Otolaryngology Case Reports最新文献

A rare case of isolated frontal sinus fungus ball 罕见孤立额窦真菌球1例

IF 0.3

Otolaryngology Case Reports Pub Date : 2026-03-01 Epub Date: 2025-11-14 DOI: 10.1016/j.xocr.2025.100715

Shin Ito , Satoko Kubo , Ryuzaburo Higo , Akane Hashizume , Fumihiko Matsumoto

{"title":"A rare case of isolated frontal sinus fungus ball","authors":"Shin Ito , Satoko Kubo , Ryuzaburo Higo , Akane Hashizume , Fumihiko Matsumoto","doi":"10.1016/j.xocr.2025.100715","DOIUrl":"10.1016/j.xocr.2025.100715","url":null,"abstract":"<div><div>Fungal sinusitis is a common otolaryngological disease; however, most cases involve the maxillary sinus, and cases of isolated fungus balls (FBs) in the frontal sinus are extremely rare. Herein, we describe the management of an isolated frontal sinus FB in a patient without underlying immunodeficiency. A 58-year-old man presented with a 1-month history of pain in his left forehead. Sinus computed tomography (CT) showed soft-tissue shadows with calcification in the left frontal sinus, and magnetic resonance imaging showed low signal intensity on T2-weighted images at the site of calcification on CT, suggesting the presence of an FB. The patient had a relatively severe and unique anatomical condition that appeared challenging to manage. The endoscopic modified Lothrop procedure (EMLP) was selected, and surgery was performed 3 months after the initial visit. An inside-out approach was used to reach the frontal sinus and unify the bilateral frontal sinuses into a single cavity. A powered irrigation system was used to irrigate and completely remove the entire fungal mass. The pathological findings showed clusters of Aspergillus. In summary, the EMLP was successfully performed, and the FB was completely removed without any complications in this case. The patient remains recurrence-free to date, and the wound site is easily observable via a fiberscope.</div></div>","PeriodicalId":37154,"journal":{"name":"Otolaryngology Case Reports","volume":"38 ","pages":"Article 100715"},"PeriodicalIF":0.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145521195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Late surgical intervention in congenital unilateral aural atresia: Audiological and functional outcomes in an adolescent patient 先天性单侧耳闭锁的晚期手术干预：青少年患者的听力学和功能结果

IF 0.3

Otolaryngology Case Reports Pub Date : 2026-03-01 Epub Date: 2026-01-19 DOI: 10.1016/j.xocr.2026.100728

Ronit Priner , Devora Brand

{"title":"Late surgical intervention in congenital unilateral aural atresia: Audiological and functional outcomes in an adolescent patient","authors":"Ronit Priner , Devora Brand","doi":"10.1016/j.xocr.2026.100728","DOIUrl":"10.1016/j.xocr.2026.100728","url":null,"abstract":"<div><h3>Background</h3><div>Congenital aural atresia results in conductive hearing loss due to absent or malformed external auditory canal. In unilateral cases, rehabilitation is often deferred, particularly when contralateral hearing is normal. However, emerging evidence highlights the impact of unilateral hearing loss on auditory processing and the potential for neural reorganization even after prolonged deprivation.</div></div><div><h3>Case presentation</h3><div>An 18-year-old male with right-sided congenital aural atresia underwent atresiaplasty and tympanoplasty after declining amplification for many years. Preoperative imaging demonstrated favorable middle ear anatomy. Postoperative outcomes included improved air-conduction thresholds, enhanced speech understanding—especially in noisy environments—and successful comprehension of telephone speech via the previously non-functional ear. The patient initially experienced hyperacusis and diplacusis, which resolved over time, suggesting active cortical reorganization.</div></div><div><h3>Conclusion</h3><div>This case illustrates the potential for meaningful auditory and functional recovery following late surgical intervention in congenital unilateral conductive hearing loss. Restoration of auditory input, even in adolescence, may promote central auditory plasticity and improve real-world listening abilities. Personalized treatment planning should consider anatomical, functional, and motivational factors, regardless of age.</div></div>","PeriodicalId":37154,"journal":{"name":"Otolaryngology Case Reports","volume":"38 ","pages":"Article 100728"},"PeriodicalIF":0.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146037156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Fibromatosis colli: A rare neck mass of the sternocleidomastoid muscle in an infant: A case report 结缔组织瘤病：婴儿胸锁乳突肌罕见颈部肿块1例报告

IF 0.3

Otolaryngology Case Reports Pub Date : 2026-03-01 Epub Date: 2025-11-17 DOI: 10.1016/j.xocr.2025.100714

