{"title":"A Case Report of Complete Resolution of Auricular Mucormycosis in an 18-Month-Old Diabetic Child.","authors":"Mariam Aljehani, Hatem Alahmadi, Mansour Alshamani","doi":"10.1155/2021/6618191","DOIUrl":"https://doi.org/10.1155/2021/6618191","url":null,"abstract":"<p><strong>Background: </strong>One of the most rare but deadly types of infectious fungal infection is Mucormycosis. All the cases reported with this type of infection are immunocompromised individuals. The challenge of early detection and intervention makes it one of the high mortality rates among other infectious diseases. <i>Case Report</i>. We report an 18-month-old girl with undiagnosed diabetes presented with a very aggressive form of necrotic infection of the ear auricle with facial nerve palsy. Using a series of magnetic resonance imaging, antibiotics, and high clinical suspicion, a diagnosis was established, and the patient was sent to the operation theatre for surgical debridement. Monthly follow-ups showed improvement of the facial palsy, and a plan for artificial auricle is set to occur in the following months before the age of five. <i>Discussion</i>. Mucormycosis is considered a very fatal and aggressive infection that has a very high mortality rate in immunocompromised patients. Early detection of such cases with an array of magnetic resonance imaging (MRI) and computed tomography (CT) is crucial in early treatment. Early aggressive surgical debridement and empirical coverage of bacterial, viral, and fungal infections can also alleviate the chances of preventing any secondary infection to develop in such cases.</p><p><strong>Conclusion: </strong>A combination of antifungal, antibiotic, and antiviral with timely surgical intervention improved the patient with complete resolution of the facial nerve palsy and no further recurrence of the infection.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2021 ","pages":"6618191"},"PeriodicalIF":0.6,"publicationDate":"2021-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8068535/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38954350","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 Epistaxis as the First Sign of Acute Idiopathic Thrombocytopenic Purpura.","authors":"Shori Tajima, Fumihiko Matsumoto, Takashi Anzai, Satoshi Hara, Yo Suzuki, Katsuhisa Ikeda","doi":"10.1155/2021/6612939","DOIUrl":"https://doi.org/10.1155/2021/6612939","url":null,"abstract":"<p><p>Idiopathic thrombocytopenic purpura (ITP) is an acquired thrombocytopenia caused by the action of autoantibodies against platelet antigens. It is traditionally defined by a platelet count of less than 10 × 10<sup>4</sup>/<i>μ</i>L. Most patients with ITP are asymptomatic; however, symptoms have been confirmed in some cases. Conversely, it is very rare to find epistaxis as the first sign of ITP. We report the case of an 84-year-old man who came to the ear, nose, and throat department with severe and repeated epistaxis. We decided to keep him hospitalized as it was very difficult to stop the nasal bleeding. A full blood count showed a platelet level of only 1000/<i>μ</i>L. Hematologic results confirmed the diagnosis of ITP. The patient underwent treatment with intravenous gamma-globulin, platelet transfusions, and romiplostim with a favorable response.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2021 ","pages":"6612939"},"PeriodicalIF":0.6,"publicationDate":"2021-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7884150/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25402880","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}
O Marzouk, F Brasch, I Todt, P K C Goon, H Sudhoff
{"title":"Malignant Transformation of Temporal Bone Schneiderian Papilloma Associated with HPV-6.","authors":"O Marzouk, F Brasch, I Todt, P K C Goon, H Sudhoff","doi":"10.1155/2021/6684254","DOIUrl":"10.1155/2021/6684254","url":null,"abstract":"<p><strong>Introduction: </strong>Temporal bone Schneiderian papillomas (TBSPs) rarely present as a primary tumors arising from the middle ear and mastoid process. The clinical findings and imaging of TBSPs are not specific. Therefore, diagnosis can only reliably be definitively established by histopathology.</p><p><strong>Objective: </strong>To report a novel case of a malignant transformation of TBSP associated with HPV-6 and to present its management. <i>Case Report</i>. A 68-year-old woman presented with conductive hearing loss and recurrent right-sided otorrhoea. Initially, we performed a lateral temporal bone resection and obliteration with abdomen fat. Early histology described TBSP associated with HPV-6. Follow-up detected malignant transformation of the Schneiderian papillomatous variant. Postoperative radiotherapy combined with extended temporal bone resection resulted in a disease-free 17-month period of follow-up. <i>Discussion</i>. TBSPs are not very specific, and the diagnosis can only reliably be established by histopathology. There is a risk of malignant transformation, and due to the absence of reliable prognostic markers, strict postoperative follow-up is mandatory and should consist of regular otoscopy, nasal endoscopy, and imaging. This case also supports the importance of extended temporal bone resections as salvage surgery, combining radical surgery with radiotherapy for improved survival rates.