Otolaryngology Case Reports最新文献_第4页

Removal of remotely displaced maxillary third molar via endoscopic trans-maxillary approach 内窥镜经上颌入路去除上颌远端移位第三磨牙

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Otolaryngology Case Reports Pub Date : 2025-11-01 Epub Date: 2025-09-02 DOI: 10.1016/j.xocr.2025.100691

Maya D. Sinha , Pradeep K. Sinha

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Rapid collaboration between local hospital and major teaching hospital for the treatment of complete airway transection following blunt neck trauma: a case report 地方医院与大型教学医院快速合作治疗钝性颈部创伤后气道完全横断1例

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Otolaryngology Case Reports Pub Date : 2025-11-01 Epub Date: 2025-10-23 DOI: 10.1016/j.xocr.2025.100708

Tian-long Li , Chao-en Hu , Bin Li , Sheng Lv , Xiao-bo Huang , Chun Pan , Rui Liao

{"title":"Rapid collaboration between local hospital and major teaching hospital for the treatment of complete airway transection following blunt neck trauma: a case report","authors":"Tian-long Li , Chao-en Hu , Bin Li , Sheng Lv , Xiao-bo Huang , Chun Pan , Rui Liao","doi":"10.1016/j.xocr.2025.100708","DOIUrl":"10.1016/j.xocr.2025.100708","url":null,"abstract":"<div><h3>Background</h3><div>Blunt tracheobronchial trauma is a rare and life-threatening condition that demands early diagnosis and prompt intervention to ensure favorable outcomes. The novel aspect of this case lies in the management of a complete tracheal transection at the cricoid level caused by blunt neck trauma, successfully managed with extracorporeal membrane oxygenation (ECMO) as a critical life-saving measure before surgery.</div></div><div><h3>Case presentation</h3><div>A 55-year-old male presented with neck pain, dyspnea, nasal bleeding, and hemoptysis following a cycling accident where a steel wire caused a complete tracheal transection at the cricoid level. CT scans, fiberoptic bronchoscopy, and surgical exploration confirmed blunt tracheobronchial trauma. The patient's mechanical ventilation alarm indicated high pressure and poor oxygenation, necessitating venovenous ECMO for lung replacement therapy. Emergency surgery, including tracheoplasty, tracheostomy, neck debridement, and muscle flap reconstruction, was performed at a tertiary hospital with ECMO support.</div></div><div><h3>Conclusions</h3><div>This case highlights the critical role of ECMO in the management of severe tracheobronchial trauma, especially when conventional treatments fail. The use of ECMO provided vital support, allowing sufficient time for surgical repair and leading to a successful recovery for the patient. This approach may significantly impact future treatment strategies for similar cases of life-threatening blunt tracheobronchial injuries.</div></div>","PeriodicalId":37154,"journal":{"name":"Otolaryngology Case Reports","volume":"37 ","pages":"Article 100708"},"PeriodicalIF":0.3,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145361700","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}

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Acute invasive pseudomonal sinusitis – a case report and review of the literature 急性侵袭性假性鼻窦炎1例报告及文献复习

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Otolaryngology Case Reports Pub Date : 2025-11-01 Epub Date: 2025-10-01 DOI: 10.1016/j.xocr.2025.100701

Ernest Tay

{"title":"Acute invasive pseudomonal sinusitis – a case report and review of the literature","authors":"Ernest Tay","doi":"10.1016/j.xocr.2025.100701","DOIUrl":"10.1016/j.xocr.2025.100701","url":null,"abstract":"<div><h3>Introduction</h3><div>Acute invasive rhinosinusitis is an aggressive condition which is frequently caused by a fungal agent.</div><div>On the other hand, pseudomonas aeruginosa is a gram-negative bacterium less commonly implicated in such infections. We report a case of acute invasive pseudomonal rhinosinusitis in an immunocompromised host.</div></div><div><h3>Case</h3><div>A 41-year-old female with a background of a living donor renal transplant presented with a one-week history of progressive left sided nasal obstruction, facial pain, and headaches. She was found to have a necrotic eschar involving the lower half of her left middle turbinate with significant middle meatal oedema. In view of the suspicion of acute invasive rhinosinusitis, she underwent left functional endoscopic sinus surgery with debridement of the necrotic tissue.</div><div>Histopathological analysis revealed an inflammatory infiltrate eroding underlying bone. Fungal microorganisms were absent and there was no evidence of malignancy. Additional microbiological analysis subsequently revealed the culprit etiology of pseudomonas. Culture directed anti-pseudomonal therapy was instituted. Following repeated in-office debridements, the patient subsequently made a good clinical recovery.</div></div><div><h3>Conclusion</h3><div>Acute necrotizing sinonasal infections with a bacterial etiology is extremely rare. They can mimic life-threatening invasive fungal infections and will need to be on a clinician's list of differentials. Expedient diagnosis relying on both histology and microbiological analysis is important.</div></div>","PeriodicalId":37154,"journal":{"name":"Otolaryngology Case Reports","volume":"37 ","pages":"Article 100701"},"PeriodicalIF":0.3,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145220762","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

