Karan Gandhi, Chloe Pulver, Lucas D D Foster, David Plemel, Nancy Nashid, Keng Tay, Julie E Strychowsky
{"title":"<i>Capnocytophaga sputigena</i> Causing Complicated Sinusitis With Intracranial Involvement in a Pediatric Patient.","authors":"Karan Gandhi, Chloe Pulver, Lucas D D Foster, David Plemel, Nancy Nashid, Keng Tay, Julie E Strychowsky","doi":"10.1155/crot/7154542","DOIUrl":"10.1155/crot/7154542","url":null,"abstract":"<p><p>This report presents a rare case of acute bacterial rhinosinusitis with orbital and intracranial complications caused by <i>Capnocytophaga sputigena</i> in a pediatric patient. A 15-year-old male presented with orbital cellulitis, acute sinusitis, and meningismus. Brain imaging showed evidence of early intracranial abscess formation and areas of cerebral infarction. He underwent urgent endoscopic sinus surgery (ESS) and drainage of an orbital subperiosteal abscess. This case underscores the critical role of timely diagnostic imaging, multidisciplinary care, appropriate surgical management, and effective culture-directed antimicrobial therapy in treating sinusitis and its complications.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2025 ","pages":"7154542"},"PeriodicalIF":0.4,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202066/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144508817","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}
Wm Zachary Salter, Kolos K Nagy, Drew H Smith, Arif Dauod, Tam Q Nguyen
{"title":"Angioleiomyoma of the External Auditory Canal in a Pediatric Patient: A Case Report.","authors":"Wm Zachary Salter, Kolos K Nagy, Drew H Smith, Arif Dauod, Tam Q Nguyen","doi":"10.1155/crot/1538233","DOIUrl":"10.1155/crot/1538233","url":null,"abstract":"<p><p>Angioleiomyoma (ALM) is a subtype of leiomyoma characterized by vascular involvement alongside the proliferation of smooth muscle cells. These tumors are generally found in the lower limb and rarely occur in the head and neck region. Herein, we present a rare case of ALM of the external auditory canal (EAC) in a 12-year-old female. To our knowledge, this is the sixth case and the second youngest patient reported with ALM occurring in the EAC. Initially, this patient was diagnosed with otitis externa with polypoid change and prescribed a course of Ciprodex. Follow-up CT demonstrated a soft tissue density in the right EAC, consistent with medial canal fibrosis, and an exam under anesthesia with local excision of the mass was scheduled. Surgical findings showed a cartilaginous, firm mass originating from the fissure of Santorini that was carefully excised completely along with an EAC cholesteatoma seen lateral to the tympanic membrane. The foramen of Huschke was uninvolved and the tympanic membrane was intact without perforation. Final pathology confirmed benign ALM. The EAC was packed with floxin-soaked gelfoam and left packed for 2 weeks with instructions for daily floxin drop placement. Once the gelfoam was removed in the clinic, the EAC was found to be healing well and the patient noted improved subjective hearing. There has not been any subsequent recurrence over a period of 5 months. This case documents a rare presentation of an ALM in an extremely rare anatomical position which was managed successfully.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2025 ","pages":"1538233"},"PeriodicalIF":0.4,"publicationDate":"2025-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12182988/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477248","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":"Sublingual Dermoid Cyst: A Diagnostic Challenge During Clinical Examination.","authors":"Ali Hussein Habeeb, Ayad Ahmad Mohammed","doi":"10.1155/crot/8133416","DOIUrl":"10.1155/crot/8133416","url":null,"abstract":"<p><p><b>Introduction:</b> Epidermoid cysts are benign lesions that may occur in many different sites of the body. They are classified into 3 types: epidermoid cysts when the lining presents only epithelium, dermoid cysts when skin adnexa are found, and teratoid cysts when mesodermal elements are present. <b>Case Presentation:</b> A 13-year-old boy presented with a gradually enlarging sublingual mass over a period of 4 years. The mass was painless at start but in the last 3 months, it was associated with pain and difficulties during eating and dysarthria. The general examination was unremarkable and examination of the oral cavity showed a 5∗6 cm mass in the right side of the tongue and within the tongue. The mass was soft and nontender, fluctuation was positive, there was no pulsation over the mass, transillumination was negative, and other parts of the oral cavity were normal. Neck examination was also normal with no enlargement of the cervical lymph nodes. Aspiration of the lesion showed turbid yellow fluid (keratin like substance) with no blood. Complete surgical excision of the cyst was done, which was dermoid cyst of the tongue containing hair and fat. The patient was discharged on the same day of surgery with no postoperative events. <b>Conclusion:</b> Dermoid cyst of the tongue is an extremely rare condition. High index of suspicion is required for the diagnosis. Aspiration of the cyst helps in the diagnosis due to the typical yellow color because of cholesterol contents. The prognosis is excellent after complete surgical excision.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2025 ","pages":"8133416"},"PeriodicalIF":0.4,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12178759/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477250","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}
