Case Reports in Otolaryngology最新文献

{"title":"Bilateral Symptomatic Cystic Lesions of the Palatine Tonsils Successfully Treated by Endoscopic Excision: A Rare Case Report.","authors":"Tatsuya Masaki, Junko Tsuda, Youhei Yamamoto, Shogo Nishimura, Yosuke Okinaka, Mei Sakamoto, Yosuke Takemoto, Toshiki Masumitsu, Makoto Hashimoto, Kazuma Sugahara","doi":"10.1155/crot/4153080","DOIUrl":"10.1155/crot/4153080","url":null,"abstract":"<p><p>Cystic lesions of the palatine tonsils may occasionally be encountered in clinical practice, whereas bilateral involvement is exceptionally uncommon. We report the case of a 74-year-old man who presented with pharyngeal discomfort and bilateral cystic lesions in the inferior poles of the palatine tonsils. Endoscopic examination and radiological imaging revealed well-circumscribed cystic lesions without diffusion restriction. The lesions were excised endoscopically under general anesthesia, and histopathological examination revealed cyst walls lined by stratified squamous epithelium with underlying lymphoid tissue. The postoperative course was uneventful, and no recurrence was observed during the 1-year follow-up period.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2026 ","pages":"4153080"},"PeriodicalIF":0.6,"publicationDate":"2026-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13071328/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692736","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":"Off the Beaten Path: A Thyroglossal Duct Cyst in the Sublingual Space of a 31-Year-Old Male-A Case Report.","authors":"Michael C Oca, Farhoud Faraji, Omonigho Aisagbonhi, Andrew M Vahabzadeh-Hagh","doi":"10.1155/crot/8832072","DOIUrl":"10.1155/crot/8832072","url":null,"abstract":"<p><p>Thyroglossal duct cysts (TGDCs) are among the most common congenital anomalies of the neck, typically presenting as painless midline masses inferior to the hyoid bone. Distinguishing TGDCs from other cystic neck lesions, such as ranulas or dermoid cysts, can be challenging, particularly when they arise in uncommon locations such as the sublingual space. Here, we report an atypical presentation of a TGDC in the sublingual space of a 31-year-old Hispanic/Latino White male. The patient, with no significant medical history, presented to the emergency department at the University of California San Diego Health (Hillcrest Medical Center, San Diego, California, United States), in June 2023 after sustaining blunt facial trauma. Imaging revealed an incidental cystic lesion in the right paramedian floor of the mouth. Magnetic resonance imaging (MRI) confirmed a circumscribed cystic mass (21 × 21 × 20 mm) within the sublingual space. Imaging characteristics, including the lesion's close approximation to the hyoid bone and absence of restricted diffusion, were most compatible with a TGDC. MRI also confirmed a normal thyroid gland and no cervical lymphadenopathy. Surgical excision of the cyst, including a segment of the hyoid bone, was performed. Histopathological examination confirmed the diagnosis of a TGDC with respiratory and squamous epithelial lining. At the 1-week postoperative follow-up, flexible laryngoscopy showed no complications, with normal vocal fold function. TGDCs in the sublingual space are extremely rare, with only nine previously reported cases in the English literature. This report underscores the significance of recognizing atypical presentations of TGDCs, particularly in rare locations such as the sublingual space, expanding the understanding of their diverse clinical manifestations.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2026 ","pages":"8832072"},"PeriodicalIF":0.6,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13066707/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677368","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":"Iatrogenic Intraoperative Injury of the Hard Palate During Septoplasty: A Case Report and Literature Review.","authors":"Islam Mourad, Nasser Alalyani, Rafed Abdulhameed, Abdulrahman Alabdulqader, Khalid Aldilaijan","doi":"10.1155/crot/8808966","DOIUrl":"10.1155/crot/8808966","url":null,"abstract":"<p><p>A rare complication of septoplasty is an iatrogenic hard palate injury. In this report, we present a case of a hard palate injury while performing a septoplasty in a 32-year-old male, which was detected and managed intraoperatively. Key features of our patient include a high-arched palate, open bite, and nasal obstruction due to a deviated nasal septum. Postoperative evaluation showed successful healing which was free from recurrences. A review of the literature for similar cases highlights the role of anatomical variations from patient to patient, detection times of the injury, and repair methods in the management of such an event. Nonetheless, it is vital for the patient to undergo thorough preoperative assessment and for the surgeon to exercise caution intraoperatively to prevent/manage this adverse event efficiently.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2026 ","pages":"8808966"},"PeriodicalIF":0.6,"publicationDate":"2026-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13051823/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147634761","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":"Unraveling Fibrous Tonsil Lesions: A Case Series on Diagnostic Dilemmas in Pediatric Tonsillectomy.","authors":"Isabel Snee, Daniel Swanson, Kelly Scriven, Earl Harley","doi":"10.1155/crot/5486047","DOIUrl":"10.1155/crot/5486047","url":null,"abstract":"<p><strong>Purpose: </strong>This study examines the challenges associated with diagnosing and managing fibrous tonsillar lesions in pediatric patients undergoing tonsillectomy and adenoidectomy. In this report, we outline our strategy for navigating these patients' clinical presentation while maintaining a broad differential diagnosis in pediatric tonsil lesions.