Case Reports in Otolaryngology最新文献

{"title":"Surviving Separation: Laryngotracheal Injury in Blunt Neck Trauma-A Case Report and Review.","authors":"Reggie John, Leonard Soh, Lilleen Huang, Duncan Wong, Xinyong Huang","doi":"10.1155/crot/1481731","DOIUrl":"10.1155/crot/1481731","url":null,"abstract":"<p><p>Laryngotracheal trauma is a rare but fatal cause of injury in patients involved in polytrauma. Most patients succumb on site due to airway compromise. Thus, a delay in instituting interventions in such patients often leads to poor outcomes. In the handful that do make it to the hospital, there is a paucity of literature with regard to the optimal management of such conditions. In this case report, we present our management approach and highlight the dangers of dealing with such a case. We present a case of a young Asian male with complete laryngotracheal transection following blunt trauma in a high-speed road traffic accident. Early and accurate diagnosis with expedient management by a multidisciplinary and experienced trauma team is paramount. We also discuss the salient points and pitfalls from initial assessment and stabilization of the patient to the technical details on the definitive management, as well as review the current literature in dealing with such an injury.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2026 ","pages":"1481731"},"PeriodicalIF":0.6,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13492050/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799334","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":"Horner's Syndrome: An Unusual Complication of Transcervical Zenker's Diverticulectomy.","authors":"Yue Ma, Caroline C Jeffery, Edward J Damrose","doi":"10.1155/crot/5656273","DOIUrl":"10.1155/crot/5656273","url":null,"abstract":"<p><p>Horner's syndrome is a clinical entity encountered by head and neck surgeons in patients with penetrating neck injury, post-neck dissections, and cervical sympathetic chain schwannomas. However, Horner's syndrome after transcervical resection of Zenker's diverticulum has not been previously described in the published literature. A patient who had failed two previous attempts at endoscopic repair of a large Zenker's diverticulum underwent transcervical diverticulectomy with cricopharyngeal myotomy. A previous history of anterior cervical fusion at C5 and C6 was also present. Postoperatively, he developed pupillary asymmetry, left upper eyelid ptosis, and ipsilateral anhydrosis. Ophthalmology consultation was initiated, and cocaine 10% solution drops applied to both eyes confirmed the diagnosis. His symptoms persisted at 2 years postsurgery. Horner's syndrome is a potential complication of Zenker's diverticulectomy due to the close proximity of the pouch base to the sympathetic chain. The likelihood of injury to the cervical sympathetic chain is also increased in the setting of previous neck surgery.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2026 ","pages":"5656273"},"PeriodicalIF":0.6,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13482178/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799356","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":"Laryngeal Complications of Dermatomyositis: A Case Report and Comprehensive Review of the Literature.","authors":"Abdul-Latif Hamdan, Omar Aboul Hosn, Jad Hosri","doi":"10.1155/crot/3370053","DOIUrl":"10.1155/crot/3370053","url":null,"abstract":"<p><p>Dermatomyositis is an immune-mediated inflammatory myopathy characterized by progressive proximal muscle weakness with sparing of distal muscles, accompanied by cutaneous manifestations. Laryngeal involvement in patients with dermatomyositis is extremely rare, with only seven cases described in the literature. We report the case of a 21-year-old man with dermatomyositis who presented with dysphonia, breathiness, and asthenia with a voice handicap index-10 score of 24/40. Laryngeal examination showed whitish mucosal patches on the upper surface of both vocal folds with bowing of the vocal folds. Video-stroboscopy revealed incomplete closure of the vocal folds during phonation, a decrease in vocal fold vibration amplitude, and diminished mucosal waves. One month after therapy with mycophenolate mofetil, the patient's voice quality improved and his VHI-10 score decreased to 16/40.