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2021 ","pages":"6684254"},"PeriodicalIF":0.4,"publicationDate":"2021-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7850829/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25354222","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":"Kimura's Disease: A Rare Cause of Unilateral Tonsillar Enlargement.","authors":"Prakash Khanal, Agya Shrestha","doi":"10.1155/2021/8815317","DOIUrl":"https://doi.org/10.1155/2021/8815317","url":null,"abstract":"<p><strong>Introduction: </strong>Kimura's disease is a rare inflammatory disorder of unknown cause, commonly seen in young Asian males. <i>Case Report</i>. A 61-year-old male patient presented with a history of right tonsillar mass and cervical lymphadenopathy. The patient underwent hematological investigation and imaging followed by resection of tonsillar mass. Based on histopathological and subsequent immunohistochemistry reports, the case was diagnosed as Kimura's disease of the tonsil. <i>Discussion</i>. Kimura's disease commonly presents as painless subcutaneous masses in the head and neck region or cervical lymphadenopathy. Kimura's disease presenting as a tonsillar mass is a very rare condition. Patients usually have peripheral eosinophilia and elevated levels of serum IgE. The diagnosis is based on the clinical and histopathologic findings in a biopsy of the mass and/or lymph node along with elevated peripheral eosinophil and serum IgE level.</p><p><strong>Conclusion: </strong>The clinical presentation of Kimura's disease is highly variable. Kimura's disease should be considered as a differential diagnosis in patients presenting with a tonsillar mass. A high index of suspicion along with histopathological examination helps in the early diagnosis and management. Surgical excision is the treatment of choice.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2021 ","pages":"8815317"},"PeriodicalIF":0.6,"publicationDate":"2021-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7808821/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38869673","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":"Sudden Odynophagia and Globus-A Unique Presentation of a Nonsecreting Parathyroid Adenoma: A Case Report and Literature Review.","authors":"Luxman Srikantha, Esmael H Amjad, Rafic Beydoun","doi":"10.1155/2020/6805805","DOIUrl":"https://doi.org/10.1155/2020/6805805","url":null,"abstract":"<p><p>Parathyroid adenomas are most commonly diagnosed when symptoms consistent with primary hyperparathyroidism arise. However, certain parathyroid glands may enlarge without such symptoms. Described here is a case in which a patient presented with acute signs of unilateral cervical point tenderness, dysphagia, and odynophagia. Calcium and parathyroid hormone levels tested within normal range. Imaging revealed an enlarged right-sided mass, with compression of the trachea-esophageal groove and potentially the right recurrent laryngeal nerve. Surgical excision was performed, and final pathology revealed an infarcted parathyroid adenoma. Clinical symptoms promptly resolved thereafter. Current NIH criteria for parathyroidectomy include various symptoms of hyperparathyroidism but do not include the above findings. Nonsecreting parathyroid adenomas rarely cause laryngeal symptoms, as this has only been documented once before.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2020 ","pages":"6805805"},"PeriodicalIF":0.6,"publicationDate":"2020-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7785386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38762500","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}
Nafil Arimbrathodi, Waqar Aslam, Abhishek Menon, Ali Ahmad Al Saadi
{"title":"Endoscopic Removal of an Uncommon Iatrogenic Foreign Body from the Maxillary Sinus: A Dental Burr.","authors":"Nafil Arimbrathodi, Waqar Aslam, Abhishek Menon, Ali Ahmad Al Saadi","doi":"10.1155/2020/8861701","DOIUrl":"https://doi.org/10.1155/2020/8861701","url":null,"abstract":"<p><p>Instrument fracture during procedure is not uncommon for dental surgeons, especially in root canal surgeries, usually inside the root canals. In rare instances, high-speed rotary instruments can be fractured and can be dislodged in key anatomical areas of face. In our case report, a high-speed dental burr most probably penetrated the root and was seen in the left maxillary sinus during a likely routine dental procedure. The work-up and endoscopic surgical management of the case is described. Practitioners should be in great care during dental procedures and endodontic treatment to avoid unexpected complications by introducing foreign bodies into maxillary sinus. Any patient presenting with recurrent unilateral facial pain or unilateral sinus symptoms with/without previous history of sinusitis should raise the suspect of a foreign body in the paranasal sinus regardless of any previous history of dental procedure.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2020 ","pages":"8861701"},"PeriodicalIF":0.6,"publicationDate":"2020-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7785389/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38762502","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}
Walter Colangeli, Aleksandr Kapitonov, Valerio Facchini, Marta Zappalà, Evaristo Belli
{"title":"Synchronous Ipsilateral Pleomorphic Adenomas of Parotid and Submandibular Glands: An Unusual Finding.","authors":"Walter Colangeli, Aleksandr Kapitonov, Valerio Facchini, Marta Zappalà, Evaristo Belli","doi":"10.1155/2020/8887867","DOIUrl":"https://doi.org/10.1155/2020/8887867","url":null,"abstract":"<p><p>A rare case of synchronous ipsilateral pleomorphic adenomas (PA) of the left parotid and submandibular glands is reported. Simultaneous multiple PA in major salivary glands are a very rare entity, and merely few cases of ipsilateral synchronous PA involving parotid and submandibular glands are reported in the literature. The case of a 40-year-old female with a six-year history of asymptomatic growing lesion in both left parotid and left submandibular regions is presented. Left superficial parotidectomy and left submandibular gland excision at the same surgery have been performed. The aim of this article is to highlight the importance of an accurate head and neck presurgery examination both clinically and radiologically, keeping in mind the possibility of multiple tumor location.