Ear, nose, & throat journal最新文献

{"title":"Earbuds Induced Benign Paroxysmal Positional Vertigo?","authors":"Yaakov Eyal, Nir Tsur, Zachary A Trotzky, Gal Pachys, Daniel Trotzky","doi":"10.1177/01455613251329718","DOIUrl":"https://doi.org/10.1177/01455613251329718","url":null,"abstract":"<p><strong>Background: </strong>Benign paroxysmal positional vertigo (BPPV) is the most common cause of peripheral vertigo. BPPV is usually idiopathic but can also result from trauma, viral labyrinthitis, or Meniere's disease. We present a case of BPPV caused by earbuds.Case Descripton:This is the case of a 43-year-old male, a health care management and emergency medicine specialist, with no history of inner- or middle ear disease, vertigo and dizziness, or other medical conditions. The subject began using earbuds while driving and during routine exercise. He reported suffering from nausea and temporary vertigo after head movements in the hours following the use of the earbuds. Physical exam findings during an acute episode of vertigo correlated to BPPV with positive Dix Hallpike, suggesting posterior semicircular canal BPPV in the right ear. The use of plug-ins was stopped.</p><p><strong>Results: </strong>As a result of stopping the use of earbuds, the episodes of dizziness, tinnitus, and tingling sensations in the ear completely resolved. Attempting to find a replacement, he used bone-conduction headphones and did not experience any subsequent symptoms. After 6 months of using bone-conduction headphones, he had not experienced any dizziness.</p><p><strong>Conclusion: </strong>We suggest that earbuds may induce benign paroxysmal positional vertigo. Further research should evaluate the safety of such products.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251329718"},"PeriodicalIF":0.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702551","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}

{"title":"Frontal Lobe Herniation After Endoscopic Anterior Skull Base Resection: A Rare Complication.","authors":"Skander Kedous, Khaled Radhouane, Ameni Amri, Youssef Makhlouf, Rim Braham, Alia Methnani, Mohamed Dhaha, Souheil Jbali, Sawssen Dhambri","doi":"10.1177/01455613251329665","DOIUrl":"https://doi.org/10.1177/01455613251329665","url":null,"abstract":"<p><p>Sinonasal tumors represent a small percentage of head and neck malignancies. Advances in endonasal surgery have revolutionized the management of these tumors, offering improved oncological outcomes and reduced morbidity for selected cases compared with traditional open approaches. However, this kind of approaches often leads to large defects resulting in complications, including cerebrospinal fluid leaks or meningitis. Cerebral herniation is a rare, often unknown, and underreported complication in the literature. This article presents the case of a 33-year-old male patient with no medical history who underwent endoscopic resection of an olfactory esthesioneuroblastoma, followed with a frontal lobe herniation. We aimed to highlight the possible pathophysiology and several management challenges. The case underscores the importance of considering multifactorial causes of herniation. For our patient, we found that elevated intracranial pressure due to meningitis is a possible contributing factor. Even though cerebral herniation is a rare complication after endoscopic anterior skull base resection and reconstruction, its understanding is mandatory to identify several contributing factors preoperatively to optimize patient management and ensure a better outcome.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251329665"},"PeriodicalIF":0.0,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694935","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}

{"title":"A Pulsating Challenge: Case Report on Diagnosing and Managing a Facial Artery Pseudoaneurysm.","authors":"George Gerardis, Hamad Almhanedi, Catherine F Roy, Norah Alnafea, Sulaiman Alosaimi, Juliana Rocha Garcia, Jean-Pierre Pelage, Cinzia Marchica, Alex Mlynarek, Marco Mascarella","doi":"10.1177/01455613251324333","DOIUrl":"https://doi.org/10.1177/01455613251324333","url":null,"abstract":"","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251324333"},"PeriodicalIF":0.0,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694961","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}

{"title":"Apical Lung Herniation Presenting as a Pulsatile Neck Mass in a Patient With Chronic Cough.","authors":"Nicklas Wright, Steven E Davis","doi":"10.1177/01455613251323762","DOIUrl":"https://doi.org/10.1177/01455613251323762","url":null,"abstract":"<p><p>A 66-year-old female patient presented with a pulsating right-sided neck mass which had been present for several years, but then greatly expanded in size with coughing episodes secondary to COVID-19 infection. A chest computed tomography (CT) scan ultimately revealed the cause to be apical lung herniation. This case is unique as the herniation may have been present for years, but treatment was not sought until its size increased with the patient's chronic coughing.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251323762"},"PeriodicalIF":0.0,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143676751","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}