Tesfa G/Meskel , Mesfin Wubishet , Nuri Mama , Ayalneh Demissie

{"title":"Fibromatosis colli: A rare neck mass of the sternocleidomastoid muscle in an infant: A case report","authors":"Tesfa G/Meskel , Mesfin Wubishet , Nuri Mama , Ayalneh Demissie","doi":"10.1016/j.xocr.2025.100714","DOIUrl":"10.1016/j.xocr.2025.100714","url":null,"abstract":"<div><h3>Background</h3><div>Fibromatosis colli (FC), also known as sternocleidomastoid pseudotumor of infancy, is a rare benign proliferation of fibrous tissue within the sternocleidomastoid muscle. It typically presents as a unilateral neck mass during the first weeks of life. Although self-limiting, early recognition is essential to prevent unnecessary investigations and to reduce the risk of complications such as congenital torticollis.</div></div><div><h3>Case presentation</h3><div>We report the case of a 3-week-old female neonate who presented with a painless, left-sided neck swelling of one week’s duration. Clinical examination revealed a firm, non-tender mass along the sternocleidomastoid muscle. Ultrasonography confirmed the diagnosis of Fibromatosis colli. The patient was managed conservatively with physiotherapy, resulting in near-complete resolution of the mass and restoration of normal neck mobility within three months.</div></div><div><h3>Conclusion</h3><div>Fibromatosis colli is an uncommon but clinically significant cause of neck swelling in neonates and may closely mimic neoplastic lesions. It should be considered in the differential diagnosis of unilateral neck masses in early infancy. Accurate diagnosis is typically achieved through targeted clinical examination complemented by ultrasonography. Early initiation of physiotherapy is highly effective, typically resulting in complete recovery without the need for surgical intervention. Timely recognition and differentiation from other neonatal neck masses are crucial to avoid unnecessary invasive procedures, alleviate parental anxiety, and prevent complications such as persistent torticollis and craniofacial asymmetry.</div></div>","PeriodicalId":37154,"journal":{"name":"Otolaryngology Case Reports","volume":"38 ","pages":"Article 100714"},"PeriodicalIF":0.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145570586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Incidental parapharyngeal ganglioneuroma: A case report on surgical management 意外性咽旁神经节神经瘤：手术治疗1例报告

IF 0.3

Otolaryngology Case Reports Pub Date : 2026-03-01 Epub Date: 2025-11-19 DOI: 10.1016/j.xocr.2025.100711

Michael G. Hahn , Courtney J. Hunter , André M. Wineland

{"title":"Incidental parapharyngeal ganglioneuroma: A case report on surgical management","authors":"Michael G. Hahn , Courtney J. Hunter , André M. Wineland","doi":"10.1016/j.xocr.2025.100711","DOIUrl":"10.1016/j.xocr.2025.100711","url":null,"abstract":"<div><h3>Introduction</h3><div>Parapharyngeal ganglioneuromas are exceedingly rare, benign tumors of the sympathetic nervous system, with fewer than 40 reported cases in this specific anatomical space over four decades. They frequently remain asymptomatic until they reach a significant size, an their rarity contributes to a limited understanding of optimal management strategies.</div></div><div><h3>Case presentation</h3><div>In this case report, a 16-year-old female presented with an incidental finding of a 5.2 × 3.9 × 2.0 cm right parapharyngeal space mass on a CT head. Further diagnostic imaging included a contrast-enhanced CT neck and an MRI neck. Flexible fiberoptic laryngoscopy was performed to confirm mass effect of the right lateral pharyngeal wall. Surgical excisional biopsy via an endoscope-assisted transoral approach resulted in subtotal resection due to proximity to the internal carotid artery. Pathology confirmed a benign mature ganglioneuroma (5.0 cm), positive for S100. She has been monitored with serial MRI imaging with evidence of known residual lesion and surrounding fibrosis.</div></div><div><h3>Conclusion</h3><div>This case highlights the rare presentation and diagnostic challenges of parapharyngeal ganglioneuromas. Achieving complete surgical resection can be complex due to tumor adherence and proximity to vital structures. Comprehensive diagnostic workup, surgical excision, and regular surveillance remain crucial for optimizing outcomes in these benign yet challenging tumors.</div></div>","PeriodicalId":37154,"journal":{"name":"Otolaryngology Case Reports","volume":"38 ","pages":"Article 100711"},"PeriodicalIF":0.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145615993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Spontaneous catastrophic cervical hemorrhage in the setting of neurofibromatosis 神经纤维瘤病并发自发性灾难性宫颈出血

IF 0.3

Otolaryngology Case Reports Pub Date : 2026-03-01 Epub Date: 2025-12-04 DOI: 10.1016/j.xocr.2025.100720

