Case Reports in Otolaryngology最新文献

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Challenges in the Management of Massive Carotid Body Tumor. 治疗巨大颈动脉体瘤的挑战。
IF 0.6
Case Reports in Otolaryngology Pub Date : 2024-04-29 eCollection Date: 2024-01-01 DOI: 10.1155/2024/9963521
Oluwapelumi Olusoga-Peters, Moses Ayodele Akinola, John Ifeanyi Nwadiokwu, Florence Oguntade
{"title":"Challenges in the Management of Massive Carotid Body Tumor.","authors":"Oluwapelumi Olusoga-Peters, Moses Ayodele Akinola, John Ifeanyi Nwadiokwu, Florence Oguntade","doi":"10.1155/2024/9963521","DOIUrl":"10.1155/2024/9963521","url":null,"abstract":"<p><p>The carotid body paraganglioma is a rare benign neoplasm arising from the chemoreceptor cells of the carotid bulb. The carotid body has the largest collection of paraganglia in the head and neck with 60-70% of head and neck paraganglioma. Paraganglia are clusters of cells originating from the neural crest with histological and cytochemical characteristics of neuroendocrine cells. It is mostly asymptomatic in early presentation but become symptomatic and difficult to manage when the tumor is large. We present a case of a 26-year-old male who presented with a painless, pulsatile, progressively increasing left lateral neck swelling of 5 years duration with Shamblin IIIa. The diagnosis of the tumor was confirmed based on clinical features, histology, and radiological findings. We had difficult surgical dissection of the tumor with neurovascular damage.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2024 ","pages":"9963521"},"PeriodicalIF":0.6,"publicationDate":"2024-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11074773/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877628","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
Primary Cervical Extraosseous Ewing's Sarcoma Originated from the Sternocleidomastoid Muscle: A Case Report and Review of the Literature. 起源于胸锁乳突肌的原发性颈椎骨外尤文氏肉瘤:病例报告和文献综述。
IF 0.6
Case Reports in Otolaryngology Pub Date : 2024-02-22 eCollection Date: 2024-01-01 DOI: 10.1155/2024/8867131
Sasa Jakovljevic, Nenad Arsovic, Zoran Dudvarski, Nemanja Radivojevic, Katarina Jovanovic, Neda Mladenovic, Snezana Babac
{"title":"Primary Cervical Extraosseous Ewing's Sarcoma Originated from the Sternocleidomastoid Muscle: A Case Report and Review of the Literature.","authors":"Sasa Jakovljevic, Nenad Arsovic, Zoran Dudvarski, Nemanja Radivojevic, Katarina Jovanovic, Neda Mladenovic, Snezana Babac","doi":"10.1155/2024/8867131","DOIUrl":"10.1155/2024/8867131","url":null,"abstract":"<p><p>Extraosseous Ewing's sarcoma is extremely rare in the soft tissues of the neck, especially in the sternocleidomastoid muscle. It usually manifests clinically as a rapidly growing mass that shows great potential for local spread. The aim of this paper is to present a rare case of еxtraosseous Ewing's sarcoma in the sternocleidomastoid muscle. To the best of our knowledge, this is the first case of extraskeletal Ewing's sarcoma at this location. The patient was admitted to our clinic because of a neck tumefaction. The computerized tomography finding showed a tumor mass, most of which was in the V region of the neck, measuring 40 × 27 × 35 mm. Pathohistological and immunohistochemical findings showed that it was Ewing's sarcoma. Unfortunately, the patient passed away nine months after the initial diagnosis. Extraosseous Ewing sarcoma is a rare, fast-growing malignant tumor manifesting histomorphological similarities to bone Ewing's sarcoma. Most reports state that extraosseous Ewing sarcoma has a worse prognosis than skeletal. Extraosseous Ewing sarcoma should be borne in mind in the differential diagnosis of soft tissue tumors of the neck.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2024 ","pages":"8867131"},"PeriodicalIF":0.6,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10904673/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140022943","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