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2026 ","pages":"3370053"},"PeriodicalIF":0.6,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13482035/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799376","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":"Sequential Bilateral Cochlear Implantation via the Transmastoid Labyrinthotomy Approach Using Custom-Made Electrodes in a Pediatric Patient With Common Cavity Deformities: A Case Report.","authors":"Ciro Lucio Vigliaroli, Millo Achille Beltrame, Lazzaro Cassano, Francesca Pia Cavalluzzo, Deniis Curatolo, Alessandra Rossato, Michele Cassano, Eleonora M C Trecca","doi":"10.1155/crot/9913363","DOIUrl":"10.1155/crot/9913363","url":null,"abstract":"<p><p>Inner ear malformations (IEMs) present significant challenges for cochlear implantation (CI), particularly the common cavity deformity, in which the cochlea and vestibule merge into a single space. Surgical and audiological outcomes in such cases depend on accurate electrode placement, nerve integrity, and tailored surgical strategies. We report the case of a pediatric patient with bilateral common cavity deformities who underwent sequential bilateral CI using the double posterior transmastoid labyrinthotomy (TML) approach with custom-made electrodes. The patient, diagnosed with profound bilateral sensorineural hearing loss at 1 year of age, showed bilateral common cavities with identifiable but reduced caliber seventh and eighth cranial nerves on radiological imaging and absent responses on auditory brainstem response testing. Based on preoperative imaging, a custom-made MED-EL FORM19 electrode (Innsbruck, Austria) was selected and adapted to match the patient's anatomy, aiming to optimize placement and reduce intraoperative complications. A staged implantation was performed. Surgery was uneventful, with intraoperative neural response telemetry confirming responses in both ears. At four-year follow-up, aided thresholds were stable in the speech frequency range (right ear: 40-60 dB HL; left ear: 50-65 dB HL). Speech audiometry in quiet demonstrated good detection and recognition, and language development was appropriate for hearing age, with significant improvement from baseline. This case illustrates that double posterior TML with custom-made electrodes is a safe and effective strategy for CI in complex IEMs such as common cavity deformities. The technique offers precise electrode placement, minimizes risks to the facial nerve, and ensures stable fixation. Early bilateral stimulation, active family involvement, multidisciplinary care in specialized centers, and tailored electrode design are critical to achieving favorable long-term outcomes. Multicenter studies are needed to further validate these findings and refine patient selection.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2026 ","pages":"9913363"},"PeriodicalIF":0.6,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13439388/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148680350","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":"Laryngeal Synovial Sarcoma-A Rare Entity With an Uncommon Clinical Manifestation of Hemoptysis: A Case Report and Review of the Literature.","authors":"Kamyar Iravani, Negar Azarpira, Mohammadreza Akhtari, Sajjad Soltani, Nazila Shirvani, Pooria Zare","doi":"10.1155/crot/4214277","DOIUrl":"10.1155/crot/4214277","url":null,"abstract":"<p><strong>Background: </strong>Synovial sarcoma is a mesenchymal malignancy that most commonly arises in the lower extremities. Fewer than 5% of cases originate in the head and neck, and laryngeal involvement is exceptionally rare.</p><p><strong>Case presentation: </strong>A 22-year-old man presented with a 6-month history of progressive hoarseness and hemoptysis. Direct laryngoscopy was performed, and biopsies were obtained. Histopathological examination established the diagnosis of laryngeal synovial sarcoma. The patient received three cycles of neoadjuvant chemotherapy, followed by total laryngectomy with bilateral neck dissection. Adjuvant radiotherapy was initiated postoperatively, and the patient remained recurrence-free at 12 months of follow-up.</p><p><strong>Discussion: </strong>Fewer than 5% of synovial sarcomas occur in the head and neck, and laryngeal involvement is rare. Three histopathological subtypes are recognized: monophasic, biphasic, and poorly differentiated. Immunohistochemistry and detection of the t(X; 18) translocation play a key role in diagnosis. Surgical resection remains the mainstay of treatment, although chemoradiotherapy may also be beneficial. Recurrence is a major concern, with local recurrence reported in up to 45% of patients and distant metastasis in approximately 33%.</p><p><strong>Conclusion: </strong>Because laryngeal synovial sarcoma is rare, reporting such cases may improve future diagnosis, evaluation, and management of this uncommon entity.