{"title":"Single-Stage Management of Benign Thyroglossal Duct Cyst in the Setting of Papillary Thyroid Cancer.","authors":"Carrie Tackett, Kian Yazdan, Tyler Wagner, Chau Nguyen","doi":"10.1177/01455613251329728","DOIUrl":"https://doi.org/10.1177/01455613251329728","url":null,"abstract":"<p><strong>Introduction: </strong>The presented case is unique as the patient presented with biopsy-proven papillary thyroid carcinoma (PTC) of the thyroid gland with an incidentally found concurrent thyroglossal duct cyst (TGDC) on computed tomography (CT). The patient was managed with a one-stage procedure.</p><p><strong>Case report: </strong>A 26-year-old previously healthy female presented with a progressively enlarging neck lump over 6 months. Thyroid ultrasound revealed a 2.6 cm mass of the inferior right thyroid lobe, classified as TIRADS 5. Subsequent fine-needle aspiration of the mass confirmed PTC (Bethesda VI). A neck CT scan revealed a calcified, heterogeneous 2.6 cm mass in the right thyroid lobe along with a cystic lesion at the base of the tongue with likely extension into the floor of the mouth, consistent with a TGDC. The patient underwent simultaneous thyroidectomy and TGDC excision in a single operative session after discussion due to concerns for possible malignancy within the thyroglossal duct as well as possible enlargement of the TGDC leading to dyspnea or even dysphagia. At follow-up, the patient was doing well.</p><p><strong>Discussion: </strong>TGDCs are typically benign which is consistent with the findings in this case. The presence of biopsy-proven glandular thyroid cancer and an incidentally found TGDC present a unique challenge in surgical decision-making. In this case, there were no signs on imaging of malignancy of the TGDC so it was likely a primary glandular PTC. In this case, a one-stage procedure, combining total thyroidectomy and Sistrunk procedure, was selected based on the confirmed diagnosis of PTC with slight potential for synchronous cancer in the TGDC as well as prophylaxis against future aerodigestive tract symptomatology caused by the TGDC.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251329728"},"PeriodicalIF":0.0,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143675125","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}

{"title":"Postoperative Infection in Myringoplasty: Impact of Surgical Technique and Timing of Infection.","authors":"Xingwei Zhu, Zhengcai Lou","doi":"10.1177/01455613251329734","DOIUrl":"https://doi.org/10.1177/01455613251329734","url":null,"abstract":"<p><strong>Objective: </strong>We analyzed ear-related factors contributing to postoperative infections after myringoplasty. We also examined the association between the timing of postoperative infections and graft success.</p><p><strong>Materials and methods: </strong>This retrospective study reviewed clinical data and operative records of patients with chronic tympanic membrane (TM) perforations who underwent myringoplasty. Factors influencing postoperative infection, including surgical techniques, perforation size, external auditory canal (EAC) packing, prophylactic antibiotic type, and the application of topical antibiotic cream, were assessed. In addition, the relationship between the timing of postoperative infection and graft failure was evaluated. Postoperative infection time was categorized as 1, 2, 3, or 4 weeks postoperatively.</p><p><strong>Results: </strong>In total, 263 patients with chronic TM perforations underwent myringoplasty. The overall postoperative infection rate was 12.2% (32/263). The modified over-underlay approach was associated with a postoperative infection rate of 19.0%, in contrast to 11.1% for the conventional over-underlay technique and 8.9% for the underlay technique (<i>P</i> = .081). No significant differences in postoperative infection rates were identified among the NasoPore packing group (10.9%), the erythromycin cream group (19.4%), and the no-packing group (11.9%) (<i>P</i> = .418). Similarly, no significant differences were observed between prophylactic antibiotic type (11.2% vs 12.2% vs 25.0%, <i>P</i> = .373) or between the patients with and without topical antibiotic ointment (12.4% vs 10.3%, <i>P</i> = .986). Among the 32 patients with postoperative infections, 21.9% achieved graft success, whereas 78.1% experienced graft failure. Graft success rates were 71.4% (5/7), 9.1% (2/22), and 0.0% (0/3) at 1, 2, and 3 weeks postoperatively, respectively (<i>P</i> < .01).</p><p><strong>Conclusions: </strong>Our findings suggest that prophylactic antibiotic type, perforation size, the use of topical erythromycin cream, and EAC packing do not significantly influence postoperative infection. However, the surgical technique may affect the risk of postoperative infection. In addition, the timing of postoperative infection may influence graft failure.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251329734"},"PeriodicalIF":0.0,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143675122","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}