Cerebellar Compression by Giant Extracanalicular Osteoma with Central Cholesterol Granuloma 伴有中央胆固醇肉芽肿的巨大颅外骨瘤压迫小脑
IF 0.6
Case Reports in Otolaryngology Pub Date : 2023-12-15 DOI: 10.1155/2023/6652012
Caroline F. Smith, Conner J. Massey, Scott E. Mann
{"title":"Cerebellar Compression by Giant Extracanalicular Osteoma with Central Cholesterol Granuloma","authors":"Caroline F. Smith, Conner J. Massey, Scott E. Mann","doi":"10.1155/2023/6652012","DOIUrl":"https://doi.org/10.1155/2023/6652012","url":null,"abstract":"Temporal bone osteomas comprise 0.1–1% of benign tumors involving the skull, the majority of which arise in the external auditory canal. More rarely, they can arise from the mastoid portion of the temporal bone. These generally present as a slow growing skull base lesion that can cause cosmetic deformity, headache, and/or hearing loss. Here, we report a case of extracanalicular mastoid osteoma uniquely presenting with posterior fossa and cerebellar compression with associated dizziness and imbalance.","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"141 4","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138998266","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
Respiratory Epithelial Adenomatoid Hamartoma: An Uncommon Differential of Nasopharyngeal Tumor. 呼吸道上皮腺瘤样脂肪瘤:一种不常见的鼻咽肿瘤鉴别诊断。
IF 0.6
Case Reports in Otolaryngology Pub Date : 2023-11-30 eCollection Date: 2023-01-01 DOI: 10.1155/2023/9942293
Taiwo Olufemi Solaja, Kenechukwu Chinemelum Uche-Okonkwo, Moses Ayodele Akinola, John Ifeanyi Nwadiokwu
{"title":"Respiratory Epithelial Adenomatoid Hamartoma: An Uncommon Differential of Nasopharyngeal Tumor.","authors":"Taiwo Olufemi Solaja, Kenechukwu Chinemelum Uche-Okonkwo, Moses Ayodele Akinola, John Ifeanyi Nwadiokwu","doi":"10.1155/2023/9942293","DOIUrl":"https://doi.org/10.1155/2023/9942293","url":null,"abstract":"<p><p>Respiratory epithelial adenomatoid hamartoma (REAH) is an uncommon tumor-like lesion that has been reported within the nose, paranasal sinuses, and less frequently in the nasopharynx. While it is believed to be benign, its clinical presentation, radiological characteristics, and microscopic features may closely mimic more aggressive tumors of the upper respiratory tract, potentially leading to needless life-altering treatment. Prior to now, there had been no reported cases of this lesion in West Africa. We present a 35-year-old male with persistent bilateral nasal obstruction, difficulty with swallowing, and bilateral reduction in hearing, whose CT findings were highly suggestive of a nasopharyngeal tumor, but upon biopsy and histology showed features most consistent with REAH. Surgery completely alleviated his symptoms with no clinical evidence of recurrence after a 1-year follow-up period.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2023 ","pages":"9942293"},"PeriodicalIF":0.6,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10703524/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138811868","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
Abducens Nerve Neuropraxia due to Acute Bacterial Rhinosinusitis: Case Report and Literature Review. 急性细菌性鼻窦炎致外展神经失用1例并文献复习。
IF 0.6
Case Reports in Otolaryngology Pub Date : 2023-11-27 eCollection Date: 2023-01-01 DOI: 10.1155/2023/5175871
Abdulrahman Alghulikah, Sarah Alseneidi, Hedayah Alsaady, Ahmed Alhussien, Surayie Al-Dousary, Saud Alromaih, Abdulrahman AlHumaizi
{"title":"Abducens Nerve Neuropraxia due to Acute Bacterial Rhinosinusitis: Case Report and Literature Review.","authors":"Abdulrahman Alghulikah, Sarah Alseneidi, Hedayah Alsaady, Ahmed Alhussien, Surayie Al-Dousary, Saud Alromaih, Abdulrahman AlHumaizi","doi":"10.1155/2023/5175871","DOIUrl":"10.1155/2023/5175871","url":null,"abstract":"<p><strong>Background: </strong>Acute bacterial rhinosinusitis (ABRS) is a common infection of the paranasal sinuses that can lead to complications such as orbital and intracranial extension. The abducens nerve course is adjacent to the sphenoid sinus. Diplopia is rarely the initial