Otolaryngology Case Reports最新文献_第9页

Combination of preoperative three-dimensional computed tomography and intraoperative ultrasound-assisted foreign-body extraction in the tongue: A case report 术前三维计算机断层扫描联合术中超声辅助舌内异物拔除术1例

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Otolaryngology Case Reports Pub Date : 2025-03-01 Epub Date: 2024-12-31 DOI: 10.1016/j.xocr.2024.100646

Akito Nishiyama, Takashi Anzai, Masahiro Nakamura, Satoko Kubo, Takumi Nakayama, Yusuke Takata, Fumihiko Matsumoto

{"title":"Combination of preoperative three-dimensional computed tomography and intraoperative ultrasound-assisted foreign-body extraction in the tongue: A case report","authors":"Akito Nishiyama, Takashi Anzai, Masahiro Nakamura, Satoko Kubo, Takumi Nakayama, Yusuke Takata, Fumihiko Matsumoto","doi":"10.1016/j.xocr.2024.100646","DOIUrl":"10.1016/j.xocr.2024.100646","url":null,"abstract":"<div><div>Foreign bodies (FBs), such as fish bones, are commonly found in the upper aerodigestive tract, particularly the palatine tonsils and tongue. Detecting FBs embedded in the tongue's muscle layer is challenging using visual inspection alone. Although preoperative computed tomography (CT) is effective for detecting FBs, two-dimensional images often fail to provide a clear understanding of the shape, position, and angle of the FB. Thus, we used preoperative three-dimensional CT (3D-CT) combined with intraoperative ultrasound to significantly enhance detection and localization.</div><div>A 50-year-old man presented with pain on the right edge of his tongue after eating fried fish. Although palpation revealed a tender area, no FB was detected initially. Plane CT showed a hyperabsorptive area in the tongue, whereas 3D-CT revealed a 24-mm curved fish bone located approximately 10 mm beneath the surface. Preoperative 3D imaging and intraoperative ultrasound before emergency excision played a critical role in confirming the precise location of the FB. The fish bone was successfully removed, matching the predictions made by the 3D-CT, and the patient experienced no postoperative complications.</div></div>","PeriodicalId":37154,"journal":{"name":"Otolaryngology Case Reports","volume":"34 ","pages":"Article 100646"},"PeriodicalIF":0.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143183348","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}

引用次数: 0

Intranasal acetaminophen induced nasal tissue necrosis and septal perforation: A case report and literature review 鼻内对乙酰氨基酚致鼻组织坏死及鼻中隔穿孔1例报告并文献复习

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Otolaryngology Case Reports Pub Date : 2025-03-01 Epub Date: 2024-12-31 DOI: 10.1016/j.xocr.2024.100640

Matthew Urichuk , Jason Lee Azzi , Deanna Gigliotti , Richard M. Gall

引用次数: 0

A rare case of bilateral carotid cochlear dehiscence 双侧颈动脉耳蜗裂1例

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Otolaryngology Case Reports Pub Date : 2025-03-01 Epub Date: 2024-12-31 DOI: 10.1016/j.xocr.2024.100645

Courtney Barth , Ethan McGann , Eric R. Oliver

引用次数: 0

Petrous bone cholesteatoma: A deceiving entity. Diagnosis, classification and management 石状骨胆脂瘤：一种具有欺骗性的实体。诊断、分类和管理

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Otolaryngology Case Reports Pub Date : 2025-03-01 Epub Date: 2024-10-28 DOI: 10.1016/j.xocr.2024.100636

Guilherme Marques Rios , Fernando Milhazes Mar , Daniela Ribeiro , João Saraiva , Miguel Sá Breda , Ana Menezes , Daniel Miranda , Luís Dias

