Otolaryngology Case Reports最新文献

{"title":"Transoral excision of a parapharyngeal thyroglossal duct cyst and parapharyngeal second branchial cleft cyst: A report of two rare cases in adult patients with a comprehensive literature review","authors":"Hajira Wehelie ,&nbsp;Katherine Webb ,&nbsp;Eric Dowling","doi":"10.1016/j.xocr.2025.100665","DOIUrl":"10.1016/j.xocr.2025.100665","url":null,"abstract":"<div><div>Thyroglossal duct cysts (TDCs) and branchial cleft cysts (BCCs) are common congenital neck anomalies that typically present in children. However, their occurrence in the parapharyngeal space is exceedingly rare. Standard management usually involves elective resection via a transcervical approach. We report two atypical cases in adult patients where these masses were located in the parapharyngeal space and were successfully managed with transoral resection.</div><div>Patient A, an 81-year-old male, presented with a parapharyngeal TDC causing intermittent compressive symptoms for over five decades. <strong>Patient B</strong>, a 56-year-old male, had an incidentally discovered parapharyngeal BCC. Both lesions were transorally excised without complications. We discuss the imaging characteristics, the importance of maintaining a wide differential diagnosis, and the feasibility of transoral resection for these rare presentations, especially when the masses are situated superiorly and medially in the parapharynx. A comprehensive literature review of parapharyngeal TDCs and BCCs is provided, highlighting the rarity of these congenital neck masses in such locations and the role of transoral excision in their management.</div></div>","PeriodicalId":37154,"journal":{"name":"Otolaryngology Case Reports","volume":"35 ","pages":"Article 100665"},"PeriodicalIF":0.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143891847","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}

{"title":"Metastatic papillary thyroid cancer misdiagnosed as schwannoma in the parapharyngeal space: A case report","authors":"Rongbin Chen ,&nbsp;Xiaofang Long ,&nbsp;Fengjing Nong ,&nbsp;Lixia Luo ,&nbsp;Cheng Lu ,&nbsp;Jiahui Wu ,&nbsp;Jin Liu","doi":"10.1016/j.xocr.2024.100641","DOIUrl":"10.1016/j.xocr.2024.100641","url":null,"abstract":"<div><div>Papillary thyroid carcinoma (PTC) rarely metastasizes to the parapharyngeal space, with few cases reported in the literature. While PTC typically spreads to regional lymph nodes, distant metastasis to areas such as the parapharyngeal space is highly unusual. This region is more commonly associated with primary tumors, making metastatic PTC a diagnostic challenge. Here, we report the case of a 64-year-old female with a one-year history of pharyngeal foreign body sensation. Physical examination revealed a mass under her left mandible, and imaging indicated a cystic lesion in the left parapharyngeal space. Moreover, the patient had no history of thyroid abnormalities, and her thyroid function tests were normal. Then the patient underwent transoral endoscopic resection of the left parapharyngeal space mass, and postoperative pathology confirmed the diagnosis of PTC in the parapharyngeal space. Total thyroidectomy and I-131 therapy were performed, with regular follow-up at three months showing no recurrence. Therefore, surgical resection is recommended for treating patients with metastatic PTC to the parapharyngeal space, particularly in advanced cases.</div></div>","PeriodicalId":37154,"journal":{"name":"Otolaryngology Case Reports","volume":"35 ","pages":"Article 100641"},"PeriodicalIF":0.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144168687","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}

