Case Reports in Otolaryngology最新文献

{"title":"Managing Nasal Ischemia and Necrosis Post-Triamcinolone Injection: A New Case Series.","authors":"Shahriar Nazari, Nima Hadadian, Foroohe Bayatparidary, Seied Omid Keyhan, Mohammadamin Damsaz, Nabil Fakih-Gomez, Mohammad Reza Pourani","doi":"10.1155/crot/2223358","DOIUrl":"10.1155/crot/2223358","url":null,"abstract":"<p><p>Nasal ischemia following cosmetic injections has been reported in several cases. Postsurgery triamcinolone administration in the nasal region is a common practice to reduce inflammation and address pollybeak deformity. While cases of retinal artery occlusion following triamcinolone injection have been documented, this case series presents the first reported instance of nasal necrosis resulting from triamcinolone injection. This article explores the management strategies and therapeutic approaches for ischemia following triamcinolone administration. Four cases of nasal ischemia following triamcinolone injections administered postrhinoplasty are documented. The first case presented a young female who experienced ischemia with involvement of the columellar artery, leading to reduced blood flow in the dorsal and lateral nasal arteries. The remaining cases were patients who sought reconstructive surgery due to nasal necrosis caused by triamcinolone injections. Triamcinolone injection in the nasal region can lead to ischemia. Treatment options should be customized to each patient's condition. The THIS and FAT protocol with toxins (botulinum neurotoxin), high-dose hyaluronidase, and injectable platelet-rich fibrin (iPRF), solid platelet-rich fibrin (sPRF) dressings, and antibiotics as well as hyperbaric oxygen therapy (HBOT) can enhance tissue recovery, minimize scarring, and improve the overall outcome.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2026 ","pages":"2223358"},"PeriodicalIF":0.6,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13329764/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148391454","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":"Red Ear Syndrome: A Case Report and Review of Literature.","authors":"Zaki Alwatban, Wasan Alharbi, Muneera Al Khalifa, Mohammed Al Shehabi","doi":"10.1155/crot/2549709","DOIUrl":"10.1155/crot/2549709","url":null,"abstract":"<p><p>Red ear syndrome (RES) is a rare disorder characterized by episodic erythema, warmth, and burning pain of the external ear. RES is frequently associated with migraine. We report the case of a 35-year-old male with a long-standing history of poorly controlled migraine who presented with recurrent bilateral auricular erythema and burning pain, predominantly affecting the left ear. Symptoms were triggered by migraine attacks, heat exposure, and ear manipulation and relieved by cooling measures. Clinical examination, laboratory investigations, and imaging were normal. RES was diagnosed after excluding infectious and inflammatory causes. Treatment with indomethacin and magnesium resulted in complete symptom resolution. RES should be considered in patients with recurrent auricular erythema and burning pain, particularly in those with migraine. Careful clinical assessment and systematic exclusion of alternative diagnoses are crucial for identifying RES and preventing inappropriate management.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2026 ","pages":"2549709"},"PeriodicalIF":0.6,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13305139/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346749","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":"Bilateral Nonneoplastic Heterotopic Submandibular Glands Discovered Postmortem: A Case Study.","authors":"Sydney M McSweeney, Bryan E Burk, Krista L Denning, Maria A Serrat","doi":"10.1155/crot/8997735","DOIUrl":"10.1155/crot/8997735","url":null,"abstract":"<p><p>The submandibular glands are salivary glands located under the mandible that secrete saliva into the oral cavity. The occurrence of heterotopic submandibular glands is an uncommon anatomical variation that is usually found unilaterally. There are few known reports of bilateral heterotopic submandibular glands; this paper describes a rare case of bilateral heterotopic submandibular glands that were discovered incidentally during routine dissection of a cadaver for medical education purposes and subsequent histological examination. The heterotopic glands were located in the carotid triangle at the level of the hyoid bone and appeared to receive blood supply from the facial artery and innervation from the facial nerve, similar to that of typical submandibular glands in normal anatomical location. Venous drainage was into the facial vein and communicating jugular vein. Dissection of each bilateral heterotopic submandibular gland revealed a duct oriented toward the oral cavity, suggesting that it was a functional salivary gland. Histological analysis of the glands and nearby deep cervical chain lymph nodes revealed normal salivary gland and lymph node structure, with no evidence of neoplasia. Encountering such anatomical variations during cadaveric dissection as part of medical education is an irreplaceable learning experience that increases the understanding of pathologies and clinical competency.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2026 ","pages":"8997735"},"PeriodicalIF":0.6,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13288041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148319897","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 Case of Acquired Pars Flaccida Cholesteatoma Extending to the Supralabyrinthine Petrous Apex With Preservation of the Otic Capsule.","authors":"Hisashi Sugimoto, Manabu Inaba, Goki Nagasaki, Tomokazu Yoshizaki","doi":"10.1155/crot/2654191","DOIUrl":"10.1155/crot/2654191","url":null,"abstract":"<p><strong>Background: </strong>Supralabyrinthine petrous bone cholesteatoma is a rare subtype in which hearing preservation may be achievable depending on the anatomical extent and surgical approach. Appropriate selection of surgical strategy is essential.