Case Reports in Otolaryngology最新文献

{"title":"Oropharyngeal Syphilis Presenting as Tongue Base Ulcer With Lymphadenopathy.","authors":"Serena F Pu, Kevin J Carlson, Jonathan R Mark, Benjamin J Rubinstein","doi":"10.1155/crot/2673365","DOIUrl":"10.1155/crot/2673365","url":null,"abstract":"<p><p>Within the aerodigestive tract, syphilis presents with varied signs and symptoms, some of which may mimic malignancy or other disease processes. We present the case of a 29-year-old man with otalgia and odynophagia who was found on physical examination and office laryngoscopy to have a 4-cm ulcerative mass of the tongue base and cervical lymphadenopathy. While planning for tissue diagnosis, the patient's serologies revealed positive treponemal antibody testing and elevated rapid plasma reagin (RPR) titers, confirming syphilitic infection, likely representing secondary syphilis. While awaiting operative biopsy, the patient received intramuscular penicillin with complete resolution of the mass and symptoms, and ultimately operative intervention was deferred. While planning for biopsy of suspicious head and neck lesions, clinicians should consider infectious disease workups in patients with risk factors.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2026 ","pages":"2673365"},"PeriodicalIF":0.6,"publicationDate":"2026-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13184711/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147983837","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":"Cochlear Implantation Following Neonatal Meningitis: A Rare Case Report.","authors":"Dagmar Hošnová, Milan Urík, Jan Šíma, Vít Kruntorád","doi":"10.1155/crot/6647034","DOIUrl":"10.1155/crot/6647034","url":null,"abstract":"<p><p>Bacterial meningitis in neonates may lead to profound sensorineural hearing loss and rapid postinflammatory cochlear changes that complicate auditory rehabilitation. We present two infants with bilateral profound hearing loss following neonatal bacterial meningitis who underwent early bilateral cochlear implantation. Radiological findings were limited or subtle, but intraoperative findings confirmed cochlear obstruction/ossification requiring adapted surgical management. Full electrode insertion was achieved in both children. Postoperative outcomes showed auditory benefit in both cases, although further development was strongly influenced by associated neurological comorbidities. These cases highlight the importance of early hearing assessment, repeated audiological follow-up, prompt imaging, and timely cochlear implantation in postmeningitic hearing loss.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2026 ","pages":"6647034"},"PeriodicalIF":0.6,"publicationDate":"2026-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13189443/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147989453","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":"Giant Lipoma of the Parapharyngeal Space: Surgical Considerations and Comprehensive Literature Review.","authors":"Amy Wang, Nicholas A Rossi, Viran Ranasinghe","doi":"10.1155/crot/5564843","DOIUrl":"10.1155/crot/5564843","url":null,"abstract":"<p><strong>Background: </strong>The rarity of pharyngeal space lipomas (PPL) combined with the complex anatomy of the region makes both diagnosis and treatment challenging. We introduce the case of a patient with massive PPL with significant superior extension. Additionally, a review of the literature is presented with the aim of characterizing trends in presentation, diagnostic workup, and common surgical approaches to PPLs.</p><p><strong>Case presentation: </strong>A 62-year-old male patient presented with a left-sided neck mass that had been progressively enlarging over several years. CT Soft Tissue Neck with contrast displayed a well-circumscribed mass measuring a maximum 10.6 cm in dimension in the posterior triangle of the neck, extending from the skull base within the parapharyngeal space to the supraclavicular fossa. The mass was subsequently excised through a transcervical surgical approach with facial nerve dissection, avoiding the need for mandibulotomy. Permanent section pathologic analysis was consistent with a simple lipoma. At the 1-month postoperative visit, the patient had recovered uneventfully with no evidence of cranial nerve deficits or dysphagia.</p><p><strong>Review of literature: </strong>A literature search was conducted on PubMed for \"parapharyngeal\" + \"lipoma\". Since 1977, there have been 41 articles published on PPL with a total of 45 patients. A majority of patients are male (78%). The median maximum dimension of PPLs measured 7.2 cm, larger than other parapharyngeal space tumors. Currently, MRI and CT are the most commonly employed imaging modalities. Transcervical was the most popular surgical approach (<i>n</i> = 16, 36%), followed by transparotid (<i>n</i> = 7, 16%) and transoral (<i>n</i> = 5, 11%).</p><p><strong>Conclusion: </strong>PPL management demands intricate preoperative planning, particularly when the mass extends into challenging anatomical territories. Advanced preoperative imaging, detailed understanding of anatomy, and a tailored surgical approach are key to management of tumors in the parapharyngeal space.