Andrew J Rothka, David Goldrich, Sanica Bhele, Johnathan D McGinn
{"title":"Disseminated Metastatic Renal Cell Carcinoma Manifesting With Recurrent Epistaxis: A Case Report and Comprehensive Literature Review.","authors":"Andrew J Rothka, David Goldrich, Sanica Bhele, Johnathan D McGinn","doi":"10.1155/crot/7461155","DOIUrl":"10.1155/crot/7461155","url":null,"abstract":"<p><p>Renal cell carcinoma is an aggressive malignancy with up to 30% of patients experiencing metastases. The authors report a case of a patient status post right radical nephrectomy with 6 years of clear surveillance scans seeking evaluation of recurrent epistaxis. A friable, hypervascular mass was discovered on outpatient nasal endoscopy. The mass was surgically removed, and pathology results were consistent with metastatic renal cell carcinoma. Further workup following the operation led to the discovery of disseminated metastases of the malignancy to the scrotum, skin of the back, gluteal musculature, and frontal bones. This unique case of disseminated metastases after many years of negative routine screening demonstrates the importance of interdisciplinary care and routine screenings when managing unforgiving malignancies such as renal cell carcinoma and their insidious manners of metastasis.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2025 ","pages":"7461155"},"PeriodicalIF":0.4,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12178769/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477249","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}
Elena Dina, Beatriz Pallarés Martí, Vincenzo Filomena, Mario Prenafeta Moreno, Juan José Díaz Argüello, Carmen María Blázquez Mañá, Joël Sánchez Fernández, Yolanda Escamilla Carpintero
{"title":"Sternoclavicular Joint Tracheal Fistula: An Unusual Postradiation Complication in a Laryngectomee.","authors":"Elena Dina, Beatriz Pallarés Martí, Vincenzo Filomena, Mario Prenafeta Moreno, Juan José Díaz Argüello, Carmen María Blázquez Mañá, Joël Sánchez Fernández, Yolanda Escamilla Carpintero","doi":"10.1155/crot/8268690","DOIUrl":"10.1155/crot/8268690","url":null,"abstract":"<p><p>A 68-year-old man previously treated for a large laryngeal neoplasm (pT4 pN0 squamous cell carcinoma) developed osteomyelitis of the medial third of the right clavicle with the formation of a fistula between the sternoclavicular joint and tracheal wall near the tracheostomy border. The clinical course was tedious, required prolonged antibiotic trials, and extended surgical bone resection to control the infection. The final outcome was favorable with wound closure although the patient was left with permanent limitation of shoulder abduction (his shoulder mobility had been normal prior to this process). Histopathological examination of the resected bone suggested a diagnosis of both osteoradionecrosis and osteomyelitis. Indeed, differential diagnosis between these two entities can be challenging after radiotherapy. Here, we present a review of the relevant academic literature and discuss the therapeutic options.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2025 ","pages":"8268690"},"PeriodicalIF":0.4,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12143950/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250209","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":"A Submucosal Moderately Poor Differentiated Laryngeal Squamous Cell Carcinoma Presenting as a Thyroid Mass: A Report of a New Case.","authors":"Zhihan Liu, Meng Lei, Ruimin Zhao, Xiaobao Yao, Yanxia Bai, Shaoqiang Zhang","doi":"10.1155/crot/6231543","DOIUrl":"10.1155/crot/6231543","url":null,"abstract":"<p><p><b>Background:</b> Submucosal laryngeal carcinoma (SLC) is a rare subtype of transglottic laryngeal carcinoma (TLC) and usually originates from the center of the laryngeal ventricle. Nearly 70% of TLC cases are confined to the larynx and 30% show external laryngeal infiltrations. Early stage asymptomatic TLC usually shows occult lesions and tends to grow into lateral parapharyngeal space. <b>Case Summary:</b> We present an unusual case of submucosal moderately poor differentiated laryngeal squamous cell carcinoma (SCC) characterized by thyroid mass, hoarseness, and dyspnea as the main symptoms. In this case, a 60-year-old Chinese male was made a preliminary diagnosis of suspected thyroid carcinoma (TC) with laryngeal metastases to the cricoid cartilage. No laryngeal neoplasms were observed under nasopharyngo-fiberoscope. After giving 1-month therapy with anlotinib, the tumor lesion had minimal response while the patient insisted on surgical section to relieve dyspnea. Intraoperative frozen section biopsy confirmed that the tumor was moderately poor differentiated SCC of the larynx, and in this case, thyroid metastases might result in SLC penetration of cricothyroid membrane. <b>Conclusion:</b> SLC should be taken into consideration in the case of suspicious TC with laryngeal cartilage infiltration and subglottic area infiltration. Further coarse needle puncture or surgical biopsy should be carried out to clarify diagnosis to optimize treatment strategy.