Otolaryngology Case Reports最新文献_第5页

Reconstruction of post-traumatic lateral part of helix cartilage defect without skin involvement: A case report 创伤后螺旋软骨外侧部缺损无皮肤受累重建1例

IF 0.3

Otolaryngology Case Reports Pub Date : 2025-11-01 Epub Date: 2025-09-08 DOI: 10.1016/j.xocr.2025.100696

Yi-Ting Yao, Li-Te Kuo

{"title":"Reconstruction of post-traumatic lateral part of helix cartilage defect without skin involvement: A case report","authors":"Yi-Ting Yao, Li-Te Kuo","doi":"10.1016/j.xocr.2025.100696","DOIUrl":"10.1016/j.xocr.2025.100696","url":null,"abstract":"<div><h3>Objective</h3><div>We present a successful case of reconstructing a traumatic ear injury in a 71-year-old lady. The patient presented with a severely damaged right ear, involving cartilage exposure and fragmentation without skin loss. Initially, the wound was debrided and closed by the physician at the emergency department. Afterwards, the patient was discharged from the hospital. During a follow-up visit at the Ear, Nose, and Throat (ENT) outpatient department the next day, a hematoma and a defect were identified in the lateral part of the helix of the right ear.</div></div><div><h3>Methods</h3><div>Surgical intervention was performed for the reconstruction of the post-traumatic lateral part of helix cartilage defect and wound debridement. Since the loss of cartilage at the lateral part of the helix markedly affected her facial appearance, cartilage from the root of the helix was transplanted to reconstruct the defect.</div></div><div><h3>Results</h3><div>At the one-month follow-up, the wound appeared nicely healed. The outer ear cartilage returned grossly to its natural shape, with only a slight impact on the root of Helix. The patient expressed a high level of satisfaction. From the author's perspective, the cosmetic outcome showed a remarkable improvement postoperatively, with restoration of the natural auricular contour. This reflects the significant success of the surgical technique in restoring the auricle's natural appearance.</div></div><div><h3>Conclusions</h3><div>This case report demonstrates the successful reconstruction of a post-traumatic defect in the superior lateral part of the helix cartilage without skin involvement. The primary objective of this surgical approach was to restore the auricle's anatomical structure, functionality, and aesthetics. By utilizing cartilage from the root of the helix, we achieved a seamless and natural reconstruction, resulting in high patient satisfaction.</div></div>","PeriodicalId":37154,"journal":{"name":"Otolaryngology Case Reports","volume":"37 ","pages":"Article 100696"},"PeriodicalIF":0.3,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145060610","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

Case report: Vestibular paroxysmia: A diagnosis and treatment enigma 病例报告：前庭阵发性发作：一个诊断和治疗的谜

IF 0.2

Otolaryngology Case Reports Pub Date : 2025-09-01 Epub Date: 2025-07-16 DOI: 10.1016/j.xocr.2025.100674

WN Wan Mansor , N.D. Hashim , A. Reduzan , A. Abdullah , R. Salim

{"title":"Case report: Vestibular paroxysmia: A diagnosis and treatment enigma","authors":"WN Wan Mansor , N.D. Hashim , A. Reduzan , A. Abdullah , R. Salim","doi":"10.1016/j.xocr.2025.100674","DOIUrl":"10.1016/j.xocr.2025.100674","url":null,"abstract":"<div><h3>Objective</h3><div><strong>Patient:</strong> A 36-year-old female presented with a two-year history of persistent daily dizziness and positional vertigo. Each vertigo episode lasted less than 1 min, occurring more than 20 times per day. Initially, she presented with bilateral tinnitus, which had reduced in intensity over time. Pure tone audiometry (PTA) showed bilateral mild sensorineural hearing loss. Both the Romberg and Fukuda tests were positive, with the patient falling to the right. She was swaying even with her eyes open. Ocular vestibular evoked myogenic potential (oVEMP) revealed right utricle dysfunction. Magnetic Resonance Imaging (MRI) of the brain and internal acoustic meatus (IAM) demonstrated a left Type I anterior inferior cerebellar artery (AICA) vascular loop and a right Type II AICA vascular loop. Her symptoms did not improve with betahistine.</div></div><div><h3>Intervention</h3><div>She was started empirically on gabapentin, as carbamazepine was contraindicated due to the presence of the HLA-B∗1502 gene.</div></div><div><h3>Outcome measure</h3><div>Vertigo symptom scale has improved markedly from 42 to 25.</div></div><div><h3>Conclusion</h3><div>VP is a rare, debilitating condition that may greatly reduce the quality of life and predisposes the sufferers to anxiety disorder. Due to its rarity, the diagnosis often missed. Although it is a diagnosis of exclusion, one must be aware of the possible diagnosis and adopt systemic approach to manage this case.</div></div>","PeriodicalId":37154,"journal":{"name":"Otolaryngology Case Reports","volume":"36 ","pages":"Article 100674"},"PeriodicalIF":0.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144655182","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