</p><p><strong>Case presentation: </strong>A 31-year-old man presented with a 2-year history of persistent left otorrhea. Otoscopic examination revealed pars flaccida cholesteatoma. Pure-tone audiometry demonstrated hearing loss with an air-bone gap of 35 dB. Computed tomography showed soft-tissue density extending from the tympanic cavity and mastoid air cells to the supralabyrinthine petrous apex. Inner ear function was almost preserved.</p><p><strong>Intervention: </strong>A staged surgical approach was adopted due to active inflammation. First, canal wall-down tympanomastoidectomy via a transmastoid approach was performed to control infection. Six months later, second-stage surgery was performed using the middle cranial fossa approach for complete removal of the supralabyrinthine cholesteatoma, along with ossicular chain reconstruction.</p><p><strong>Outcome: </strong>No intraoperative or postoperative complications occurred. Postoperative non-echo-planar diffusion-weighted MRI at 4 months showed no residual disease. At 22 months, hearing improved with an air-conduction threshold of 21.7 dB, and no tympanic membrane findings suggestive of recurrence were observed.</p><p><strong>Conclusion: </strong>In supralabyrinthine petrous bone cholesteatoma, selecting the surgical approach based on lesion extent, inflammatory status, and the need for hearing preservation is important for optimizing outcomes. In cases with extensive disease and significant inflammation, a staged strategy incorporating the middle cranial fossa approach may represent a safe and effective option for achieving disease eradication while minimizing the risk of inner ear dysfunction and postoperative complications.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2026 ","pages":"2654191"},"PeriodicalIF":0.6,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13287333/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148319914","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":"Recurrent Carotid Blowout Syndrome Managed by Infratemporal Internal Carotid Ligation: A Case Report.","authors":"Hung-Chang Chen, Shih-An Liu, Man-Wei Hua","doi":"10.1155/crot/2095726","DOIUrl":"10.1155/crot/2095726","url":null,"abstract":"<p><p>Carotid blowout syndrome (CBS) is a rare but life-threatening complication of head and neck cancer, with endovascular intervention as the preferred treatment, while surgical ligation remains critical when endovascular management is not feasible. We describe a 59-year-old man with oropharyngeal carcinoma (cT4bN0M0) who had achieved clinical remission after concurrent chemoradiation. Two months after completing treatment, he experienced his first episode of CBS. As immediate endovascular intervention was not feasible at that time, surgical ligation of the left common carotid artery (CCA) was performed as a life-saving measure. He remained stable for 2 months until massive oral bleeding recurred, originating from a pseudoaneurysm of the extracranial internal carotid artery (ICA) distal to the previous ligation. As the proximal CCA had already been ligated and thus occluded, endovascular management was not possible in the second instance of CBS. Therefore, surgical ligation was performed via a preauricular infratemporal approach with intraoperative navigation. The pseudoaneurysm was successfully controlled by ligating the proximal and distal feeding vessels. The patient remained free from rebleeding for 3 years. This case demonstrates that infratemporal ICA ligation is a feasible and life-saving option when CBS occurs distal to a previously sacrificed carotid artery and endovascular treatment is not practical.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2026 ","pages":"2095726"},"PeriodicalIF":0.6,"publicationDate":"2026-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13213332/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057437","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":"Case Report: Left Vocal Cord Palsy and Hoarseness-A Case of Mycotic Arch Aneurysm With Infective Endocarditis.","authors":"Shrotriya Sen, Daniel Jason Lin","doi":"10.1155/crot/8439769","DOIUrl":"10.1155/crot/8439769","url":null,"abstract":"<p><p>We present contrast-enhanced CT images of the neck and chest from a gentleman in his 70s who presented with fever, malaise, and left knee pain. He was diagnosed with septic arthritis and <i>Staphylococcus aureus</i> bacteremia. During admission, he developed new-onset hoarseness. Flexible laryngoscopy confirmed left vocal cord palsy. CT neck and thorax with contrast revealed a saccular aneurysm of the aortic arch (Standring, 2020; Netter, 2022; Paquette et al., 2012). Urgent surgical repair revealed an aortic abscess with rupture into the pericardial cavity. He was treated for infective endocarditis with intravenous flucloxacillin. Postoperatively, he developed a superficial sternotomy wound infection due to <i>Candida albicans</i>, successfully managed with fluconazole and negative-pressure wound therapy. Follow-up CT angiogram confirmed stability of the repaired aortic arch (Standring, 2020; Netter, 2022; Paquette et al., 2012). Ongoing dysphonia raised concern for persistent left recurrent laryngeal nerve palsy, prompting SALT referral for rehabilitation.