{"title":"Carcinoma Showing Thymus-Like Differentiation (CASTLE): A Case Report and Review of the Literature.","authors":"Hongyan Xu, Tao Qian, Xinyi He, Chi Huang, Zongqi Fei, Shuhang Xu, Bing'e Ma, Yihua Wang, Jianhua Wang","doi":"10.1177/01455613251326051","DOIUrl":"https://doi.org/10.1177/01455613251326051","url":null,"abstract":"<p><p>Carcinoma showing thymus-like differentiation (CASTLE) is a rare tumor occurring in the thyroid and soft tissues of the neck. Treatments and prognosis for CASTLE significantly differ from those associated with squamous cell carcinoma and anaplastic thyroid carcinoma. To date, fewer than 100 cases have been reported. Given the lack of a standardized treatment protocol and the diagnostic complexity, documenting these cases is essential. A 74-year-old male patient was admitted to the hospital due to hoarseness lasting for 1 month and thyroid nodules for over 2 weeks. The ultrasound revealed a grade 4 nodule in the left thyroid, and the needle biopsy reported the presence of glandular epithelial cells of varying sizes, some arranged in a papillary pattern, and was negative for BRAF mutation. Thyroid surgeons performed a left partial thyroidectomy and a left cervical lymph node biopsy, and the immunohistochemical staining led to a diagnosis of intrathyroid thymus carcinoma. Follow-up on his postoperative recovery shown no signs of local recurrence or distant metastasis during this period. This paper conducts a systematic review of the literature to enhance understanding, diagnosis, treatment, and prognosis of this condition. The goal was to raise clinical awareness and guide appropriate treatment strategies.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251326051"},"PeriodicalIF":0.0,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671551","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}

{"title":"A Complex Case of Diffused Malignant Extra-Renal Rhabdoid Tumor in a Newborn.","authors":"Omar Aboul Hosn, Jonathan Abou Chaar, Christophe Abi Zeid Daou, Amir Ibrahim, Randa Al Barazi","doi":"10.1177/01455613251325041","DOIUrl":"https://doi.org/10.1177/01455613251325041","url":null,"abstract":"<p><p>Malignant rhabdoid tumor (MRT), first described by Beckwith and Palmer in 1978 as a variant of Wilms' tumor, is an aggressive neoplasm with early onset and poor prognosis. Malignant extra-renal rhabdoid tumors (MERTs) can arise in various locations and often present at birth as a disseminated disease without an identifiable primary site, posing significant diagnostic and therapeutic challenges. This case highlights the complexity of diagnosing an 11-day-old preterm infant with multiple enlarging masses, including a hypervascular forehead lesion, parotid mass, and soft tissue masses in the leg and hip. Initial imaging, pathology, and immunohistochemistry findings were inconclusive, necessitating advanced molecular studies, which ultimately confirmed MRTs through the loss of SMARCB1 expression. However, the diagnosis was delayed due to overlapping differential considerations, including fibrosarcoma and other sarcomas. Despite extensive multidisciplinary efforts and tailored treatments, the tumors progressed aggressively, emphasizing the challenges in diagnosing and managing such rare conditions. Given their complexity, MERTs require a comprehensive diagnostic approach combining clinical evaluation, histopathological analysis, and molecular studies, with a high level of clinical suspicion essential for timely treatment.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251325041"},"PeriodicalIF":0.0,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665605","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}

{"title":"The Race to the Sella Turcica.","authors":"Aliana Rao, Glenn Isaacson","doi":"10.1177/01455613251328596","DOIUrl":"https://doi.org/10.1177/01455613251328596","url":null,"abstract":"","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251328596"},"PeriodicalIF":0.0,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652750","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}

{"title":"Persistent Dysphonia and Unintentional Weight Loss: Unmasking a Solitary Laryngeal Neurofibroma.","authors":"Asimakis D Asimakopoulos, Stéphane Yerly, Salim Bouayed","doi":"10.1177/01455613251328588","DOIUrl":"https://doi.org/10.1177/01455613251328588","url":null,"abstract":"","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251328588"},"PeriodicalIF":0.0,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652746","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}