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2025 ","pages":"6231543"},"PeriodicalIF":0.4,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12136856/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227174","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":"Preoperative Rehearsal in the Removal of an Airway Foreign Body in a Preterm Septic Neonate.","authors":"Nikhil Bellamkonda, J Fredrik Grimmer","doi":"10.1155/crot/8812622","DOIUrl":"https://doi.org/10.1155/crot/8812622","url":null,"abstract":"<p><p>We report a case of a septic, 21 day old, former 26-week neonate who had clinical and x-ray concern for an airway foreign body. 3D CT remodeling was used to identify the foreign body as the tip of a suction catheter. Preoperative planning to confirm optimal bronchoscopic instrumentation was done, and the foreign body was successfully removed in a single attempt. This case highlights the importance of preoperative radiographic evaluation and instrument rehearsal in high-risk airway foreign body cases.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2025 ","pages":"8812622"},"PeriodicalIF":0.4,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12066176/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051659","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}
Haidee Chen, Erik B Vanstrum, Rodell Santuray, Adam Xiao, Akira Ishiyama
{"title":"Cochlear Implant Complicated by Nontuberculous Mycobacteria Infection: Report and Literature Review.","authors":"Haidee Chen, Erik B Vanstrum, Rodell Santuray, Adam Xiao, Akira Ishiyama","doi":"10.1155/crot/5973005","DOIUrl":"https://doi.org/10.1155/crot/5973005","url":null,"abstract":"<p><p><b>Objective:</b> Nontuberculosis mycobacteria (NTM) infection of cochlear implants are exceedingly rare. Here, we report one such case and review the literature surrounding previous reports. <b>Methods:</b> Case report. <b>Case Report:</b> A 76-year-old female underwent right cochlear implantation. Her course was complicated by wound dehiscence, three surgical debridements, and ultimately explantation. Cultures ultimately grew <i>Mycobacterium abscessus</i>, which was effectively treated with Azithromycin, Omadacycline, and 3 months of injectable Cefoxitin. At the latest follow-up, the patient is without evidence of further infection and pending reimplantation. <b>Conclusion:</b> NTM is a rare cause of postsurgical infections following cochlear implantation. It is especially important to consider this in cases of indolent, antibiotic-resistant infections to optimize patient treatment.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2025 ","pages":"5973005"},"PeriodicalIF":0.4,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058316/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005822","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":"Relapsing Polychondritis Associated With Thyroid Carcinoma: A First Malagasy Case.","authors":"Oliva Henintsoa Rakotonirainy, Mamonjisoa Olivier Andrianiaina, Lalao Nomenjanahary Rakotonirina, Volatantely Ratovonjanahary, Fahafahantsoa Rabenja Rapelanoro","doi":"10.1155/crot/1456640","DOIUrl":"https://doi.org/10.1155/crot/1456640","url":null,"abstract":"<p><p>Relapsing polychondritis (RP) is a rare disease characterized by recurrent systemic inflammation affecting cartilaginous tissues and proteoglycan-rich tissues. The disease may present in several clinical variants, which can delay diagnosis. Corticosteroids are the treatment of choice for RP. In rare cases, RP can be paraneoplastic. The association of RP with thyroid cancer is unusual. We report the first Malagasy case of a 48-year-old man with RP type one diagnosed within less than a year, presenting with recurrent chondritis of the auricular cartilage, tracheobronchial chondritis, and recurrent episcleritis. The disease was associated with papillary thyroid carcinoma.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2025 ","pages":"1456640"},"PeriodicalIF":0.4,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12008485/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051304","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":"Endoscopic Removal of Sinonasal Inverted Papilloma Originating From the Posterior Ethmoid Cavity.","authors":"Sofia E Olsson, René Peña","doi":"10.1155/crot/8389174","DOIUrl":"10.1155/crot/8389174","url":null,"abstract":"<p><p>Sinonasal inverted papilloma is an expansive, benign mass derived from the Schneiderian membrane. It may undergo malignant transformation and most commonly originates from the maxillary sinuses or the lateral walls of the nasal corridors. This case outlines the case of a sinonasal inverted papilloma, which clearly arises from the posterior ethmoid sinus, bordering the skull base. This abnormal originating point was able to be identified during endoscopic excision of the mass and involved mucosa. The ethmoid bone was not resected as it would expose the dura mater, risking CSF leak and complications. This case further supports the use of endoscopy in the investigation of sinonasal inverted papilloma rather than the gold standard approach of lateral rhinotomy. An endoscopic approach allowed for improved safety when accessing the posterior ethmoid cavity. This case also highlights the possibility of novel origins of sinonasal inverted papilloma, such as the membrane of the posterior ethmoid cavity.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2025 ","pages":"8389174"},"PeriodicalIF":0.4,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11867718/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524979","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}