Tapia's syndrome following septoplasty: case report and review of the literature 中隔成形术后Tapia综合征：病例报告及文献回顾

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Otolaryngology Case Reports Pub Date : 2025-11-01 Epub Date: 2025-09-01 DOI: 10.1016/j.xocr.2025.100690

A. Donniacuo , C. Mezzedimi , C. Bovi , L. Salerni , M. Mandalà , L. Brindisi

引用次数: 0

A case of post-tonsillectomy nasopharyngeal stenosis that was repaired using CWICKs 扁桃体切除术后鼻咽部狭窄用cwiks修复1例

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Otolaryngology Case Reports Pub Date : 2025-11-01 Epub Date: 2025-08-29 DOI: 10.1016/j.xocr.2025.100694

Yusei Yamaguchi , Kentaro Matsuura , Shintaro Chiba , Shinya Ohira , Riko Kajiwara , Kota Wada

{"title":"A case of post-tonsillectomy nasopharyngeal stenosis that was repaired using CWICKs","authors":"Yusei Yamaguchi , Kentaro Matsuura , Shintaro Chiba , Shinya Ohira , Riko Kajiwara , Kota Wada","doi":"10.1016/j.xocr.2025.100694","DOIUrl":"10.1016/j.xocr.2025.100694","url":null,"abstract":"<div><div>Tonsillectomy is among the most commonly performed surgical procedures in otorhinolaryngology. It causes various complications, such as postoperative hemorrhage, and rarely nasopharyngeal stenosis. We here report a case in which CWICKs, a soft tissue surgical procedure for obstructive sleep apnea, was performed to repair post-tonsillectomy nasopharyngeal stenosis. The patient was a 57-year-old woman with chief concerns about nasal respiratory insufficiency and snoring. She underwent tonsillectomy at another hospital when she was 10 years old. After surgery, she developed severe nasal obstruction and could not breathe through the nose at all in the decubitus position. She was subsequently diagnosed with nasopharyngeal stenosis. Upon referral to our hospital, airway stenosis was detected at the soft palate level. As this was deemed to cause her chief concerns, pharyngoplasty using CWICKs was performed, which alleviated her symptoms and allowed nasal breathing. Because sleep apnea, mainly comprising hypopnea, persisted, treatment with nasal continuous positive airway pressure (n-CPAP) was initiated. With her improved nasal breathing, she was able to wear the n-CPAP mask and adhered to treatment. Currently, the patient is being followed-up at the outpatient clinic of our department. CWICKs appears to be a useful repair procedure for post-tonsillectomy nasopharyngeal stenosis.</div></div>","PeriodicalId":37154,"journal":{"name":"Otolaryngology Case Reports","volume":"37 ","pages":"Article 100694"},"PeriodicalIF":0.3,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144916854","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}

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Isolated laryngeal amyloidosis in a child: A rare case report 儿童孤立性喉淀粉样变1例报告

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Otolaryngology Case Reports Pub Date : 2025-11-01 Epub Date: 2025-09-22 DOI: 10.1016/j.xocr.2025.100702

Fatima Alghamdi, Danah Aljomah, Arwa Alkhunaizi, Omar Alghadir

引用次数: 0

Laryngeal amyloidosis mimicking Neoplasia: A case treated by transoral CO2 laser excision 喉淀粉样变模拟瘤变：经口CO2激光切除1例