Clinical and surgical implications of vomer agenesis and submucosal cleft Palate: Two case reports 腭膜发育和黏膜下腭裂的临床和外科意义：2例报告

IF 0.2

Otolaryngology Case Reports Pub Date : 2025-09-01 Epub Date: 2025-07-16 DOI: 10.1016/j.xocr.2025.100675

Abdullah BinGhaith , Luluh Alsughayer , Fatma Alanazy

引用次数: 0

A case of amitriptyline hydrochloride being effective in a patient with PPPD who was not responding to SNRIs 盐酸阿米替林在对SNRIs无反应的PPPD患者中有效

IF 0.2

Otolaryngology Case Reports Pub Date : 2025-09-01 Epub Date: 2025-07-11 DOI: 10.1016/j.xocr.2025.100676

Fumiyuki Goto, Shouji Kaneda, Koichiro Wasano, Kenji Okami

引用次数: 0

Development of nasal polyposis post COVID-19 infection: A case report COVID-19感染后发生鼻息肉1例

IF 0.3

Otolaryngology Case Reports Pub Date : 2025-09-01 Epub Date: 2025-07-30 DOI: 10.1016/j.xocr.2025.100682

Analía Hidalgo-Esparza , Denisse Paredes-Parada , Sabrina Siguencia-Cevallos , Tatiana Tingo-Granda , Diego Flores-Suárez , Antonio Matamoros-Sotomayor , Iván Chérrez-Ojeda

引用次数: 0

To BB or not to BB: Algorithm to removal of sinonasal projectile foreign bodies 去BB或不去BB：鼻窦抛射异物去除算法

IF 0.3

Otolaryngology Case Reports Pub Date : 2025-09-01 Epub Date: 2025-08-21 DOI: 10.1016/j.xocr.2025.100689

V Peyton Pinkus , Ebone Bady , Adrian Williamson IV , Gresham Richter

{"title":"To BB or not to BB: Algorithm to removal of sinonasal projectile foreign bodies","authors":"V Peyton Pinkus , Ebone Bady , Adrian Williamson IV , Gresham Richter","doi":"10.1016/j.xocr.2025.100689","DOIUrl":"10.1016/j.xocr.2025.100689","url":null,"abstract":"<div><h3>Purpose</h3><div>Management of projectile foreign bodies (PFBs) depends on the location and extent of damage to surrounding structures. Sinonasal PFBs can be particularly challenging to manage as this requires not only consideration of the acute injury but also the possible chronic complications that may follow. For this reason, an algorithmic way to treat patients with these injuries should be determined.</div></div><div><h3>Case presentations</h3><div>Initial management of both patients presented included obtaining CT imaging for visualization and location of the PFB and initiation of sinus precautions. In case 1, a PFB was surgically removed from the posterior ethmoid air cells. Surgery was indicated due to vision changes and the location of the BB being near the optic nerve entry point into the orbital cavity. Case 2 describes the management of a sinonasal PFB at the frontal outflow tract. Given the risks of chronic sinusitis and/or mucocele development due to sinus outflow tract blockage, the pellets were surgically removed. Functional endoscopic sinus surgery (FESS) in conjunction with surgical image guidance navigation was performed in both cases.</div></div><div><h3>Conclusion</h3><div>We propose an algorithm designed to evaluate sinonasal PFB injuries and optimize the timing and safety of endoscopic intervention in pediatric patients.</div></div><div><h3>Level of evidence</h3><div>Level 4.</div></div>","PeriodicalId":37154,"journal":{"name":"Otolaryngology Case Reports","volume":"36 ","pages":"Article 100689"},"PeriodicalIF":0.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144892053","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