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2026 ","pages":"4214277"},"PeriodicalIF":0.6,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13385971/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148550814","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":"Tonsillar Lymphangiomatous Polyp Mimicking a Vallecular Cyst in an Adult: A Case Report.","authors":"Mohammed A Awadh, Manal Bin Manie, Sarah AlMansour, Latefa Alareek, Khaled Alhussinan, Faisal H Zagzoog, Nourah Alkhudiri","doi":"10.1155/crot/6407488","DOIUrl":"10.1155/crot/6407488","url":null,"abstract":"<p><strong>Introduction: </strong>Tonsillar lymphangiomatous polyps are rare benign lesions characterized histologically by dilated lymphatic channels within a fibrous, adipose, or lymphoid stromal background. Although these lesions are more commonly reported in children and young adults, they are uncommon in older adults and may mimic other oropharyngeal or laryngeal lesions, including vallecular cysts.</p><p><strong>Case presentation: </strong>We report the case of a 42-year-old previously healthy male who was incidentally found to have a mass at the base of the tongue. Preoperative clinical and radiologic assessment suggested a laryngeal vallecular cyst, as computed tomography demonstrated a well-defined lesion occupying the left epiglottic vallecula with partial airway narrowing. However, intraoperative examination revealed that the lesion was pedunculated and originated from the left tonsil rather than the vallecula. The patient underwent surgical excision with left tonsillectomy. Histopathologic examination demonstrated a lesion covered by squamous epithelium and composed of multiple dilated lymphatic vascular channels within a fibrous stromal background. Immunohistochemical staining showed endothelial positivity for D2-40, supporting lymphatic differentiation and confirming the diagnosis of a tonsillar lymphangiomatous polyp.</p><p><strong>Conclusion: </strong>This case highlights the diagnostic challenge of tonsillar lymphangiomatous polyps, particularly when a pedunculated tonsillar lesion projects toward the vallecula and clinically or radiologically mimics a vallecular cyst. Careful intraoperative assessment of the lesion's attachment site is essential for accurate localization and diagnosis. Complete surgical excision remains both diagnostic and therapeutic.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2026 ","pages":"6407488"},"PeriodicalIF":0.6,"publicationDate":"2026-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13382348/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608422","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":"An Unusual Pattern of Burns Space Metastasis From Oral Squamous Cell Carcinoma Treated by Surgical Resection: A Case Report.","authors":"Taisei Yasuda, Yasuhiro Ebihara, Yuichiro Enoki, Hirohisa Iwaki, Satoko Matsumura, Tomoko Yamazaki, Mitsuhiko Nakahira","doi":"10.1155/crot/1895808","DOIUrl":"10.1155/crot/1895808","url":null,"abstract":"<p><strong>Introduction: </strong>The suprasternal space, termed Burns space, lies between the sternocleidomastoid and sternohyoid muscles. Although metastasis in this area frequently involves papillary thyroid carcinoma, it is rarely reported in head and neck squamous cell carcinoma.</p><p><strong>Case presentation: </strong>We report a case of a 79-year-old man who underwent a partial glossectomy for tongue cancer, followed by neck dissection and radiotherapy. One year posttreatment, the patient developed suprasternal (Burns space) lymph node metastasis accompanied by bone invasion of the sternum and clavicle. An en bloc resection, which included the sternoclavicular joint, was performed, followed by reconstruction with a pectoralis major flap.</p><p><strong>Conclusion: </strong>To our knowledge, this is the first documented case of suprasternal lymph node metastasis with osseous extension from lingual cancer. A careful preoperative assessment of the suprasternal region is recommended, particularly in patients with a history of neck dissection (post-ND).</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2026 ","pages":"1895808"},"PeriodicalIF":0.6,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13373300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473515","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":"Laryngeal and Subglottic Necrosis Following Long-Term Heroin Inhalation.","authors":"I Janssens, G Vandeplas, M Maris, B Ihtijarevic, D Loose","doi":"10.1155/crot/5559965","DOIUrl":"10.1155/crot/5559965","url":null,"abstract":"<p><p>While nasal and palatal necrosis secondary to intranasal cocaine use is well documented in the literature, similar presentations linked to heroin abuse are rarely described. To the best of our knowledge, laryngeal involvement has not previously been reported. We present the case of a 48-year-old man with a 25-year history of smoking heroin, who presented with necrotic debris on the vocal cords and in the subglottic region. Debridement was performed, after which the symptoms subjectively improved. After one year, a subglottic adenocarcinoma was diagnosed. Substance abuse, including smoking heroin, should be considered in the differential diagnosis when necrotic laryngeal tissue is observed during laryngoscopic evaluation of patients with dysphonia and dyspnea. Biopsy and debridement are crucial for both diagnosis and symptom management. Long-term follow-up is essential, especially in patients with ongoing substance abuse, as malignancy can develop over time.