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Case Reports in Otolaryngology

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https://www.readbyqxmd.com/read/29785315/a-very-rare-case-of-hypereosinophilic-syndrome-secondary-to-natural-killer-t-cell-lymphoma
#1
Takanori Yamamoto, Atsushi Kamijo, Tadao Nakazawa, Kei Nakajima, Keita Kirito, Norio Komatsu, Keisuke Masuyama
Hypereosinophilic syndrome (HES) is a systemic disease characterized by an increased peripheral blood eosinophil count accompanied by systemic organ dysfunction. HES is classified into idiopathic HES, primary (neoplastic) HES (HESN ), and secondary (reactive) HES (HESR ). In this case report, a patient who developed peripheral blood eosinophilia and granulation tissue in the pharynx and paranasal sinus, which was initially diagnosed as chronic eosinophilic leukemia (CEL), categorized as HESN , but was eventually identified after the patient had died as natural killer/T-cell (NK/T) lymphoma, nasal type (ENKL), categorized as HESR , is presented...
2018: Case Reports in Otolaryngology
https://www.readbyqxmd.com/read/29770233/metastasis-to-paranasal-sinuses-from-carcinoma-of-prostate-report-of-a-case-and-review-of-the-literature
#2
Elio Bittar Barbosa, Evaldo César Macau Furtado Ferreira, Fernanda Viviane Mariano, Albina Messias de Almeida Milani Altemani, Emerson Taro Inoue Sakuma, Eulalia Sakano
Metastasis from distant primary tumors is extremely rare in the paranasal sinuses with few hundred cases in the literature. Metastatic carcinoma of the prostate is even rarer, despite being one of the most common tumors, with only 24 cases published. In this article, we report a case of a 58-year-old male presenting with epistaxis and nasal obstruction as initial symptoms of a metastatic prostate carcinoma in the ethmoid cells and maxillary sinus.
2018: Case Reports in Otolaryngology
https://www.readbyqxmd.com/read/29755803/acute-mastoiditis-complicated-with-concomitant-bezold-s-abscess-and-lateral-sinus-thrombosis
#3
Aziz Mustafa, Burhan Toçi, Hajdin Thaçi, Bujar Gjikolli, Nehat Baftiu
Bezold's abscess is a very rare extracranial complication of acute mastoiditis. Lateral sinus thrombosis is another intracranial complication of acute mastoiditis that can occur, but there are only few reports of concomitant ispilateral Bezold's abscess and lateral sinus thrombosis with favorable outcome. We diagnosed and treated successfully a 14-year-old girl suffering from Streptococcus pneumoniae acute mastoiditis complicated with Bezold's abscess and lateral sinus thrombosis. Surgical treatment included myringotomy, cortical mastoidectomy, and Bezold's abscess incision and drainage...
2018: Case Reports in Otolaryngology
https://www.readbyqxmd.com/read/29744230/skull-base-osteomyelitis-from-otitis-media-presenting-as-the-collet-sicard-syndrome
#4
Wong-Kein Low, Hui-Ling Lhu
Skull base osteomyelitis can involve the jugular foramen and its associated cranial nerves resulting in specific clinical syndromes. The Collet-Sicard syndrome describes the clinical manifestations of palsies involving cranial nerves IX, X, XI, and XII. We present a rare atypical case of skull base osteomyelitis originating from infection of the middle ear and causing the Collet-Sicard syndrome. Caused by Pseudomonas aeruginosa and Klebsiella pneumoniae , this occurred in an elderly diabetic man subsequent to retention of a cotton swab in an ear with chronic suppurative otitis media...
2018: Case Reports in Otolaryngology
https://www.readbyqxmd.com/read/29736287/acute-parotitis-after-lower-limb-amputation-a-case-report-of-a-rare-complication
#5
Konstantinos Ioannis Avgerinos, Nikolaos Degermetzoglou, Sofia Theofanidou, Georgia Kritikou, Ioannis Bountouris
Background: Postoperative parotitis is a rare complication that occurs usually after abdominal surgery. Parotitis has never been described as a complication of vascular operations, in literature. In the present article, we describe a case of a postamputation parotitis along with its management and its possible pathogenesis. Case Report: An 83-year-old diabetic man was emergently admitted to hospital because of gangrene below the right ankle and sepsis. The patient underwent a lower limb amputation above the knee...