Acute sinusitis with subperiosteal abscess in an infant: A rare case requiring endoscopic sinus surgery 婴儿急性鼻窦炎伴骨膜下脓肿：一例罕见病例，需要鼻窦内窥镜手术

IF 0.3

Otolaryngology Case Reports Pub Date : 2025-09-01 Epub Date: 2025-08-11 DOI: 10.1016/j.xocr.2025.100688

Megan K. Scharner , Chandler J. Curtis , Brandon I. Esianor

{"title":"Acute sinusitis with subperiosteal abscess in an infant: A rare case requiring endoscopic sinus surgery","authors":"Megan K. Scharner , Chandler J. Curtis , Brandon I. Esianor","doi":"10.1016/j.xocr.2025.100688","DOIUrl":"10.1016/j.xocr.2025.100688","url":null,"abstract":"<div><h3>Introduction</h3><div>Acute bacterial rhinosinusitis (ABRS) is rare in infants, particularly those under three months. While orbital infections such as subperiosteal abscesses (SPA) are well documented in older children, they are uncommon in young infants and pose unique diagnostic and therapeutic challenges. We present the case of a 7-week-old previously healthy male who developed ABRS complicated by a SPA following a documented rhinovirus/enterovirus infection, who was successfully treated with endoscopic sinus surgery (ESS).</div></div><div><h3>Case report</h3><div>A previously healthy 7-week-old full-term male with no medical comorbidities was transferred to our emergency department with a two-day history of left eye swelling and fever. Examination revealed left eye proptosis, periorbital edema, erythema, and elevated intraocular pressure (IOP) of 26 mmHg. CT Orbit revealed opacification of the maxillary and ethmoid sinuses with a left SPA lateral to the lamina papyracea, displacing the medial rectus muscle without intracranial extension. The patient underwent nasal endoscopy with anterior ethmoidectomy, allowing access to the subperiosteal space and orbital decompression. Intraoperative IOP decreased to 8 mmHg and remained ≤15 mmHg postoperatively. The patient improved clinically and was transitioned to oral clindamycin and discharged on postoperative day 2 with complete resolution of symptoms.</div></div><div><h3>Discussion</h3><div>This case highlights the potential for serious bacterial complications in low-risk infants and demonstrates the feasibility of surgical intervention in this age group. Our experience emphasizes the need for high clinical suspicion in infants with progressive ocular symptoms following a viral illness and supports ESS as a feasible, minimally invasive option in select infants.</div></div>","PeriodicalId":37154,"journal":{"name":"Otolaryngology Case Reports","volume":"36 ","pages":"Article 100688"},"PeriodicalIF":0.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144864408","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 comprehensive report on the case of pleomorphic adenoma of nasal septum combined with nasal polyps 鼻中隔多形性腺瘤合并鼻息肉1例综合报道

IF 0.2

Otolaryngology Case Reports Pub Date : 2025-09-01 Epub Date: 2025-06-13 DOI: 10.1016/j.xocr.2025.100670