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2026 ","pages":"5559965"},"PeriodicalIF":0.6,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13359119/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438284","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":"Ectopic Pleomorphic Adenoma of the External Nose.","authors":"Cyrus W Abrahamson, Julie G Elfishawy, Lacey Durham, James C Wang","doi":"10.1155/crot/7281902","DOIUrl":"10.1155/crot/7281902","url":null,"abstract":"<p><p>Pleomorphic adenomas (PAs) are the most common benign salivary gland tumors but rarely present in ectopic locations. When ectopic PAs occur in the head and neck, they most often arise from minor salivary gland tissue of the oral or nasal cavities. PAs of the external nose are exceedingly rare, and this is the first report of a PA arising from the nasal bridge. Here, we report a case of an African American man in his mid-20s with no pertinent medical history who presented with a slowly enlarging left nasal bridge mass that had grown over the past two to three years. Initially attributed to prior facial trauma and managed as a keloid with steroid injections, the lesion failed to improve, prompting referral to otolaryngology. Ultrasound demonstrated a 1.1 × 1.7 × 1.2 cm heterogeneously hypoechoic subcutaneous mass, and MRI showed a T2 hyperintense, avidly enhancing mass closely associated with but not communicating with the nasolacrimal duct. En bloc excision was performed, and histopathology confirmed PA via characteristic biphasic morphology and diffuse PLAG1 positivity. This case represents the most superiorly located nasal PA in the literature, and the absence of nasolacrimal duct involvement suggests true ectopic origin rather than extension from recognized salivary elements. This case highlights the importance of maintaining a broad differential for external nasal masses, particularly when lesions fail to respond to treatment as expected.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2026 ","pages":"7281902"},"PeriodicalIF":0.6,"publicationDate":"2026-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13334130/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438251","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":"Functional Dysphagia Presenting With Severe Subjective Swallowing Difficulty Despite Minimal Objective Findings: A Case Report.","authors":"Fumiyuki Goto, Koichiro Nishiyama, Kenji Okami, Koichiro Wasano","doi":"10.1155/crot/1173915","DOIUrl":"10.1155/crot/1173915","url":null,"abstract":"<p><strong>Background: </strong>Functional dysphagia is defined as a persistent or recurrent sensation of abnormal bolus passage without demonstrable structural, inflammatory, or major neuromuscular abnormality. Despite its clinical relevance, otolaryngologic reports of this condition remain limited.</p><p><strong>Case presentation: </strong>We describe a 71-year-old man who presented with progressive swallowing difficulty following a self-limited pharyngeal infection. He reported severe subjective difficulty swallowing solids and restricted his diet to liquids. Flexible nasolaryngoscopy, videoendoscopic evaluation of swallowing (Hyodo score 1), videofluorographic swallowing study (VFSS), upper gastrointestinal endoscopy, and neurological evaluation were all essentially normal. No aspiration was documented. Functional dysphagia was diagnosed based on the marked discrepancy between symptom severity and objective findings. Conservative management with reassurance and gradual reintroduction of oral intake resulted in progressive recovery over 4 months.</p><p><strong>Conclusion: </strong>Functional dysphagia should be considered when subjective swallowing difficulty is disproportionate to objective findings. Recognition of this discrepancy prevents overtreatment and supports multidisciplinary management targeting sensory-perceptual recalibration rather than anatomical correction.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2026 ","pages":"1173915"},"PeriodicalIF":0.6,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13332349/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392089","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}