2018: Case Reports in Otolaryngology
https://www.readbyqxmd.com/read/29686919/grinspan-s-syndrome-a-rare-case-with-malignant-transformation
#6
Numan Kökten, Lokman Uzun, Ayşe Serap Karadağ, Tülay Zenginkinet, M Tayyar Kalcıoğlu
Aim: Oral lichen planus (OLP) is one of the common chronic inflammatory, noninfectious, and precancerous oral mucosal diseases that affect the stratified squamous epithelium in adults. Grinspan et al. reported an association of OLP with diabetes mellitus and vascular hypertension and called that Grinspan's syndrome in 1966. We aim to present a case of Grinspan's syndrome with malignant transformation. Case Presentation: A 60-year-old man who presented with a ten-year history of OLP diagnosed clinically and histologically was referred to our otolaryngology department with a painless swallowing in the left buccal mucosa for 3 months...
2018: Case Reports in Otolaryngology
https://www.readbyqxmd.com/read/29686918/head-and-neck-schwannomas-a-surgical-challenge-a-series-of-5-cases
#7
Ishtyaque Ansari, Ashfaque Ansari, Arjun Antony Graison, Anuradha J Patil, Hitendra Joshi
Background: Schwannomas, also known as neurilemmomas, are benign peripheral nerve sheath tumors. They originate from any nerve covered with schwann cell sheath. Schwannomas constitute 25-45% of tumors of the head and neck. About 4% of head and neck schwannomas present as a sinonasal schwannoma. Brachial plexus schwannoma constitute only about 5% of schwannomas. Cervical vagal schwannomas constitute about 2-5% of neurogenic tumors. Methods: We present a case series of 5 patients of schwannomas, one arising from the maxillary branch of trigeminal nerve in the maxillary sinus, second arising from the brachial plexus, third arising from the cervical vagus, and two arising from cervical spinal nerves...
2018: Case Reports in Otolaryngology
https://www.readbyqxmd.com/read/29682381/primary-atypical-meningioma-of-the-nasal-cavity-a-case-report-and-review-of-the-literature
#8
Leison Maharjan, Yogesh Neupane, Bibhu Pradhan
Background: Meningioma is a central nervous system tumor that typically arises in proximity to meninges. Extracranial primary atypical meningioma of sinonasal tract is a rare one. Methods: We discuss the clinical, radiological, and histological presentation of an elderly female with primary atypical meningioma of the nasal cavity, which was excised via endoscopic endonasal approach. Results: There was no recurrence even up to 20 months of follow-up after endoscopic excision...
2018: Case Reports in Otolaryngology
https://www.readbyqxmd.com/read/29670793/tracheocutaneous-sinus-following-tracheocutaneous-fistula-repair-management-strategies-in-a-pediatric-patient
#9
Adam Bender-Heine, Habib G Zalzal, Nainika Nanda, Hassan Ramadan
Objective: To present a rare case of a pediatric tracheocutaneous sinus years after repair of a tracheocutaneous fistula and to review management strategies. Background: A tracheocutaneous fistula is a common sequela of pediatric tracheostomy and can occur in as many as one in three pediatric patients. There is debate in the literature regarding optimal surgical management. Case Presentation: An 8-year-old girl presented to the emergency department with swelling and erythema over the anterior neck...
2018: Case Reports in Otolaryngology
https://www.readbyqxmd.com/read/29610696/a-rare-cause-of-a-fluctuating-cystic-lesion-in-the-external-auditory-canal
#10
Aaron Esmaili, Allen Y Y Wang, Jafri Kuthubutheen
Temporomandibular joint (TMJ) ganglionic cyst is an uncommon entity and only a few have been reported in the literature. TMJ ganglion within the external auditory canal presenting clinically as a fluctuating cystic lesion has never been reported. Here, we present a unique case of such a lesion together with otoscopic and radiological images as well as provide a descriptive review of TMJ ganglionic cysts.