</p><p><strong>Methods: </strong>This retrospective case series analyzes two pediatric patients who underwent tonsillectomy and adenoidectomy for symptoms related to sleep-disordered breathing and obstructive sleep apnea.</p><p><strong>Results: </strong>Both cases displayed substantial tonsillar hypertrophy with fibrous, polyploid lesions. Subsequent histopathological analysis revealed fibroepithelial polyps (FEPs) in one case, while the other demonstrated tonsillar hyperplasia. Following surgery, recovery for both cases was largely unremarkable, with one patient developing a transient fever and the other managing mild postoperative pain with analgesics.</p><p><strong>Conclusions: </strong>These cases illustrate the diagnostic complexity of pediatric tonsillar pathology and emphasize the need to maintain a broad differential diagnosis for tonsillar lesions. Thorough histopathological evaluation and transparent communication with patients and their families are essential for enhancing patient-centered care.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2026 ","pages":"5486047"},"PeriodicalIF":0.6,"publicationDate":"2026-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13051783/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147634772","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":"Partial Recovery of Anosmia Since Childhood With Acquired Parosmia: Mechanistic Insights and Therapeutic Implications-A Case Report.","authors":"Eishaan Kamta Bhargava, Shubin Li, Yling Mai, Susanne Weise, Antje Hähner, Thomas Hummel","doi":"10.1155/crot/7811132","DOIUrl":"10.1155/crot/7811132","url":null,"abstract":"<p><strong>Background: </strong>Isolated congenital anosmia (ICA) traditionally represents an irreversible sensory disorder affecting 1 in 5,000-10,000 individuals. This case demonstrates rare partial olfactory recovery in childhood-onset anosmia following corticosteroid therapy, providing novel insights into olfactory neuroplasticity and therapeutic potential.</p><p><strong>Case presentation: </strong>A 32-year-old woman with lifelong anosmia, diagnosed with ICA at age 20 using Sniffin' Sticks testing (2013), experienced first olfactory perceptions in 2014 following one week of oral corticosteroids and nine months of topical mometasone. MRI (2021) revealed barely visible olfactory bulbs, narrow olfactory clefts, minor ethmoid sinus inflammation, but normal-depth olfactory sulci and typical skull base morphology. Recent psychophysical testing (2025) demonstrated orthonasal hyposmia (TDI score 24) and retronasal hyposmia (11/20). Electrophysiological assessment detected preserved olfactory event-related potentials to hydrogen sulfide and phenyl ethyl alcohol, confirming functional neural circuitry. Recovery was complicated by parosmia, with foods like garlic, eggs and meat perceived as intensely unpleasant and faecal-smelling, leading to dietary modifications and preference for low-odour foods. Patient reported childhood social difficulties related to anosmia, with ongoing evolution of olfactory function over the past decade. Current treatment includes tapered systemic and topical corticosteroids, intranasal vitamin A drops (10,000 IU/day) and olfactory training, with recent improvements including tolerance of previously aversive foods.</p><p><strong>Conclusions: </strong>This case challenges the irreversibility paradigm of childhood-onset anosmia and demonstrates that olfactory recovery is possible even after decades, potentially mediated by anti-inflammatory effects and neurogenic plasticity. The emergence of parosmia during recovery reflects maladaptive neuroplasticity during olfactory regeneration. Combined corticosteroid therapy, vitamin A supplementation and olfactory training may offer therapeutic hope for similar patients, warranting further investigation of inflammatory modulation and neuroregenerative approaches in congenital olfactory disorders.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2026 ","pages":"7811132"},"PeriodicalIF":0.6,"publicationDate":"2026-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12976452/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147445646","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":"Utilizing a Suction Catheter as a Makeshift Tracheostomy Tube in a Premature Infant: A Case Report.","authors":"Ashwini V Bandi, Shaina W Gong, Gabriela G Cruz, Alicia S Lore, Kunal Shetty, Sancak Yuksel","doi":"10.1155/crot/5109316","DOIUrl":"10.1155/crot/5109316","url":null,"abstract":"<p><p>One of the most challenging aspects regarding pediatric tracheostomy tube placement is the size selection, particularly in preterm infants. We present the first reported case of a makeshift tracheostomy tube using a 6-French suction catheter in a 31-week-old premature infant in an emergent situation. This approach holds promise as a potentially life-saving intervention for extremely small preterm infants. Furthermore, this case emphasizes the size discrepancy between the premature neonatal airway and the smallest tracheostomy tubes available. Further research is warranted to allow for more diverse clinical solutions that can accommodate similar cases in acute settings.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2026 ","pages":"5109316"},"PeriodicalIF":0.6,"publicationDate":"2026-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12908886/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146214157","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":"World's Largest Tonsillolith Removal: A Case Report With Literature Review of Large Tonsil Stones on Record.","authors":"Anukaran Mahajan, Anubhuti Dhanuka, Karunesh Gupta","doi":"10.1155/crot/5530230","DOIUrl":"10.1155/crot/5530230","url":null,"abstract":"<p><p>Tonsil stones or tonsilloliths are mineralised concretions in the crypts of palatine tonsils. They are usually small and asymptomatic. Sometimes, they can be recurrent, large in size and produce symptoms like a sense of foreign body in throat, mild pain and heaviness in throat and halitosis. In such cases, a surgical intervention may be required for permanent cure. We came across one such patient with massive tonsillolith which mimicked a peritonsillar abscess initially. Eventually, the large tonsillolith was surgically removed in toto. It measured 5.2 × 2.5 × 2.5 cm which makes it the largest tonsillar stone ever to be successfully removed till date.