Lavanya Nagappan , Yekaterina Shapiro , Luke Stanisce , Donald Solomon

{"title":"Spontaneous catastrophic cervical hemorrhage in the setting of neurofibromatosis","authors":"Lavanya Nagappan , Yekaterina Shapiro , Luke Stanisce , Donald Solomon","doi":"10.1016/j.xocr.2025.100720","DOIUrl":"10.1016/j.xocr.2025.100720","url":null,"abstract":"<div><div>Neurofibromatosis type 1 (NF1) can manifest in the head and neck in a variety of ways, most commonly presenting as solitary neurofibromas. The management of these lesions require multifaceted consideration of neurovascular involvement and airway compromise. Herein, we describe a 58-year-old male with a history of NF1 and extensive cervical neurofibromas who developed a spontaneous, expanding neck hematoma secondary to his tumors. He was initially stabilized with surgical drainage and endovascular embolization, but then subsequently represented with a second rapidly expanding neck hematoma resulting in acute respiratory distress. Failed intubation due to airway edema necessitated emergent cricothyrotomy and cardiopulmonary resuscitation. Additional embolization was performed but the patient eventually succumbed to global anoxic brain injury.</div><div>This case highlights the need for proactive multi-disciplinary management with specific attention to respiratory and hemodynamic stabilization in NF1 patients with large tumor burden. As with all neck hematomas, rapid respiratory decompensation may occur, requiring prompt recognition and early intervention. This case underscores the significance of a multidisciplinary approach involving emergency medicine, critical care, anesthesia, interventional radiology, and otolaryngology to recognize and address the potential for airway compromise in the face of a neck hematoma in patients with NF1.</div></div>","PeriodicalId":37154,"journal":{"name":"Otolaryngology Case Reports","volume":"38 ","pages":"Article 100720"},"PeriodicalIF":0.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145736646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A 4-year-old girl with an unrepaired cleft palate: Outcomes of late intervention 1例4岁女童腭裂未修复：晚期干预的结果

IF 0.3

Otolaryngology Case Reports Pub Date : 2026-03-01 Epub Date: 2025-11-14 DOI: 10.1016/j.xocr.2025.100713

Mahdiye Tavakoli , Fariba Jahangiri , Gholamreza Bayazian , Nahid Jalilevand , Reyhane Mohamadi

引用次数: 0

Clicking larynx syndrome in an adolescent patient following trauma: A case report and review of current literature 青少年创伤后咔嗒喉音综合征一例报告及文献回顾

IF 0.3

Otolaryngology Case Reports Pub Date : 2026-03-01 Epub Date: 2026-01-21 DOI: 10.1016/j.xocr.2026.100729

Lindsey Herberger , Peter Eckard , Soroush Farsi , Olivia Speed , Raghu Ramakrishnaiah , Larry D. Hartzell

{"title":"Clicking larynx syndrome in an adolescent patient following trauma: A case report and review of current literature","authors":"Lindsey Herberger , Peter Eckard , Soroush Farsi , Olivia Speed , Raghu Ramakrishnaiah , Larry D. Hartzell","doi":"10.1016/j.xocr.2026.100729","DOIUrl":"10.1016/j.xocr.2026.100729","url":null,"abstract":"<div><h3>Introduction</h3><div>Clicking Larynx Syndrome (CLS) is an uncommon condition of an audible clicking noise from the larynx with movement. While etiology remains unclear, CLS is often linked to a shortened distance between the hyoid and the thyroid cartilage. This can impact quality of life calling for early diagnosis and treatment. The presented case report and literature review explore etiologies, symptomatology, and impact of CLS on patients and proposed diagnostics and treatments.</div></div><div><h3>Case presentation</h3><div>A 17-year-old male presented with discomfort and an audible click of the larynx with head turning. This was noticed 2 years after minor laryngeal trauma during football. Bilateral CLS was confirmed both clinically and with dynamic 3D CT scan during lateral head rotation and swallow. The patient underwent surgery to resect the elongated superior cornua of the thyroid cartilage bilaterally. Postoperatively, he had near complete resolution of symptoms with only having abnormal movement of the larynx with extreme turning of his head.</div></div><div><h3>Discussion</h3><div>Twenty-five case reports were identified in the literature. The common finding is a clicking sound and discomfort that is triggered by swallowing or lateral head movements. Diagnostic and therapeutic challenges are discussed, with emphasis on further research to better determine etiology and the best treatment strategies for CLS.</div></div>","PeriodicalId":37154,"journal":{"name":"Otolaryngology Case Reports","volume":"38 ","pages":"Article 100729"},"PeriodicalIF":0.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146037157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Retropharyngeal lipoma as a rare etiology of pediatric refractory obstructive sleep apnea 咽后脂肪瘤是小儿难治性阻塞性睡眠呼吸暂停的罕见病因

IF 0.3

Otolaryngology Case Reports Pub Date : 2026-03-01 Epub Date: 2025-12-18 DOI: 10.1016/j.xocr.2025.100721

Maya Andrade , Emlyn Diakow , Michael Bobian , Zachary Kelly

引用次数: 0

Neglected middle ear foreign body with unusual eustachian tube migration; case report 中耳异物伴咽鼓管异常移位；病例报告

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Otolaryngology Case Reports Pub Date : 2026-03-01 Epub Date: 2025-11-29 DOI: 10.1016/j.xocr.2025.100717

Abdullah Almutairi , Ghadah Alotaibi , Alwaleed Alqahtani , Mohammed Almutairi , Essa Bakry

引用次数: 0

NARESMA in a pediatric patient: Early cytological detection to prevent CRSwNP progression NARESMA在儿科患者中的应用：早期细胞学检测可预防CRSwNP进展

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Otolaryngology Case Reports Pub Date : 2026-03-01 Epub Date: 2025-10-12 DOI: 10.1016/j.xocr.2025.100707

Matteo Gelardi, Rossana Giancaspro, Michele Cassano

引用次数: 0