Chunhua Hu , Rui Song , Yanting Song, Zhifu Sun, Yanjun Feng

{"title":"A comprehensive report on the case of pleomorphic adenoma of nasal septum combined with nasal polyps","authors":"Chunhua Hu , Rui Song , Yanting Song, Zhifu Sun, Yanjun Feng","doi":"10.1016/j.xocr.2025.100670","DOIUrl":"10.1016/j.xocr.2025.100670","url":null,"abstract":"<div><h3>Purpose</h3><div>Pleomorphic adenoma (PA) is a common benign tumor of salivary glands. It is very rare in the nasal cavity. Comprehensive reports on cases of nasal PA are still lacking.</div></div><div><h3>Methods</h3><div>A 31-year-old male patient attended our clinic with nasal congestion and occasional epistaxis. Endoscopic examination revealed a mass within the left nasal passage and polyps in the left middle meatus. Radiological investigations show local soft tissue accompanied by bone destruction in computed tomography examination, and T1 low signal and T2 high signal in magnetic resonance imaging. A pathological biopsy revealed PA of the septum and polyps of the middle meatus. Endoscopic endonasal excision was performed.</div></div><div><h3>Results</h3><div>No recurrence was observed for over 1 year of follow-up.</div></div><div><h3>Conclusion</h3><div>Clinical manifestation, radiological investigations and intraoperative quick frozen section pathology are recommended in identifying the tumor's size and guiding the scope of surgical resection. To prevent recurrence, extensive local resection with clear histological margins and long-term follow-up with endoscopic examination is necessary.</div></div>","PeriodicalId":37154,"journal":{"name":"Otolaryngology Case Reports","volume":"36 ","pages":"Article 100670"},"PeriodicalIF":0.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144289238","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

Massive laryngeal gouty tophus: A case report and comprehensive literature review 大量喉痛风：1例报告及综合文献复习

IF 0.2

Otolaryngology Case Reports Pub Date : 2025-09-01 Epub Date: 2025-07-01 DOI: 10.1016/j.xocr.2025.100672

Qi Fu , Yixin Jing , Weiming Liu , Lei Liu , Hongbo Xu

引用次数: 0

Relapsing laryngeal granuloma resolved after excluding cola drinks from diet: Case report 饮食中不含可乐饮料后复发性喉部肉芽肿消退1例

IF 0.3

Otolaryngology Case Reports Pub Date : 2025-09-01 Epub Date: 2025-07-31 DOI: 10.1016/j.xocr.2025.100683

Alberto Raposo , Jerónimo Lajara , Francisco García-Purriños

{"title":"Relapsing laryngeal granuloma resolved after excluding cola drinks from diet: Case report","authors":"Alberto Raposo , Jerónimo Lajara , Francisco García-Purriños","doi":"10.1016/j.xocr.2025.100683","DOIUrl":"10.1016/j.xocr.2025.100683","url":null,"abstract":"<div><div>Laryngeal granuloma (LG) is a benign, multicausal inflammatory pathology for which treatment is sometimes unsuccessful. Here, we report the case of a 53-years-old man who presented with dysphonia. LG and hiatal hernia were diagnosed using rhinofibroscopy and gastroscopy respectively. Cervical computed tomography, ambulatory 24-h esophageal pH monitoring and esophageal manometry yielded normal results. Anti-reflux medications and dietary and lifestyle changes were prescribed for 10 months as the treatment of choice; however, LG persisted. Excisional biopsy was performed to confirm the diagnosis. Forty-five days postoperatively, granuloma reappeared. Anti-reflux medications were discontinued and a new anti-reflux dietary modification was encouraged, wherein cola drinks (caffeinated and caffeine-free drinks) were prohibited. Twelve months later, LG disappeared spontaneously. During the follow-up period of 12 months, the rhinofibroscopy image remained free of LG. We found no articles in PubMed in the last 24 years in which cola drinks (or caffeine-free cola drinks) could induce LG. In our study, the relationship between LG and cola drinks was demonstrated through progressive food restriction over a period of 32 months. Future studies are required on the harmful effects of some everyday foods to achieve an early etiological diagnosis and potentially avoid laryngeal surgery.</div></div>","PeriodicalId":37154,"journal":{"name":"Otolaryngology Case Reports","volume":"36 ","pages":"Article 100683"},"PeriodicalIF":0.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144750112","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