{"title":"Unusual cause of acute tympanic perforation: a case report with brief literature review","authors":"Yasser Al-Ghabra,&nbsp;Mohammad Hamdi,&nbsp;Adham Bader Aldeen Mohsen","doi":"10.1016/j.xocr.2025.100668","DOIUrl":"10.1016/j.xocr.2025.100668","url":null,"abstract":"<div><h3>Introduction</h3><div>Tympanic membrane perforations (TMPs) are common in otolaryngology and result from infections, trauma, or Eustachian tube dysfunction. Traumatic causes include slap injuries, explosive blasts, barotrauma from activities such as scuba diving or rapid altitude changes, iatrogenic injuries during ear procedures, foreign bodies, skull base fractures, and significant pressure changes during air travel or forceful Valsalva maneuvers. Symptoms often include otorrhea, otalgia, and tinnitus. Most TMPs heal spontaneously with supportive care.</div></div><div><h3>Case presentation</h3><div>A 28-year-old trumpet player with intermittent allergic rhinitis experienced sudden right ear pain and hearing loss after a prolonged rehearsal. Examination revealed a central perforation of the right tympanic membrane and conductive hearing loss. The diagnosis was an acute traumatic tympanic membrane perforation due to barotrauma from forceful trumpet playing, exacerbated by subclinical Eustachian tube dysfunction and allergic rhinitis. Conservative management led to spontaneous healing within six weeks, and a gradual return to playing was advised.</div></div><div><h3>Discussion</h3><div>Tympanic membrane perforation (TMP) is typically linked to infections, trauma, or barotrauma. This case highlights a novel occupational cause in a 28-year-old trumpet player, where high intraoral pressures generated during forceful playing, exacerbated by subclinical Eustachian tube dysfunction (ETD) and allergic rhinitis, led to TMP. Prolonged rehearsals caused cumulative pressure buildup that exceeded the tensile strength of the tympanic membrane (TM). Conservative management, including water precautions and abstaining from instrument play, resulted in spontaneous healing. Musicians, particularly brass players, should be educated about ETD risks. Preventive strategies, such as allergy management and modified breathing techniques, are essential to mitigate injury risks in wind instrumentalists.</div></div><div><h3>Conclusion</h3><div>This report underscores occupational barotrauma as a cause of TMP among wind musicians. Clinicians should evaluate ETD and allergies in symptomatic players. Preventive strategies and research on the effects of instrument-generated pressures can inform safer playing techniques.</div></div>","PeriodicalId":37154,"journal":{"name":"Otolaryngology Case Reports","volume":"35 ","pages":"Article 100668"},"PeriodicalIF":0.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143906168","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}

{"title":"A case of lingual thyroid presenting with hemoptysis in a middle-aged patient","authors":"June K. Dy ,&nbsp;Robert K. Wu ,&nbsp;Lorelle E. Carlley","doi":"10.1016/j.xocr.2025.100667","DOIUrl":"10.1016/j.xocr.2025.100667","url":null,"abstract":"","PeriodicalId":37154,"journal":{"name":"Otolaryngology Case Reports","volume":"35 ","pages":"Article 100667"},"PeriodicalIF":0.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143923912","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}