presentation of sphenoid sinus pathology. In this article, we present the case of a middle-aged male who presented with diplopia and abducens nerve palsy secondary to ABRS, and we conducted a literature review in search of similar cases. <i>Case Presentation</i>. A 52-year-old male presented with diplopia secondary to ABRS. Imaging revealed the complete opacification of the bilateral sphenoid and frontal sinuses, with the extension of the inflammatory process to the optic nerve and cavernous sinus. The patient underwent a surgical intervention, which revealed a pyocele collection in the opticocarotid recess inside the sphenoid sinuses. After the surgery, the patient received antibiotics and reported a complete recovery.</p><p><strong>Conclusions: </strong>Acute bacterial rhinosinusitis can present with atypical symptoms and lead to serious complications, such as abducens nerve palsy. Early diagnosis, appropriate management, and timely referral to a multidisciplinary team are crucial to preventing residual nerve damage and ensuring favorable outcomes.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2023 ","pages":"5175871"},"PeriodicalIF":0.6,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10696470/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138499713","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
Diagnostic and Treatment-Related Challenges in Sinonasal Teratocarcinosarcoma: A Report of Three Cases 鼻窦畸胎瘤的诊断与治疗:附三例报告
Case Reports in Otolaryngology Pub Date : 2023-11-11 DOI: 10.1155/2023/4788617
W. F. Julius Scheurleer, Weibel W. Braunius, Bernard M. Tijink, Luuk M. Janssen, Frank A. Pameijer, Gerben E. Breimer, Ernst J. Smid, Remco de Bree, Lot A. Devriese, Johannes A. Rijken
{"title":"Diagnostic and Treatment-Related Challenges in Sinonasal Teratocarcinosarcoma: A Report of Three Cases","authors":"W. F. Julius Scheurleer, Weibel W. Braunius, Bernard M. Tijink, Luuk M. Janssen, Frank A. Pameijer, Gerben E. Breimer, Ernst J. Smid, Remco de Bree, Lot A. Devriese, Johannes A. Rijken","doi":"10.1155/2023/4788617","DOIUrl":"https://doi.org/10.1155/2023/4788617","url":null,"abstract":"Background. Sinonasal teratocarcinosarcoma is a rare, aggressive malignancy located almost exclusively in the nasal cavity, paranasal sinuses, or anterior skull base. Histopathological diagnosis can be challenging due to the heterogeneous composition. Methods. Retrospective analysis of 3 patients with sinonasal teratocarcinosarcoma diagnosed and treated at the University Medical Center Utrecht was conducted. Results. Patients presented with nasal obstruction, epistaxis, headaches, or behavioral changes. All three patients had locally advanced disease, and one had lymph node metastases. Two patients underwent surgery followed by radiotherapy, and one underwent neoadjuvant chemotherapy followed by surgery. The follow-up duration ranged from 3 to 32 months. All three patients died due to progression of their disease. Conclusion. Sinonasal teratocarcinosarcoma is characterized by rapid, aggressive local expansion. The prognosis is poor due to a high risk of metastases and locally recurrent disease. Multimodality treatment consisting of surgery, followed by (chemo)‐radiotherapy, is essential for optimizing outcomes. Neoadjuvant therapy offers a promising treatment option.","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"41 10","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135041974","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 Case of Syphilis Suspected Preoperatively as a Case of Tongue Cancer. 术前疑似梅毒舌癌1例。
IF 0.6
Case Reports in Otolaryngology Pub Date : 2023-11-02 eCollection Date: 2023-01-01 DOI: 10.1155/2023/9469814
Shigeru Kondo, Ryuhei Okada, Yosuke Ariizumi, Takashi Kurita, Hiroshi Shintaku, Takahiro Asakage
