao Meng, MD; Qi Zhong, MD; Ju-gao Fang, MD; Hong-zhi Ma, MD; Jian-hong Wang, MS; Yong-xiang Wei, MD


The purpose of this study was to investigate the feasibility, safety, and efficacy of the resection of parapharyngeal space (PPS) tumors via an endoscopic transoral approach. We reviewed 9 patients who were diagnosed with PPS tumors and who were treated with an endoscopic...

Aggressive desmoid fibromatosis of the neck after total thyroidectomy

April 30, 2018  |  Alexander Delides, MD, PhD; Ioannis Plioutas, MD; Stephanos Konstantoudakis, MD; Pavlos Maragoudakis, MD, PhD

Treatment for this lesion is surgical resection, but external beam radiation or systemic drug treatment may be used when total resection is impossible.

Anxiety, depression, and hopelessness in patients before and after treatment for peripheral facial paralysis

April 30, 2018  |  Fatih Arslan, MD; Mert Cemal Gokgoz, MD; Murat Binar, MD; Emre Aydemir, MD; Abdullah Durmaz, MD


We conducted a prospective study to investigate the effectiveness of pharmacologic treatment on alleviating facial paralysis, as well as the anxiety and depression that are associated with it. Our study population was made up of 105 patients-59 men and 46 women, aged 18 to 60...

Wireless mobile ultrasonography-assisted parotid duct stone removal

April 30, 2018  |  Na Rae Oh, MD; Joo Hyun Woo, MD, PhD; Dong Young Kim, MD, PhD; Min Kwan Baek, MD, PhD


Ultrasonography is highly sensitive for the diagnosis of sialoliths. Recently, wireless mobile ultrasonography was developed. We describe the case of a 49-year-old man who presented with painful postprandial left cheek swelling. Computed tomography detected a solitary 5-mm...

CO2-laser-assisted diverticulotomy remains an effective and safe method for treating Zenker diverticulum

March 14, 2018  |  Mazin Merdad, MD, MPH; Nitin Bhatia, MD; Elie E. Rebeiz, MD, FACS


Our objectives were to review our experience with laser- assisted diverticulotomy (LAD) in the treatment of Zenker diverticulum (ZD) and compare our results with those in published literature on other endoscopic and surgical techniques. We conducted a retrospective chart review...

A midline mediastinal parathyroid cyst

March 14, 2018  |  Guy Slonimsky, MD; Aaron Baker, MD; Henry Crist, MD; David Goldenberg, MD

These cysts are generally divided into nonfunctional or functional, based on their hormonal activity.

Incidence of epistaxis after endoscopic pituitary surgery: Proposed treatment algorithm

March 14, 2018  |  Lee A. Zimmer, MD, PhD; Norberto Andaluz, MD


Endoscopic transsphenoidal surgery for pituitary tumors is an increasingly common practice. Little has been reported on the incidence and treatment of postoperative epistaxis in this population. The aim of this study was to analyze the incidence of postoperative epistaxis and...

Dentigerous cyst

March 14, 2018  |  Lester D. Thompson, MD

Patients are usually asymptomatic, so these cysts are incidentally discovered during routine dental imaging.

Prospective evaluation of the early effects of radiation on the auditory system frequencies of patients with head and neck cancers and brain tumors after radiotherapy

March 14, 2018  |  Akram Hajisafari, Msc; Mohsen Bakhshandeh, PhD; Seyed Mahmoud Reza Aghamiri, PhD; Mohammad Houshyari, MD; Afshin Rakhsha, MD; Eftekhar Rajab Bolokat, Msc; Abbas Rezazadeh, PhD


Patients with head and neck cancer after radiotherapy often suffer disability such as hearing disorders. In this study, the effect of radiotherapy (RT) on hearing function of patients with head and neck cancer after RT was determined according to the total dose delivered to...