{"title":"Petrous bone cholesteatoma: A deceiving entity. Diagnosis, classification and management","authors":"Guilherme Marques Rios , Fernando Milhazes Mar , Daniela Ribeiro , João Saraiva , Miguel Sá Breda , Ana Menezes , Daniel Miranda , Luís Dias","doi":"10.1016/j.xocr.2024.100636","DOIUrl":"10.1016/j.xocr.2024.100636","url":null,"abstract":"<div><h3>Introduction</h3><div>Petrous bone cholesteatoma are rare and account for 3–9% of all cholesteatomas. Hearing loss, chronic otorrhea, vestibular symptoms or peripheric facial palsy are common and may be the presenting symptom. Its treatment is surgical and it is very challenging as the lesion may invade important structures: internal carotid artery, jugular vein, facial nerve or otic capsule.</div></div><div><h3>Objective</h3><div>characterize the petrous bone cholesteatomas treated, its classification and surgical management.</div></div><div><h3>Materials and methods</h3><div>Retrospective analysis of all petrous bone cholesteatomas from Jan 2021 to June 2023.</div></div><div><h3>Results</h3><div>A total of seven patients (4 males, 3 females) were identified with petrous bone cholesteatomas, with hearing loss present in all at the diagnosis. Four of the patients had at least one previous surgery. Four cases were supralabyrinthine, two were infralabyrinthine and one was classified as massive. Six patients were treated with surgery. In four cases a subtotal petrosectomy was performed, in one case the excision was performed through a middle fossa approach and in one case a combined approach with microscope and endoscope was performed. Facial nerve function was not impaired by surgery as its function did not get worse following surgery. In one patient improved hearing was observed. Complete lesion eradication was possible in five of the cases. Post operative complications occurred in three patients.</div></div><div><h3>Conclusion</h3><div>Clinical presentation of petrous bone cholesteatoma can be quite innocent even with the invasion of important structures Its treatment is surgically complex and the morbidity is high.</div></div>","PeriodicalId":37154,"journal":{"name":"Otolaryngology Case Reports","volume":"34 ","pages":"Article 100636"},"PeriodicalIF":0.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143183345","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}

引用次数: 0

A case of pediatric Osteochondromyxoma in the nasal sinuses 小儿鼻窦骨软骨粘液瘤1例

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Otolaryngology Case Reports Pub Date : 2025-03-01 Epub Date: 2024-12-31 DOI: 10.1016/j.xocr.2024.100644

Jaime Yrastorza, Timothy Corpuz, Daniel Wehrmann, Christie Barnes

{"title":"A case of pediatric Osteochondromyxoma in the nasal sinuses","authors":"Jaime Yrastorza, Timothy Corpuz, Daniel Wehrmann, Christie Barnes","doi":"10.1016/j.xocr.2024.100644","DOIUrl":"10.1016/j.xocr.2024.100644","url":null,"abstract":"<div><div>Osteochondromyxoma is a rare neoplasm associated with Carney Complex, an inherited neoplastic syndrome associated with PRKAR1A mutations. There are few case reports of this tumor developing in the nasal sinuses. An 11-year-old male presented to the ED for epistaxis secondary to minor trauma. The patient denied any history of pain, prior epistaxis, anosmia, or double vision, but endorsed a several year history of nasal obstruction. CT imaging was notable for a nasal mass. He was scheduled for surgical resection of the mass and underwent pre-operative embolization due to concern for intra-operative blood loss. He underwent endoscopic resection and did well post-operatively. Pathology of the tumor showed hypercellular cartilaginous matrix with myxoid stroma. Genetic testing showed loss of expression of the PRKAR1A in the tumor, suggesting the diagnosis of Osteochondromyxoma. He was subsequently referred for genetic evaluation for Carney Complex. By presenting this case report, we add to the limited body of literature on this rare disease entity. Osteochondromyxoma should be kept on the differential for a cartilaginous nasal mass. Treatment is endoscopic resection, and surveillance is necessary to reduce morbidity. It is important to recognize the association between Osteochondromyxoma and Carney Complex.</div></div>","PeriodicalId":37154,"journal":{"name":"Otolaryngology Case Reports","volume":"34 ","pages":"Article 100644"},"PeriodicalIF":0.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143183336","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}

引用次数: 0

A case of clear cell carcinoma of ear canal 耳道透明细胞癌1例

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Otolaryngology Case Reports Pub Date : 2025-03-01 Epub Date: 2025-01-03 DOI: 10.1016/j.xocr.2025.100652

Farhad mokhtarinejad , Samaneh zand , Farahnaz bidari , Zahra babamohamadi , Sima foroughi nematollahi , Hanieh Noroozi , Roya Imani , Mahsa Asadi Anar , Niloofar Deravi

引用次数: 0

Diagnostic challenge: A case of extramedullary plasmacytoma of thyroid primary associated with literature review 诊断挑战：1例原发性甲状腺髓外浆细胞瘤伴文献复习

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Otolaryngology Case Reports Pub Date : 2025-03-01 Epub Date: 2025-01-01 DOI: 10.1016/j.xocr.2024.100642