{"title":"A Case of Syphilis Suspected Preoperatively as a Case of Tongue Cancer.","authors":"Shigeru Kondo, Ryuhei Okada, Yosuke Ariizumi, Takashi Kurita, Hiroshi Shintaku, Takahiro Asakage","doi":"10.1155/2023/9469814","DOIUrl":"10.1155/2023/9469814","url":null,"abstract":"<p><p>Syphilis is a sexually transmitted disease caused by <i>Treponema pallidum</i> (TP). We report a case of syphilis that was initially suspected as tongue cancer. An 86-year-old man consulted a neighborhood clinic with an approximately one-month history of pain in the right tongue. The result of scraping cytology of the tongue performed at the clinic was classified as class V, squamous cell carcinoma, and the patient was referred to our hospital. Physical examination revealed a mass on the right side of the tongue and a firm cervical mass. Biopsy revealed no evidence of malignancy; however, the imaging findings led to the suspicion of tongue cancer and lymph node metastasis. The results of blood examination revealed that the patient had syphilis, but since the patient showed few other symptoms, we decided to treat the infection after the planned surgery. We performed right partial glossectomy and neck dissection; however, the postoperative histopathology revealed no evidence of malignancy but nonspecific inflammatory changes with TP spirochetes. The incidence of syphilis has increased dramatically around the world, including Japan, during the last 20 years, and it no longer remains a rare disease. Therefore, syphilis should be included in the differential diagnosis of oral or cervical masses.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2023 ","pages":"9469814"},"PeriodicalIF":0.6,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10635748/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89719965","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
Null-Cell Ectopic Pituitary Adenoma of the Nasal Cavity. 鼻腔空细胞异位垂体腺瘤。
IF 0.6
Case Reports in Otolaryngology Pub Date : 2023-10-12 eCollection Date: 2023-01-01 DOI: 10.1155/2023/5561092
Nicholas Figaro, Jibran Juman, Ashton Ramsundar, Fidel Rampersad, Melanie Johncilla, Solaiman Juman
{"title":"Null-Cell Ectopic Pituitary Adenoma of the Nasal Cavity.","authors":"Nicholas Figaro,&nbsp;Jibran Juman,&nbsp;Ashton Ramsundar,&nbsp;Fidel Rampersad,&nbsp;Melanie Johncilla,&nbsp;Solaiman Juman","doi":"10.1155/2023/5561092","DOIUrl":"10.1155/2023/5561092","url":null,"abstract":"<p><p>An ectopic pituitary adenoma (EPA) is an uncommon type of pituitary adenoma, accounting for only 2% of all pituitary adenomas. EPAs are benign tumors that can occur anywhere along the migratory embryonic path of the pituitary gland and have no relationship to intrasellar elements. They are usually hormonally active and have a minor female predominance. The clinical features of EPAs are highly dependent on its hormonal activity, anatomical location, and its local mass effect. Appropriate radiological imaging is essential for the evaluation of EPAs. Imaging investigations show a normal pituitary gland and sellar turcica, provide details on the size of the tumor, its margins, and extent, and help with surgical planning. The criteria for diagnosing an ectopic pituitary adenoma depend on detailed histopathological examination. EPA management should be individualized. We present a case of a 71-year-old male who presented with a 9-month history of left nasal obstruction, purulent nasal discharge, and intermittent anterior epistaxis. The patient was being managed by his general practitioner for chronic rhinosinusitis but failure of his symptoms to resolve prompted a visit to the otorhinolaryngologist. The patient was diagnosed with a null-cell ectopic pituitary adenoma through histological analysis of a biopsy specimen that showed adenohypophyseal cells without cell-type-specific differentiation. The patient subsequently underwent an endoscopic endonasal excision and had an uneventful hospital stay.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2023 ","pages":"5561092"},"PeriodicalIF":0.6,"publicationDate":"2023-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10586917/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49692927","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