2018: Case Reports in Otolaryngology
https://www.readbyqxmd.com/read/29610695/an-unusual-case-of-pinna-squamous-cell-carcinoma-arising-shortly-after-resection-of-atypical-fibroxanthoma
#11
Eugene Omakobia, Ahmad Orabi, Richard Knights
Objective: To report a unique case of pinna squamous cell carcinoma (SCC) arising shortly after resection of atypical fibroxanthoma (AFX) at the same site. Case report: An 81-year-old gentleman presented with a nodular right pinna lesion. This was excised, and histology confirmed AFX. Ten weeks later, an ulcerative lesion appeared at the resection site. This was confirmed to be SCC. Comparative analysis revealed no morphological resemblance between the initial AFX and new SCC lesion, and there was no evidence of initial misdiagnosis...
2018: Case Reports in Otolaryngology
https://www.readbyqxmd.com/read/29593926/chronological-progression-of-an-enlarged-styloid-process-a-case-report-of-eagle-syndrome
#12
Daisuke Maki, Kenji Okami, Koji Ebisumoto, Akihiro Sakai
Eagle syndrome is characterized by an elongated styloid process. However, the time frame over which the styloid process becomes elongated and extends is unknown. How the condition worsens over time is also unclear. To date, there has been no report describing the chronologic change that occurs in the styloid process in Eagle syndrome. We describe a 53-year-old patient with Eagle syndrome in whom the styloid process enlarged progressively over time and the elongated styloid process fused with the hyoid bone...
2018: Case Reports in Otolaryngology
https://www.readbyqxmd.com/read/29619265/relapsing-ipsilateral-vestibular-neuritis
#13
Duilio Emiliano De Schutter, Nicolás Pérez Fernández
In 2013, a 70-year-old male was admitted with an acute episode of vertigo, nausea, and vomiting with duration of one day. The patient's background included prehypertension, vitiligo, left ventricular hypertrophy, and Sjögren's syndrome. He denied any previous episode of vertigo or migraine manifestations. Neither hearing loss nor tinnitus or otorrhea was detected at the time of evaluation. No neurological symptoms were found. There was a left-beating spontaneous nystagmus Grade 3. The patient could stand still and walk on his own with some help without falling...
2017: Case Reports in Otolaryngology
https://www.readbyqxmd.com/read/29527371/anca-negative-granulomatosis-with-polyangiitis-presenting-with-hypertrophic-cranial-pachymeningitis-abducens-nerve-palsy-and-stenosis-of-the-internal-carotid-artery
#14
Shohei Harabuchi, Nobuyuki Bandoh, Rika Yasukawa, Michihisa Kono, Takashi Goto, Yasuaki Harabuchi, Hidetoshi Ikeda, Hajime Kamada, Hiroshi Nishihara
We report a rare case of granulomatosis with polyangiitis (GPA) presenting with hypertrophic cranial pachymeningitis (HCP), abducens nerve palsy, and stenosis of the internal carotid artery (ICA). A 59-year-old Japanese man presented with a year history of nasal obstruction and a 2-month history of slight headache. Histopathological examination of the granulomatous mucosa in the ethmoid sinuses resected by endoscopic sinus surgery revealed necrotizing vasculitis with multinucleated giant cells. The patient was diagnosed with the limited form of GPA as a result of the systemic examination...
2017: Case Reports in Otolaryngology
https://www.readbyqxmd.com/read/29445559/a-rare-case-report-and-literature-review-of-external-auditory-canal-cholesteatoma-with-circumferential-destruction-of-canal-wall-exposing-facial-nerve
#15
Leison Maharjan, Pabina Rayamajhi
External auditory canal cholesteatoma (EACC) is a rare condition with an estimated incidence of 1.2 per 1000 new otological patients. It is often mistaken with keratosis obturans. We discuss an extensive primary EACC with an aural polyp in a male which was managed by modified radical mastoidectomy.