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2026 ","pages":"5564843"},"PeriodicalIF":0.6,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13129220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821979","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":"Sinonasal Cholesteatoma Presenting Within the Maxillary Sinus: A Case Report.","authors":"Emily Kwon, Avigeet Gupta, Liudmila Bardonova, Rachel Kaye, Andrey Filimonov, Wayne D Hsueh","doi":"10.1155/crot/9439954","DOIUrl":"10.1155/crot/9439954","url":null,"abstract":"<p><strong>Objectives: </strong>Epidermal inclusion cysts are a common type of benign cutaneous cyst. When located in the mastoid cavity, they are more commonly known as cholesteatomas. However, it is extremely rare to be present within the paranasal sinuses, with 20 known cases involving the maxillary sinus. This is a case presentation of an epidermal inclusion cyst of the maxillary sinus, describing its clinical presentation, identifying pathological correlations, and highlighting the importance of early recognition and management.</p><p><strong>Study design: </strong>A case report.</p><p><strong>Methods: </strong>A retrospective review of the medical records and pathology findings was performed.</p><p><strong>Results: </strong>A previously healthy 20-year-old male presented with several months of bilateral nasal obstruction refractory to medical therapy. Nasal endoscopy demonstrated a deviated septum and edema of the left middle meatus. Noncontrast computed tomography demonstrated opacification of the left maxillary sinus with bony expansion. Of note, there was the appearance of an ectopic tooth within the posterior aspect of the maxillary sinus. Surgical management included septoplasty and left endoscopic maxillary mega-antrostomy. Histopathologic examination of the left maxillary sinus contents was diagnostic of an epidermal inclusion cyst. There was improvement of symptoms and no recurrence or residual cyst during postoperative follow-up at 6 months.</p><p><strong>Conclusion: </strong>This case underscores the need to consider the extremely rare entity of an epidermal inclusion cyst within the differential diagnosis for chronic sinusitis and the need for careful review of imaging for surgical planning. Awareness of this presentation will facilitate accurate diagnosis and appropriate management of this rare disease.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2026 ","pages":"9439954"},"PeriodicalIF":0.6,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13122254/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785068","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":"Calcified Chondroid Mesenchymal Neoplasm of the Temporomandibular Joint: A Rare and Recently Described Benign Tumor.","authors":"Jiaxin Yuan, Tyler Lazaro, Laligam N Sekhar, Kevin C Lee","doi":"10.1155/crot/8249368","DOIUrl":"10.1155/crot/8249368","url":null,"abstract":"<p><p>The calcified chondroid mesenchymal neoplasm (CCMN) was first recognized as a distinct pathologic entity in 2021 at the University of Washington, and fewer than 100 cases of CCMN have been described in the literature. The CCMN tumor is characterized by the presence of chondroid matrix elements with an FN1-receptor TK gene fusion. CCMNs frequently arise in the distal extremity joints, but less commonly, they have been known to involve the temporomandibular joint (TMJ). This report details the workup and treatment of a patient with a locally advanced CCMN of the TMJ. Our case highlights the diagnostic challenges, radiographic and histological features, and treatment considerations for TMJ CCMN.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2026 ","pages":"8249368"},"PeriodicalIF":0.6,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13121858/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785094","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 Sarcoidosis: A Young Patient With Aggravating Dyspnea and Cervical Lymphadenopathy.","authors":"Oceane Degournay, Gwenaelle Creff","doi":"10.1155/crot/5345044","DOIUrl":"10.1155/crot/5345044","url":null,"abstract":"<p><p>Sarcoidosis is an inflammatory disease that can affect multiple organs; however, involvement of the head and neck, particularly the larynx, remains very rare, with an incidence of around 0.6%. The present paper describes a case of laryngeal sarcoidosis in a 25-year-old patient with no medical history, presenting a rapidly progressive dyspnea and cervical lymphadenopathy. A flexible laryngoscopy revealed supraglottic edema. Biopsy demonstrated a non-necrotizing granulomatous reaction, without dysplasia or carcinoma and negative Congo red staining, confirming the diagnosis of sarcoidosis. The patient initially responded to corticosteroid therapy but experienced recurrent edema requiring hydroxychloroquine and subsequent methotrexate therapy. This case highlights the diagnostic and therapeutic challenges of supraglottic edema in a young female patient.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2026 ","pages":"5345044"},"PeriodicalIF":0.6,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13108239/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785110","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 Dual Pathology in Refractory Chronic Rhinosinusitis: Maxillary Ectopic Tooth With Fungal Ball.","authors":"Yu-Ru Lin, Ying-Chou Lu, Yen-Ting Lu","doi":"10.1155/crot/9522364","DOIUrl":"10.1155/crot/9522364","url":null,"abstract":"<p><p>Ectopic teeth in the maxillary sinus are an uncommon finding, and when symptomatic, often present as chronic rhinosinusitis. However, concurrent presentation with a fungal ball is exceptionally rare and scarcely documented in the literature. We report a unique case of a 39-year-old woman with recurrent maxillary sinusitis, ultimately diagnosed with coexisting ectopic tooth and fungal ball in the left maxillary sinus. The patient underwent successful endoscopic sinus surgery for simultaneous removal of both lesions. Postoperatively, she experienced complete resolution of symptoms without complications. This case highlights the diagnostic importance of imaging in refractory rhinosinusitis and demonstrates that endoscopic management is an effective and minimally invasive approach for this rare dual pathology.