Reconstruction of the Tongue after Hemiglossectomy Using Serratus Anterior Muscle Free Flap. 应用前肌游离Serratus皮瓣重建半舌切除术后的舌。
IF 0.6
Case Reports in Otolaryngology Pub Date : 2023-10-09 eCollection Date: 2023-01-01 DOI: 10.1155/2023/6637271
Petr Šín, Alica Hokynková, Pavel Rotschein, Radek Pejčoch, Lucie Nártová
{"title":"Reconstruction of the Tongue after Hemiglossectomy Using Serratus Anterior Muscle Free Flap.","authors":"Petr Šín,&nbsp;Alica Hokynková,&nbsp;Pavel Rotschein,&nbsp;Radek Pejčoch,&nbsp;Lucie Nártová","doi":"10.1155/2023/6637271","DOIUrl":"10.1155/2023/6637271","url":null,"abstract":"<p><strong>Background: </strong>Serratus anterior muscle free flap is widely used in numerous indicated reconstructions. Only a few studies have dealt with the use of this flap in tongue reconstruction.</p><p><strong>Materials and methods: </strong>We present a case series of 7 patients with carcinoma of the tongue who underwent hemiglossectomy followed by immediate reconstruction with serratus anterior muscle free flap between January 2017 and December 2019 at the University Hospital Brno. The aim of this study was to evaluate safety and efficiency of the reconstruction as well as the donor site morbidity.</p><p><strong>Results: </strong>There was not a single case of flap failure observed and the donor site healed completely in all cases. The functional outcome (tongue mobility, phonation, and deglutition) depended on the severity of the primary oncological disease and health status of the patient.</p><p><strong>Conclusion: </strong>The serratus anterior muscle free flap represents an alternative option for reconstruction of the tongue.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2023 ","pages":"6637271"},"PeriodicalIF":0.6,"publicationDate":"2023-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10578973/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239753","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
Endoscopic Endonasal Repair and Reconstruction of Traumatic Anterior Skull Base Defects. 外伤性前颅底缺损的鼻内窥镜修复与重建。
IF 0.6
Case Reports in Otolaryngology Pub Date : 2023-10-06 eCollection Date: 2023-01-01 DOI: 10.1155/2023/6996215
Isabelle J M Williams, Annakan V Navaratnam, Mark Wilson, Mark S Ferguson
{"title":"Endoscopic Endonasal Repair and Reconstruction of Traumatic Anterior Skull Base Defects.","authors":"Isabelle J M Williams,&nbsp;Annakan V Navaratnam,&nbsp;Mark Wilson,&nbsp;Mark S Ferguson","doi":"10.1155/2023/6996215","DOIUrl":"10.1155/2023/6996215","url":null,"abstract":"<p><p>Eighty percent of cerebrospinal fluid leaks (CSF) occur following trauma and complicate 12 to 13% percent of all basilar skull fractures (Prosser, Vender, and Solares, 2011). An endoscopic endonasal approach (EEA) is often the preferred method of repair with greater than 90% success rates (Prosser, Vender, and Solares, 2011). We report a case of a 37-year-old man who presented to our regional level 1 trauma centre with multiple facial injuries. Initial cross-sectional imaging revealed multiple, continuous anterior skull base fractures with associated pneumocephalus. Though initially managed conservatively, the patient represented five days later with unilateral left-sided rhinorrhoea. An endoscopic endonasal repair with a multilayer fat, tensor fascia lata, free mucosal graft, and vascularised local flap reconstruction was undertaken. This case highlights the importance of maintaining a high level of suspicion for delayed CSF leak in traumatic base of skull injury. The EEA enables meticulous dissection and thorough inspection of the skull base, facilitating multilayered repair and reconstruction of defects.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2023 ","pages":"6996215"},"PeriodicalIF":0.6,"publicationDate":"2023-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10575747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239752","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
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