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2026 ","pages":"5530230"},"PeriodicalIF":0.6,"publicationDate":"2026-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12910180/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146221612","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":"Vestibular Migraine-Like Syndrome in a Patient With Postttraumatic Headache and Medication-Overuse Headache.","authors":"Fumiyuki Goto, Takanobu Teramura, Shoji Kaneda, Kenji Okami, Koichiro Wasano","doi":"10.1155/crot/4950686","DOIUrl":"10.1155/crot/4950686","url":null,"abstract":"<p><p>Vestibular migraine (VM) requires a migraine history according to ICHD-3, but recurrent vertigo may also develop in secondary headache disorders. We report a 52-year-old man who experienced persistent headache and recurrent vertigo following a traffic accident. His headache fulfilled criteria for chronic posttraumatic headache and later medication-overuse headache. Vertigo attacks lasted minutes to 1 h and were accompanied by photophobia, phonophobia, and motion sensitivity, resembling VM despite no migraine history. Preventive therapy with amitriptyline and valproate reduced vertigo frequency and analgesic overuse. This case suggests that VM-like syndromes can occur with secondary headaches, where migraine-oriented prophylaxis may be useful.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2026 ","pages":"4950686"},"PeriodicalIF":0.6,"publicationDate":"2026-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12873444/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144073","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":"Endonasal Endoscopic Approach for Bone Spicule Removal: A Case Report.","authors":"Utku Kubilay, Kaan Işıklar","doi":"10.1155/crot/8857565","DOIUrl":"10.1155/crot/8857565","url":null,"abstract":"<p><p>During rhinoplasty surgery, tiny bone spicules (BSs) can form, particularly if blunt tools are used. If these BSs are not noticed and removed intraoperatively, they can cause cosmetic problems and nasal swelling postoperatively. A patient who underwent open rhinoplasty 2 years ago presented with a painless swelling causing cosmetic problems near the left medial canthus. A BS was detected by paranasal sinus computerized tomography and removed using an endonasal endoscopic approach (EEA). At 13 months of postoperative follow-up, the patient reported no complaints. The use of sharpened osteotomes or powered instruments, capable of creating the precise and desired osteotomies, is crucial to prevent the formation of BS. Detecting these BS intraoperatively is also desirable. Administering intravenous corticosteroids, such as prednisolone (1 mg/kg), maintaining hypotensive anesthesia, applying ice packs, and elevating the head 30° during surgery can help reduce edema and aid in the identification of BS. Saline irrigation and surgical field aspiration can facilitate the removal of BS. Final inspection and palpation of the nose from different angles under proper lighting are essential. In cases where BSs are overlooked, an EEA with minimal dissection and no skin scar may be preferred for their extraction. EEA is a minimally invasive, practical, and successful treatment option for BS extraction.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2026 ","pages":"8857565"},"PeriodicalIF":0.6,"publicationDate":"2026-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12868984/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146126746","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 Nasal Chondromesenchymal Hamartoma Presenting With Respiratory Distress in a Newborn: A Case Report.","authors":"Mikiyas Olani, Mohammed Juhar, Siraw Girum, Amanuel Damie, Alemwork Amare, Abel Daniel","doi":"10.1155/crot/1090975","DOIUrl":"10.1155/crot/1090975","url":null,"abstract":"<p><strong>Introduction: </strong>Nasal chondromesenchymal hamartoma (NCMH) is a rare cause of nasal mass in infants and children. It was first described in 1998, and since then, only 63 previous cases have been reported.</p><p><strong>Case report: </strong>Here, we report a case of a 4-day-old neonate with a right-sided nasal mass presenting with respiratory distress since birth. MRI was suggestive of chondromesenchymal hamartoma, for which endoscopic excision was done with complete removal of the tumor. The patient was diagnosed and successfully managed in our setup.</p><p><strong>Discussion: </strong>NCMH is a rare cause of nasal obstruction in neonates, with a similar clinical presentation to other known nasal masses. Physical examination, imaging, histopathology, and molecular tests are combined to diagnose such cases. The curative management currently recommended is surgery.</p><p><strong>Conclusion: </strong>It is always prudent to consider all possible differentials in neonates presenting with a nasal mass. Our report focuses on the role of proper examination, imaging techniques, and histologic evaluation for proper diagnosis and follow-up in a resource-limited setup.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2026 ","pages":"1090975"},"PeriodicalIF":0.6,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12848611/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146087568","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}