Otorhinolaryngology

Article Otorhinolaryngology

Outcomes of mini-invasive transoral surgery without neck dissection in supraglottic laryngeal cancer: Real world data from a tertiary cancer center

Stefano Zorzi, Giacomo Pietrobon, Chiara Mossinelli, Francesco Bandi, Francesco Chu, Marta Tagliabue, Rita De Berardinis, Jacopo Zocchi, Daniela Alterio, Maria Cossu Rocca, Francesca Ruju, Mohssen Ansarin

Summary: This study evaluated the oncological and functional outcomes in patients with early-stage cN0 supraglottic carcinoma treated with a wait-and-see policy. The results indicate that the wait-and-see policy does not negatively impact survival outcomes and has reduced morbidity compared to invasive surgical approaches.

AMERICAN JOURNAL OF OTOLARYNGOLOGY (2024)

Article Otorhinolaryngology

The effect of ventilation tube insertion in pediatric cochlear implantation candidates with otitis media with effusion on postoperative complications

Guy Faibish, Daniel Kaplan, Ariela Knaanie, Sabri Elsaeid, Oren Ziv

Summary: This study compared postoperative complication rates in pediatric cochlear implant candidates with and without otitis media with effusion (OME), and found that ventilation tube insertion for OME increased the rates of acute mastoiditis and chronic suppurative otitis media without cholesteatoma (CSOMWC).

INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY (2024)

Article Otorhinolaryngology

Surgical and audiologic outcomes following revision cochlear implantation in children

Shelby Barrera, Elizabeth Kerby, Victoria Gonzalez, Jeffrey Carron

Summary: This study reviewed the institutional experience of revision cochlear implantation and found an increased rate of hard failure, primarily due to trauma. Some patients discontinued the use of their implants after revision surgery, and most of them had associated traumatic injuries that delayed their presentation and surgery.

AMERICAN JOURNAL OF OTOLARYNGOLOGY (2024)

Article Otorhinolaryngology

Vertigo with upbeat nystagmus shortly after exposure to a small amount of organic solvent

Keisuke Kondo, Yuko Hata

Summary: A 53-year-old woman presented with a 1-month history of vertigo. Physical examination revealed upbeat nystagmus and a wide-based gait. Further diagnostic tests suggested that the vertigo may have been caused by exposure to an organic solvent. This case highlights the importance of a diagnostic approach to vertigo and obtaining a comprehensive patient history.

ACTA OTO-LARYNGOLOGICA CASE REPORTS (2023)

Article Otorhinolaryngology

Systemic bevacizumab for recurrent respiratory papillomatosis. A case series

Kristine Grubbe Gregersen, Jeppe Friborg, Claus Andrup Kristensen, Kristian Hveysel Bork

Summary: Recurrent respiratory papillomatosis (RRP) is a neoplasm caused by human papilloma virus (HPV) 6/11, which affects the upper and lower airway in both younger and older patients. Despite the potential decline due to HPV vaccination, RRP remains challenging to manage and significantly impacts quality of life. Systemic bevacizumab has shown efficacy in treating aggressive RRP in both juvenile and adult patients. In this study, five consecutive adult patients with aggressive laryngeal and tracheal papillomatosis were treated with systemic bevacizumab, demonstrating positive effects without pulmonary spread and manageable side effects.

ACTA OTO-LARYNGOLOGICA CASE REPORTS (2023)

Article Otorhinolaryngology

Bell's palsy with abnormal findings in the ipsilateral parotid gland

Takaaki Hijioka, Yoshihiro Aoki, Hideaki Moteki, Naoto Mizushiro

Summary: This is a report on a pediatric case of Bell's palsy in which a concomitant ipsilateral parotid gland anomaly of unknown etiology was observed. Treatment improved facial paralysis but did not change the abnormal parotid gland findings. Further investigation was not performed due to the patient's lack of symptoms.