Xiaoxue Tian, Ting Xu, Shuai Luo, Jinjing Wang

{"title":"Diagnostic challenge: A case of extramedullary plasmacytoma of thyroid primary associated with literature review","authors":"Xiaoxue Tian, Ting Xu, Shuai Luo, Jinjing Wang","doi":"10.1016/j.xocr.2024.100642","DOIUrl":"10.1016/j.xocr.2024.100642","url":null,"abstract":"<div><h3>Background</h3><div>Plasmacytoma comprises diseases originating from B lymphocytes and characterized by the neoplastic proliferation of monoclonal plasma cells. Among these, extramedullary plasmacytoma is a rare tumor of plasma cell primary to bone marrow hematopoietic tissue, accounting for approximately 4 % of all plasmacytomas, and exceptionally rare in the thyroid gland. Due to its rarity, early diagnosis and treatment are critical for patients, making current diagnosis and treatment approaches extremely challenging.</div></div><div><h3>Case introduction</h3><div>A 75-year-old female was hospitalized after “finding a thyroid nodule in January.” Cervical color ultrasound revealed a 4a-sized tumor in the right thyroid. The preliminary diagnosis by clinicians revealed a thyroid undifferentiated carcinoma. Following admission, a thyroid puncture biopsy of the right lobe, combined with characteristic morphology and immunohistochemistry, confirmed the final pathological diagnosis was thyroid plasmacytoma. The patient was discharged with regular chemoradiation and underwent 15 months of follow-up without recurrence.</div></div><div><h3>Conclusion</h3><div>Thyroid primary plasma fine tumor presents without characteristic clinical manifestations. Clinicians may face challenges in diagnosing it due to nonspecific symptoms and imaging findings. This paper reports a rare case of primary thyroid plasmacytoma, offering valuable insights for clinicians in diagnosing and treating this condition.</div></div>","PeriodicalId":37154,"journal":{"name":"Otolaryngology Case Reports","volume":"34 ","pages":"Article 100642"},"PeriodicalIF":0.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143372028","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}

引用次数: 0

Ectopic third molar: A rare cause of persistent oroantral fistula and chronic rhinosinusitis 异位第三磨牙：持续性口瘘和慢性鼻窦炎的罕见病因

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Otolaryngology Case Reports Pub Date : 2025-03-01 Epub Date: 2024-12-31 DOI: 10.1016/j.xocr.2024.100647

Feri Trihandoko , Didit Istiadi , Agustian Winarno Putra , Muhammad Fuadi

引用次数: 0

Deep neck abscess draining through the external auditory canal in pediatric patient - A case report 儿科深部颈部脓肿经外耳道引流--病例报告

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Otolaryngology Case Reports Pub Date : 2024-11-01 Epub Date: 2024-10-22 DOI: 10.1016/j.xocr.2024.100635

Noëmi Ramirez , Julie Grenier , Vincent Mustin , Tayeb Slaouti

{"title":"Deep neck abscess draining through the external auditory canal in pediatric patient - A case report","authors":"Noëmi Ramirez , Julie Grenier , Vincent Mustin , Tayeb Slaouti","doi":"10.1016/j.xocr.2024.100635","DOIUrl":"10.1016/j.xocr.2024.100635","url":null,"abstract":"<div><h3>Introduction</h3><div>Retropharyngeal and parapharyngeal abscesses (RPA, PPA) are uncommon and potentially dangerous complications of upper respiratory infections in children.</div></div><div><h3>Case presentation</h3><div>A 2-year-old boy presented with a fever, sore throat, and bilateral otalgia. Clinical examination revealed an asymmetry of the tonsils with mild tumefaction of the right pharyngeal wall, bilateral cervical adenopathies, and a pus-like discharge in the right external auditory canal (EAC) with intact eardrums. Contrast-enhanced computed tomography scan revealed a right retro- and parapharyngeal rim-enhancing collection tracking into the temporomandibular fossa and the right ear canal through the foramen tympanicum or the foramen of Huschke (FH). The patient was treated with antibiotics and responded well clinically.</div></div><div><h3>Discussion</h3><div>RPAs in children can cause significant morbidity and mortality. Restricted neck mobility in a child with fever, odynophagia, and cervical lymphadenopathy should be the sentinel clinical clue to a diagnosis of RPA or PPA. Otorrhea as a presenting symptom of a neck abscess is highly unusual. The FH is an aperture that is formed in the tympanic plate of the temporal bone at the age of about one year and becomes smaller as the tympanic plate grows and usually closes before the age of five years.</div></div><div><h3>Conclusion</h3><div>Unilateral otorrhea with an intact eardrum may be a manifestation of a spontaneous draining deep neck abscess. Early diagnosis and adequate treatment is critical for a good outcome.</div></div>","PeriodicalId":37154,"journal":{"name":"Otolaryngology Case Reports","volume":"33 ","pages":"Article 100635"},"PeriodicalIF":0.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142525980","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}

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Transcervical approach to type 4 laryngeal cleft 经宫颈手术治疗 4 型喉裂

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Otolaryngology Case Reports Pub Date : 2024-11-01 Epub Date: 2024-10-24 DOI: 10.1016/j.xocr.2024.100637

Henya Sandhaus , Anna Berezovsky , Alexander W. Peters , David M. Gourlay , Michael E. Mitchell , Thomas C. Robey

引用次数: 0