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Otolaryngology Case Reports Pub Date : 2025-11-01 Epub Date: 2025-09-05 DOI: 10.1016/j.xocr.2025.100695

Saad Bouchlarhem , Achraf Amine Sbai , Drissia Benfadil , Azeddine Lachkar , Fahd El Ayoubi El Idrissi

{"title":"Laryngeal amyloidosis mimicking Neoplasia: A case treated by transoral CO2 laser excision","authors":"Saad Bouchlarhem , Achraf Amine Sbai , Drissia Benfadil , Azeddine Lachkar , Fahd El Ayoubi El Idrissi","doi":"10.1016/j.xocr.2025.100695","DOIUrl":"10.1016/j.xocr.2025.100695","url":null,"abstract":"<div><div>Laryngeal amyloidosis is a rare, benign disorder characterized by localized deposition of insoluble amyloid fibrils within laryngeal tissues, most commonly involving the false vocal cords, ventricles, and subglottic region. It accounts for approximately 1 % of benign laryngeal lesions. Clinical presentation varies depending on the size and location of the deposits, with symptoms ranging from dysphonia and exertional dyspnea to stridor and, less commonly, dysphagia. Diagnosis is established through laryngoscopic visualization and confirmed histologically using Congo red staining, which reveals the classic apple-green birefringence under polarized light. MRI aids in assessing lesion extent, and a serum amyloid P component (SAP) scan is crucial to exclude systemic involvement. Management is case-dependent, ranging from observation to conservative surgical excision. Despite its benign nature, recurrence is frequent, necessitating prolonged follow-up. Preservation of laryngeal function remains a key therapeutic objective.</div><div>We present the case of a 58-year-old male high school teacher with no history of tobacco or alcohol use, who developed progressive dysphonia over 14 months. Endoscopic evaluation revealed a submucosal lesion of the left hemilarynx with impaired vocal fold mobility. Imaging raised suspicion of a glottic malignancy, but histopathological analysis confirmed localized AL-type amyloidosis. Systemic disease was excluded through a full diagnostic work-up. The patient was successfully treated with transoral CO<sub>2</sub> laser excision. At two-year follow-up, there was no evidence of recurrence, and vocal function was preserved. This case underscores the importance of early recognition, minimally invasive management, and long-term monitoring in localized laryngeal amyloidosis.</div></div>","PeriodicalId":37154,"journal":{"name":"Otolaryngology Case Reports","volume":"37 ","pages":"Article 100695"},"PeriodicalIF":0.3,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145007671","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}

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Treatment with tezepelumab, an anti-TSLP antibody, for otitis media with ANCA-associated vasculitis comorbid with asthma: A case report 抗tslp抗体tezepelumab治疗合并anca相关血管炎并哮喘的中耳炎：1例报告

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Otolaryngology Case Reports Pub Date : 2025-11-01 Epub Date: 2025-08-28 DOI: 10.1016/j.xocr.2025.100687

Marie Yamada , Koichi Hirose , Kengo Kanai , Aiko Oka , Ryo Takagi , Maki Akamatsu , Yoshihiro Noguchi , Yorihisa Imanishi , Mitsuhiro Okano

{"title":"Treatment with tezepelumab, an anti-TSLP antibody, for otitis media with ANCA-associated vasculitis comorbid with asthma: A case report","authors":"Marie Yamada , Koichi Hirose , Kengo Kanai , Aiko Oka , Ryo Takagi , Maki Akamatsu , Yoshihiro Noguchi , Yorihisa Imanishi , Mitsuhiro Okano","doi":"10.1016/j.xocr.2025.100687","DOIUrl":"10.1016/j.xocr.2025.100687","url":null,"abstract":"<div><div>We report a case in which tezepelumab, an anti-thymic stromal lymphopoietin (TSLP) antibody, was effective for otitis media with anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis (OMAAV) comorbid with asthma and chronic rhinosinusitis (CRS) due to eosinophilic granulomatosis with polyangiitis (EGPA).</div><div>The patient was a 42-year-old man with severe asthma and peripheral blood eosinophilia. Dupilumab, an anti-interleukin-4 (IL-4) receptor alpha antibody, was first used to treat his asthma. Thereafter, he developed myeloperoxidase specific (MPO)-ANCA positive EGPA. Hence, glucocorticoid (GC) administration was commenced, and mepolizumab, an anti-IL-5 antibody, was introduced, leading to sustained remission for 15 months. After gradually tapering off the GC, he developed bilateral CRS, for which endoscopic sinus surgery (ESS) was performed. After mepolizumab was tapered, the respiratory symptoms flared up again, along with left-sided hearing loss, earache, and otorrhea, which was diagnosed as OMAAV. The treatment was switched to benralizumab, an anti-IL-5 receptor antibody. However, as the GC was gradually tapered, serum MPO-ANCA levels increased again, with relapse of coughing and shortness of breath. Hence, the treatment was switched to tezepelumab. Immediately thereafter, his MPO-ANCA level became negative, and the various symptoms, including OMAAV, CRS, and respiratory symptoms, improved, with sustained remission despite tapering of GC.</div></div>","PeriodicalId":37154,"journal":{"name":"Otolaryngology Case Reports","volume":"37 ","pages":"Article 100687"},"PeriodicalIF":0.3,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144926253","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}