{"title":"A new endoscopic keel placement technique for anterior laryngeal web treatment in a child with a large posterior mediastinal mass: A case report","authors":"Soumi Pathak,&nbsp;Vikas Arora,&nbsp;Shreya Rai","doi":"10.1016/j.xocr.2025.100661","DOIUrl":"10.1016/j.xocr.2025.100661","url":null,"abstract":"<div><div>Congenital laryngeal webs are rare and characterized by feeble cries or dysphonia. However, if these webs are too large, it can cause stridor and respiratory distress. It is reported that this condition is associated with microdeletion of the 22q11 chromosome. Here, we report a case in which a large mediastinal mass obscured the symptoms of a large laryngeal web. Administering general anaesthesia to the child was associated with significant risk. After web resection, a novel technique was used to place a sialistic keel in the larynx to prevent further scarring and web formation. The suture of the keel was placed outside the thyroid cartilage to facilitate easy removal at six weeks under sedation without requiring re-intubation.</div></div>","PeriodicalId":37154,"journal":{"name":"Otolaryngology Case Reports","volume":"35 ","pages":"Article 100661"},"PeriodicalIF":0.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143725304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Angiosarcoma of the thyroid gland presenting initially with tonsillar metastasis - A case report and review of the literature","authors":"Olaf Conrad ,&nbsp;Markus Eckstein ,&nbsp;Abbas Agaimy ,&nbsp;Konstantinos Mantsopoulos ,&nbsp;Heinrich Iro ,&nbsp;Matti Sievert","doi":"10.1016/j.xocr.2025.100660","DOIUrl":"10.1016/j.xocr.2025.100660","url":null,"abstract":"<div><h3>Introduction</h3><div>Angiosarcomas are rare, highly aggressive malignancies with a predilection for skin, soft tissue, and bone. Non-cutaneous angiosarcomas are exceptionally rare in the head and neck, including those of the thyroid gland. Metastatic behavior in later stages includes the lung, the skeleton/bone, and other sites such as the liver and the digestive system.</div></div><div><h3>Case</h3><div>A 56-year-old man presented with recurrent bleeding in the mouth (originating from the palatine tonsil) and pharynx and a growing goiter known of 30 years’ duration causing shortness of breath. Tonsillar biopsy revealed angiosarcoma. Imaging and biopsy evaluation of the thyroid gland confirmed the thyroid gland as the origin of his angiosarcoma.</div></div><div><h3>Conclusion</h3><div>Due to its rarity, the metastatic behavior and therapy of thyroid angiosarcoma remain unclear. Physicians should consider the possibility of distant metastasis in patients with pharyngeal masses. The rarity of primary mucosal angiosarcomas of the head and neck should always warrant a search for another primary neoplasm in the head and neck or other sites.</div></div>","PeriodicalId":37154,"journal":{"name":"Otolaryngology Case Reports","volume":"35 ","pages":"Article 100660"},"PeriodicalIF":0.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143740085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Delayed diagnosis of peritonsillar abscess in a five-month-old infant: “A case report”","authors":"Wahid Ahmad Faqiri ,&nbsp;Khwaja Mir Hasrat Mehraban ,&nbsp;Mohammad Jawid Nazari","doi":"10.1016/j.xocr.2025.100669","DOIUrl":"10.1016/j.xocr.2025.100669","url":null,"abstract":"<div><h3>Background</h3><div>Peritonsillar abscess (PTA) is a rare condition in infants, especially those under one year of age. Its non-specific presentation often leads to delayed diagnosis and management.</div></div><div><h3>Presentation</h3><div>This case report presents a five-month-old male infant with a two-week history of fever, drooling, dysphagia, and dyspnea, particularly during breastfeeding. Following clinical examination and imaging, a peritonsillar abscess (PTA) was diagnosed, a rare occurrence in this age group. The patient underwent successful incision and drainage (I&amp;D) under general anesthesia. After one day of hospitalization and appropriate antibiotic therapy, the patient was discharged in good health. No recurrence of symptoms was observed during a two-month follow-up period.</div></div><div><h3>Conclusion</h3><div>This case highlights the importance of maintaining a high index of suspicion, performing thorough and repeated clinical examinations, and utilizing early imaging in pediatric patients with unexplained symptoms, even for rare conditions like PTA, to ensure early diagnosis and optimal outcomes.</div></div>","PeriodicalId":37154,"journal":{"name":"Otolaryngology Case Reports","volume":"35 ","pages":"Article 100669"},"PeriodicalIF":0.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144084757","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}

{"title":"Brexpiprazole augmentation in antidepressant therapy for persistent postural-perceptual dizziness (PPPD): A case report","authors":"Fumiyuki Goto,&nbsp;Shouji Kaneda,&nbsp;Koichiro Wasano,&nbsp;Kenji Okami","doi":"10.1016/j.xocr.2025.100664","DOIUrl":"10.1016/j.xocr.2025.100664","url":null,"abstract":"<div><h3>Objective</h3><div>To report a case of refractory dizziness associated with persistent postural-perceptual dizziness (PPPD) effectively treated with adjunctive brexpiprazole.</div></div><div><h3>Methods</h3><div>A 62-year-old female presented with one year of persistent dizziness unresponsive to standard treatments for Ménière's disease. Comprehensive evaluations, including audiometry, vestibular function tests, and stabilometry, were normal. Based on clinical criteria, PPPD with comorbid anxiety and depression was diagnosed. Initial treatment with amitriptyline and lorazepam showed slight improvement. Subsequently, brexpiprazole was introduced.</div></div><div><h3>Results</h3><div>Subjective dizziness improved significantly within two weeks of adding brexpiprazole (0.5mg/day). NPQ (Nigata PPPD questionaries) scores improved from 27 to 15, and psychological symptoms showed marked relief. Also, stabilometric parameters are unchanged as well.</div></div><div><h3>Conclusion</h3><div>Brexpiprazole demonstrated efficacy in managing refractory dizziness by addressing comorbid psychological factors, underscoring the importance of neuropsychiatric approaches in PPPD management.</div></div>","PeriodicalId":37154,"journal":{"name":"Otolaryngology Case Reports","volume":"35 ","pages":"Article 100664"},"PeriodicalIF":0.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143903630","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}