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2026 ","pages":"9522364"},"PeriodicalIF":0.6,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13106981/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784950","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 Leech as a Live Foreign Body: Case Reports and a Safe Removal Technique.","authors":"Mahdieh Mohebbi, Ali Ghasemi, Saeed Sohrabpour, Reza Erfanian, Farrokh Heidari, Dina Mousavi-Asl, Benyamin Mousavi-Asl","doi":"10.1155/crot/6543201","DOIUrl":"10.1155/crot/6543201","url":null,"abstract":"<p><p>Leech infestation in the larynx is a rare condition with serious implications due to airway obstruction and persistent bleeding. This report presents two cases of dysphonia and hemoptysis caused by laryngeal leeches after consuming contaminated water. Both patients underwent successful removal under general anesthesia using rigid laryngoscopy and 10% lidocaine spray for safe detachment. The cases highlight the importance of prompt diagnosis and effective techniques for managing this rare but potentially hazardous condition.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2026 ","pages":"6543201"},"PeriodicalIF":0.6,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13100643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785100","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":"Salvage Frenuloplasty With Porcine Small Intestinal Submucosa Graft in a Newborn Following Unsuccessful Laser Release: A Case Report.","authors":"Carlos O'Connor-Reina, Maria Teresa Garcia Iriarte, Laura Rodriguez Alcala, Eduardo Correa, Peter Baptista, Guillermo Plaza","doi":"10.1155/crot/6192981","DOIUrl":"10.1155/crot/6192981","url":null,"abstract":"<p><strong>Introduction: </strong>As the number of frenotomy procedures increases worldwide, the recognition and management of potential complications has become increasingly relevant. Postprocedural scarring following laser release may severely restrict tongue mobility in infants and occasionally requires surgical revision.</p><p><strong>Case presentation: </strong>We report the case of a 3-month-old infant referred for persistent feeding difficulties and poor weight gain (5th percentile) after an unsuccessful laser frenotomy performed elsewhere. Clinical examination revealed severe ankyloglossia secondary to a dense restrictive scar, with a Bristol Tongue Assessment Tool (BTAT) score of 0. Revision surgery was performed under general anesthesia, consisting of complete excision of fibrotic tissue and reconstruction of the ventral tongue using a porcine small intestinal submucosa (SIS) graft to cover the mucosal defect. Intralesional corticosteroid therapy was not considered due to the absence of regulatory approval and limited safety data for intralesional use in infants with oral mucosal fibrosis. At 6-week follow-up, the infant demonstrated restored tongue mobility, normal breastfeeding, improvement of BTAT score to 6, and weight gain to the 50th percentile. At 12-month follow-up, the patient demonstrated sustained functional improvement, normal oral feeding without restriction, appropriate weight gain for age, and no recurrence of fibrotic scarring or tongue mobility limitation.</p><p><strong>Discussion: </strong>In this case, the extent of fibrosis precluded tension-free primary closure. The use of a porcine SIS graft facilitated mucosal coverage and aimed to reduce the risk of recurrent scarring. Given the limited pharmacological options available for neonatal fibrosis management, selected surgical reconstruction strategies may represent a reasonable alternative in severe cases.</p><p><strong>Conclusion: </strong>Porcine SIS grafting may be considered in selected infants presenting with severe postfrenotomy scarring when conventional closure is not feasible. Longer follow-up and additional cases are needed to establish safety and reproducibility.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2026 ","pages":"6192981"},"PeriodicalIF":0.6,"publicationDate":"2026-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13092796/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785129","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":"Reconstruction of a Large, Central Forehead Defect After Mohs Micrographic Surgery Using the Innovative Horizontal Double-Banner Transposition \"Buffalo-Flap\" Technique.","authors":"Mojahed Mohammad K Shalabi, Mohamad Jabin, Marcus Zaayman, Wasiq Nadeem, Matthew K Lee, Chad Housewright","doi":"10.1155/crot/2928920","DOIUrl":"10.1155/crot/2928920","url":null,"abstract":"<p><p>Forehead reconstruction after surgical management of cutaneous malignancy is dependent on the depth and location of the wound. In addition, preserving the symmetry and position of the eyebrow and eyelids is key to achieving a favorable cosmetic outcome, specifically avoiding an unintentional elevation of the brow which can result in an unfavorable \"surprised\" appearance. Appropriate patient selection is also critical, with skin laxity and patient preference playing a role. The recently proposed \"Buffalo flap\" is a promising treatment option for the reconstruction of large, central forehead defects in elderly patients in whom bone is exposed.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2026 ","pages":"2928920"},"PeriodicalIF":0.6,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13073057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692733","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}