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Metastatic Breast Carcinoma masquerading as Bilateral Vestibular Schwannomas: A rare diagnostic challenge 转移性乳腺癌伪装成双侧前庭神经鞘瘤：罕见的诊断挑战

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Otolaryngology Case Reports Pub Date : 2025-11-01 Epub Date: 2025-09-01 DOI: 10.1016/j.xocr.2025.100692

Lance E. Jackson, Zohair Ahmed, Syeda Ayesha Fatima, Neha Momin, Sakina Husain, George Richard Holt

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Parapharyngeal Hodgkin lymphoma: An atypical presentation and diagnostic challenge 咽旁霍奇金淋巴瘤：一个不典型的表现和诊断挑战

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Otolaryngology Case Reports Pub Date : 2025-11-01 Epub Date: 2025-11-04 DOI: 10.1016/j.xocr.2025.100705

Yasser Al-Ghabra , Ahmad Alkheder , Suzan Nassef , Alaa Ali , Juna Khaiti , Abdulmajed Yousfan

{"title":"Parapharyngeal Hodgkin lymphoma: An atypical presentation and diagnostic challenge","authors":"Yasser Al-Ghabra , Ahmad Alkheder , Suzan Nassef , Alaa Ali , Juna Khaiti , Abdulmajed Yousfan","doi":"10.1016/j.xocr.2025.100705","DOIUrl":"10.1016/j.xocr.2025.100705","url":null,"abstract":"<div><div>This report details an exceptionally rare presentation of classical Hodgkin lymphoma (cHL) in a 23-year-old female who presented with a progressive right neck mass alongside atypical otological symptoms (right-sided aural fullness and conductive hearing loss) and aerodigestive complaints (dysphagia, snoring), with classic B-symptoms (fever, night sweats, weight loss were present) and without cranial neuropathies. Imaging revealed bilateral cervical lymphadenopathy and a large, homogeneously hypodense mass with minimal enhancement occupying the right parapharyngeal space – a region inherently devoid of significant lymphoid tissue. Histopathological examination of biopsies obtained via transcervical and transparotid approaches confirmed cHL, demonstrating Reed-Sternberg cells within a reactive stroma. This presentation initially mimicked more common parapharyngeal pathologies like abscesses or benign tumors. The case was staged as IIE (extranodal extension contiguous to nodal sites). The patient achieved a complete metabolic response, confirmed by post-treatment positron emission tomography/computed tomography (PET/CT) using Deauville criteria, following five cycles of ABVD chemotherapy (doxorubicin, bleomycin, vinblastine, dacarbazine), with rapid resolution of otological symptoms. This case underscores that cHL, while typically nodal, must be considered in the differential diagnosis of young adults with persistent neck masses and unusual symptoms like hearing loss or dysphagia, even in the absence of neuropathy. Diagnosis requires a high index of suspicion, characteristic imaging findings, and definitive histopathological confirmation via adequate biopsy (avoiding fine needle aspiration [FNA]), enabling successful treatment with standard chemotherapy.</div></div>","PeriodicalId":37154,"journal":{"name":"Otolaryngology Case Reports","volume":"37 ","pages":"Article 100705"},"PeriodicalIF":0.3,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145519597","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