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2026 ","pages":"8439769"},"PeriodicalIF":0.6,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13203783/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148043886","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":"Beyond the Tooth-Bearing Zone: Unusual Presentation of an Odontogenic Fibromyxoma in the Mandibular Condyle.","authors":"Karl El Mendelek, Amjad Damaj, Jihad El Khoury","doi":"10.1155/crot/1700218","DOIUrl":"10.1155/crot/1700218","url":null,"abstract":"<p><p>Odontogenic fibromyxoma is a rare benign tumor that arises from mesenchymal components of the tooth-forming apparatus and typically occurs in the alveolar process of the jaws. We are reporting an atypical case of an incidental tumor located in the mandibular condyle of a child, an area not associated with odontogenic tissue. The lesion was identified through imaging and confirmed histopathologically after surgical excision. To our knowledge, this is the first reported case of an odontogenic fibromyxoma in the condyle of a pediatric patient.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2026 ","pages":"1700218"},"PeriodicalIF":0.6,"publicationDate":"2026-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13200530/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148036217","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":"Osseous Hemangioma of the Inferior Turbinate: A Case Report and Review of Literature.","authors":"Yousef Marzouk, Roy Casiano","doi":"10.1155/crot/4079990","DOIUrl":"10.1155/crot/4079990","url":null,"abstract":"<p><p>Intraosseous hemangiomas account for 1% of all primary bone tumors and most frequently affect the skull base and vertebrae. Rarely are they reported in the nasal cavity. We report a case of a 51-year-old male who complained of bilateral nasal obstruction. Nasal endoscopic examination showed a significantly enlarged right inferior turbinate with normal mucosal membranes. A CT scan revealed a well-defined heterogeneous mass with osseous borders originating from the bony lamella of the right inferior turbinate, with a honeycombed appearance. An en bloc transnasal endoscopic resection of the mass and turbinate was performed, revealing an intraosseous hemangioma of the inferior turbinate with a cavernous pattern. The postoperative period was uneventful with no recurrence. A literature review of intranasal intraosseous hemangiomas revealed 2 other cases resected endoscopically successfully.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2026 ","pages":"4079990"},"PeriodicalIF":0.6,"publicationDate":"2026-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13198844/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018057","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":"Mixed Papilloma of the Lacrimal Sac as a Cause of Hemolacria.","authors":"Carly Malesky, Madina Falcone, Poornima Hegde, Todd E Falcone","doi":"10.1155/crot/6290800","DOIUrl":"10.1155/crot/6290800","url":null,"abstract":"<p><p>Inverted papillomas (IPs) derived from the lacrimal sac are a rare pathology, with only seven cases reported in the literature.^{1,2 \"}Mixed\" endophytic and exophytic papillomas of the lacrimal sac are even more rare, with no reports in the literature. We present the case of a 55-year-old man who presented to the clinic with unilateral hemolacria. Multiple imaging modalities revealed a mass in the lacrimal sac, which was subsequently surgically excised by an otolaryngologist and oculoplastic surgeon. Pathologic analysis of the specimen demonstrated both exophytic and endophytic growth patterns, suggestive of a mixed papilloma subtype. This case highlights the importance of prompt, accurate diagnosis and interdisciplinary management, as patients require regular clinical follow-up to monitor recurrence and malignant transformation.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2026 ","pages":"6290800"},"PeriodicalIF":0.6,"publicationDate":"2026-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13197616/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148017943","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 Rare Case of Oropharyngeal and Nasopharyngeal Stenosis Secondary to Self-Inflicted Gunshot Wound.","authors":"Eric Tran, Jordan Kankam, Daniel J Spangler, Drew H Smith, Joshua Demke","doi":"10.1155/crot/6898723","DOIUrl":"10.1155/crot/6898723","url":null,"abstract":"<p><p>Synechiae are abnormal adhesions or scar tissue that develop between two normally separate anatomical surfaces. Here, we present a rare case in which oropharyngeal and nasopharyngeal synechiae resulted in partial stenosis and functional impairments in speech, swallowing, and airway patency. The patient underwent surgical lysis of the scar bands, in which the bilateral bands connecting the tongue base to the posterior palate and pharyngeal wall were released using needle-tip Bovie cautery. Follow-up demonstrated significant improvement in breathing and swallowing. This case highlights the importance of understanding the healing process following traumatic injury to the oral and nasopharyngeal mucosa to better recognize and manage postoperative complications arising from abnormal adhesions. Further studies should investigate predisposing factors that increase susceptibility to such formations, as well as techniques and practices to prevent complications similar to the one presented here.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2026 ","pages":"6898723"},"PeriodicalIF":0.6,"publicationDate":"2026-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13191760/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148017897","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}