2017: Case Reports in Otolaryngology
https://www.readbyqxmd.com/read/29375922/angioleiomyoma-of-the-auricle-an-unusual-tumor-on-a-rare-location
#16
Jean Kanitakis
Cutaneous angioleiomyomas (ALMs) (also known as vascular leiomyomas or angiomyomas) are unusual benign tumors of the skin deriving from the muscle layer of dermal blood vessels. They usually manifest as tender subcutaneous nodules, mostly encountered on the legs of adult women in their fifth or sixth life decade. ALMs rarely develop on the head/neck area, and even more rarely (<3% of all cases) on the auricle. Head/neck (including ear) ALMs differ from their more usual leg counterparts in that they are usually painless and do not show a female predominance...
2017: Case Reports in Otolaryngology
https://www.readbyqxmd.com/read/29359061/angiofibroma-localized-in-the-sphenoid-sinus
#17
Alper Yenigun, Fadlullah Aksoy, Omer Vural, Orhan Ozturan
Juvenile nasopharyngeal angiofibroma is the most common benign tumor of the nasopharynx with complaints of unilateral nasal obstruction and recurrent nosebleeds in the young male population. Despite being a benign tumor, it can be aggressively destructive in surrounding tissues and bones by acting locally. The gold standard treatment method is the surgical excision of the tumor. This case report is a case of angiofibroma, a 32-year-old asymptomatic male patient with no evidence of clinical signs and endoscopic examination, which is recognized as a localized vascular mass lesion in the right sphenoid sinus on the cranial MR imaging...
2017: Case Reports in Otolaryngology
https://www.readbyqxmd.com/read/29348956/nodular-lymphocyte-predominant-hodgkin-lymphoma-in-progressive-transformation-of-germinal-centers
#18
C Eric Bailey, Francesca Jung, Benjamin Addicks, Olukemi A Esan, Brian Kellermeyer
Nodular lymphocyte-predominant Hodgkin lymphoma is an uncommon variant of Hodgkin lymphoma. Progressive transformation of germinal centers has been associated with and can develop prior to, concurrent with, or after the diagnosis of nodular lymphocyte-predominant Hodgkin lymphoma. We present a patient with a history of progressive transformation of germinal centers of the right parotid who presented 4 years later with ipsilateral parotid mass and cervical adenopathy. Knowledge of her previous diagnosis raised our concern for lymphoma, influenced our surgical management, and spared the patient additional surgery with risk of facial nerve injury inherent in revision parotidectomy...
2017: Case Reports in Otolaryngology
https://www.readbyqxmd.com/read/29318074/adult-type-rhabdomyoma-of-the-larynx-clinicopathologic-study-of-an-uncommon-tumor-in-a-rare-location
#19
Giancarlo Altissimi, Massimo Ralli, Giulio Sementilli, Francesco Fiorentino, Andrea Ciofalo, Antonio Greco, Marco de Vincentiis, Alessandro Corsi, Giancarlo Cianfrone
Rhabdomyoma is an uncommon benign mesenchymal tumor with skeletal muscle differentiation that may occur either in the heart or in extracardiac sites. Even though the head and neck region is the most common area of extracardiac rhabdomyoma, the larynx is rarely involved. We present the case of an 85-year-old woman who reported a 10-day history of breathing difficulties, dysphagia, and dysphonia. A computed tomography scan of the head and neck showed a contrast-enhanced, solid hypopharyngeal-laryngeal neoplasm with well-defined margins causing subtotal obliteration of the right pyriform sinus and a reduction in air lumen of the laryngeal vestibule...
2017: Case Reports in Otolaryngology
https://www.readbyqxmd.com/read/29312790/pneumocephalus-following-self-inflicted-penetrating-brain-injury
#20
Che-Fang Ho, Yuan-Yun Tam, Chia-Chen Wu
Objective: Pneumocephalus is a rare complication that often occurs after traumatic skull base injury, leading to morbidity and mortality. Material and Method: We present the case of a 42-year-old healthy man who injured himself when he stuck a metal stick into his left nasal cavity to relieve prolonged nasal obstruction. Immediate cerebrospinal fluid rhinorrhea and subsequent meningitis and pneumocephalus occurred later. He was presented at our hospital with fever and meningeal signs...
2017: Case Reports in Otolaryngology
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