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2020 ","pages":"8887867"},"PeriodicalIF":0.6,"publicationDate":"2020-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7781680/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38803647","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":"Middle Ear Neuroendocrine Adenoma: A Case Report and Literature Review.","authors":"Luca Bruschini, Rachele Canelli, Christina Cambi, Giacomo Fiacchini, Stefano Berrettini, Francesca Forli","doi":"10.1155/2020/8863188","DOIUrl":"10.1155/2020/8863188","url":null,"abstract":"<p><p>Neuroendocrine adenomas of the middle ear are rare tumors that represent less than 2% of primary tumors of the ear. In this paper, we describe a case of a 40-year-old woman who developed neuroendocrine adenoma of the middle ear. The specific management strategy for this rare tumor is unclear; information in the available literature on the management of this tumor is varied. However, an extensive demolition seems to be the gold standard treatment for this tumor to avoid recurrence and regional metastases in the lymph node or distant metastases. For the present case, we performed an incisional biopsy to confirm the diagnosis, and thereafter, we performed a canal-wall-down tympanoplasty. For cases like the present one, careful long-term clinical and instrumental follow-up is required to monitor progress and facilitate patient recovery.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2020 ","pages":"8863188"},"PeriodicalIF":0.6,"publicationDate":"2020-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7772049/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38803646","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 a Nonpetrous Cholesterol Granuloma Presenting as a Temporal Mass.","authors":"Nathaniel Reeve, Jacob Kahane, Matthew Ng","doi":"10.1155/2020/8872270","DOIUrl":"https://doi.org/10.1155/2020/8872270","url":null,"abstract":"<p><strong>Objective: </strong>A case of a skull base cholesterol granuloma (CG) of the squamosal temporal bone. This is the first ever reported case of CG in a well-pneumatized squamous temporal bone.</p><p><strong>Design: </strong>Case report and review of the literature. <i>Discussion</i>. CG is a cystic mass typically found in the petrous apex and occasionally in the paranasal sinuses and orbit. Experience with the treatment of these expansile and inflammatory processes has largely been garnered from those occurring in the petrous apex, where they are surgically drained, via a transtympanic, transmastoid, or middle fossa approach. We report a case of cholesterol granuloma situated in the temporal fossa presenting as a temporal mass. The accessible location of this particular lesion made it amenable to total excision, avoiding the need for surgical drainage and possibility for recurrence.</p><p><strong>Conclusion: </strong>This case supports the theory of pathogenesis of such lesions typically occurring where pneumatized air spaces interface with bone marrow, in this case, where the reaches of pneumatized cells in the squamous portion of the temporal bone meet diploic bone.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2020 ","pages":"8872270"},"PeriodicalIF":0.6,"publicationDate":"2020-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/8872270","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39130538","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}
Alexander Karatzanis, Stylianos Velegrakis, Georgia Liva, Dionysios Kyrmizakis, Emmanuel Prokopakis
{"title":"Management of a Buccal Space Mass: A Clinical Case Report.","authors":"Alexander Karatzanis, Stylianos Velegrakis, Georgia Liva, Dionysios Kyrmizakis, Emmanuel Prokopakis","doi":"10.1155/2020/6828453","DOIUrl":"https://doi.org/10.1155/2020/6828453","url":null,"abstract":"<p><strong>Background: </strong>Buccal space tumors constitute rare pathologies with significant histological diversity. They may pose serious diagnostic and therapeutic challenges for the head and neck surgeon.</p><p><strong>Methods: </strong>A case of buccal space tumor diagnosed and treated in a tertiary center is presented. Clinical presentation, imaging, and surgical approach are discussed, followed by review of the literature.</p><p><strong>Results: </strong>A 79-year-old male patient with a slowly growing painless mass on the right cheek presented to a head and neck reference center. Imaging revealed a tumor of the right buccal space with nonspecific characteristics. Imaging studies revealed extended infiltration of the masseter muscle as well as the anterior border of the parotid gland. FNA biopsy was performed but was nondiagnostic. The decision of surgical excision with a modified parotidectomy incision was taken. The lesion was completely excised with preservation of neighboring facial nerve branches and ipsilateral Stensen's duct. The postoperative course was uneventful. Histological examination showed CLL/Lymphoma, and the patient was referred to the hematology department for staging and further management.</p><p><strong>Conclusion: </strong>Differential diagnosis of buccal space masses is very diverse. Despite challenges in the diagnostic and therapeutic approach, these entities may be managed surgically with minimal morbidity.</p>","PeriodicalId":45872,"journal":{"name":"Case Reports in Otolaryngology","volume":"2020 ","pages":"6828453"},"PeriodicalIF":0.6,"publicationDate":"2020-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7787848/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38762501","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}