{"title":"A makeshift stent using feeding port of siliconized nasogastric tube for management of idiopathic acquired supraglottic web","authors":"Julio Bartolome M. Torres,&nbsp;Milabelle B. Lingan,&nbsp;Cristina S. Nieves,&nbsp;Elias T. Reala","doi":"10.1016/j.xocr.2024.100648","DOIUrl":"10.1016/j.xocr.2024.100648","url":null,"abstract":"<div><h3>Objective</h3><div>To discuss the use of makeshift stent using feeding port of siliconized nasogastric tube for the management of idiopathic acquired supraglottic web.</div></div><div><h3>Methods</h3><div>Study Design: Case Report.</div><div>Setting: Tertiary Government Hospital.</div><div>Patient: One.</div></div><div><h3>Results</h3><div>60-year-old female was presented with persistent hoarseness and dyspneic episodes. On examination, we identified a supraglottic web. Patient promptly underwent tracheostomy. For the second stage procedure, the supraglottic web was excised with CO2 laser then a stent designed by the authors using a feeding port of nasogastric tube was placed Patient was eventually decannulated with improvement of voice.</div></div><div><h3>Conclusion</h3><div>There are limited number of reported cases of supraglottic web and the clinical experience in its management. The need for novel and alternative treatment may help expand the management opportunities. We believe that the approach described warrants additional investigation to define its role in treatment of supraglottic stenosis and web.</div></div>","PeriodicalId":37154,"journal":{"name":"Otolaryngology Case Reports","volume":"34 ","pages":"Article 100648"},"PeriodicalIF":0.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143183341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The challenges in treating Pycnodysostosis in otorhinolaryngology: A Case Report","authors":"Naiana Araújo de Oliveira,&nbsp;Letícia Rodrigues Nunes Pinheiro,&nbsp;Bruno Machado da Silva,&nbsp;Ana Carolina Lopes Belém,&nbsp;Diego Monteiro de Carvalho","doi":"10.1016/j.xocr.2025.100658","DOIUrl":"10.1016/j.xocr.2025.100658","url":null,"abstract":"<div><h3>Objective</h3><div>Pycnodysostosis, also known as Toulouse-Lautrec Disease, is a rare genetic disorder characterized by sclerosing bone dysplasia caused by an autosomal recessive mutation in the Cathepsin K gene. This case report presents an 11-year-old child with dysmorphic features and typical orthodontic alterations of Pycnodysostosis, treated with tonsillectomy and speech therapy, highlighting the therapeutic challenges related to craniofacial changes and the limitations of the local healthcare system.</div></div><div><h3>Results</h3><div>The therapeutic plan for the patient involved a multidisciplinary approach, including oral motricity-focused speech therapy and tonsillectomy performed on November 1, 2023. The OSA-18 questionnaire, a tool used to assess pediatric obstructive sleep apnea syndrome, was employed due to the unavailability of Type 1 polysomnography. The patient showed a reduction in OSA-18 scores from 97 to 65 points, with significant improvements in sleep disturbance, physical suffering, emotional distress, and daytime problems, demonstrating the positive impact of the proposed treatment on the patient's quality of life.</div></div><div><h3>Conclusion</h3><div>This case highlights a child diagnosed with Pycnodysostosis associated with obstructive sleep apnea and recurrent pharyngeal tonsillitis. The therapeutic plan was assessed using the OSA-18, demonstrating the positive impact of otorhinolaryngological evaluation and treatment within the context of the local public healthcare system.</div></div>","PeriodicalId":37154,"journal":{"name":"Otolaryngology Case Reports","volume":"34 ","pages":"Article 100658"},"PeriodicalIF":0.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}