ACTA OTO-LARYNGOLOGICA CASE REPORTS (2023)

Article Otorhinolaryngology

Ex Utero Intrapartum Treatment (EXIT) in a rare infantile tongue fibrosarcoma and it's management dilemma

Nabihah Roslle, Faizah Abdul Rahim, Norzi Gazali, Siti Sabzah Mohd Hashim, Goh Bee See

Summary: This article presents a rare case of huge infantile tongue fibrosarcoma that was diagnosed prenatally and successfully delivered via ex utero intrapartum treatment (EXIT). The initial diagnosis was infantile tongue hemangioma based on physical examination, radiological findings, and high incidence of hemangioma in infants. A tracheostomy was performed due to anticipated airway compromise and failed extubation. Histopathological examination revealed a malignant tumor suggestive of infantile fibrosarcoma. The management of infantile fibrosarcoma requires a multidisciplinary team approach, with non-mutilating surgery as the primary treatment and neoadjuvant chemotherapy as an option when upfront resection is unfeasible.

ACTA OTO-LARYNGOLOGICA CASE REPORTS (2023)

Article Otorhinolaryngology

'The catcher in the rye' - a case report of a swallowed grain and a peculiar neck abscess

Yarden Tenenbaum Weiss, Vadim Kapuller, Sharon Ovnat Tamir, Ayala Klein

Summary: Inhalation or swallowing of foreign bodies is common in children and can lead to complications such as abscess formation. This case highlights the challenges in clinical diagnosis and the importance of considering foreign bodies as a possible cause for localized neck masses in children.

ACTA OTO-LARYNGOLOGICA CASE REPORTS (2023)

Article Otorhinolaryngology

Cholesteatoma morphed into temporal bone squamous cell carcinoma

Rathakrishnan Venkatasamy, Goh Bee See, Fuad Ismail

Summary: Chronic ear infection, particularly cholesteatoma, may contribute to the development of temporal bone tumors. Radiotherapy can be a valuable treatment modality for advanced tumors or patients who are not suitable for surgery.

ACTA OTO-LARYNGOLOGICA CASE REPORTS (2023)

Article Otorhinolaryngology

Tuberculous otitis media case report: Clinical manifestation, evaluation and management

Andressa Alencar Sousa, Carolina da Costa Silva Porto, Luiz Fernando Manzoni Lourencone

Summary: This report presents a case of chronic tuberculous otitis media with cholesteatoma, emphasizing the main factors that led to the diagnosis and highlighting the importance of investigating tuberculosis as a differential diagnosis of granulomatous diseases of the middle ear and temporal bone.

ACTA OTO-LARYNGOLOGICA CASE REPORTS (2023)

Article Otorhinolaryngology

MRI with a CI: Using the propeller technique reduces artifacts in children with cochlear implants

Jingjiao An, Zhi Shu, Mengmeng Hao, Juan Gao

Summary: The authors conducted 1.5 T MRI examination without removing the CI magnet in two children with cochlear implants. The conventional MRI technique produced an image with artifacts and limited clinical usefulness, while the "propeller technique" resulted in clinically useful images. The propeller technique was also employed successfully while the second child was asleep. The findings suggest that the propeller technique is safe and beneficial for clinical diagnosis.

ACTA OTO-LARYNGOLOGICA CASE REPORTS (2023)

Article Otorhinolaryngology

Specific imaging findings in the course of sinus fungus ball progression to chronic invasive fungal rhinosinusitis

Tomotaka Hemmi, Kazuhiro Nomura, Mika Watanabe, Yuki Numano, Risako Kakuta, Mitsuru Sugawara

Summary: This article reports a case of early transition from sinus fungus ball to chronic invasive fungal rhinosinusitis. CT and MRI imaging can help distinguish between these two diseases, and the ADC value can be used as a reference for evaluating the transition.

ACTA OTO-LARYNGOLOGICA CASE REPORTS (2023)

Article Otorhinolaryngology

PANDAS - a rare but severe disorder associated with streptococcal infections; Awareness is needed

Karin Franlund, Charbel Talani

ACTA OTO-LARYNGOLOGICA CASE REPORTS (2023)

Article Otorhinolaryngology

Recurrent facial baroparesis on airplane flights relieved by endoscopic sinus surgery: A case report

Makiko Toma-Hirano, Ryoji Kagoya, Ken Ito

Summary: Facial baroparesis, a rare condition caused by compression of the facial nerve, can be relieved by endoscopic sinus surgery (ESS). We report the case of a 41-year-old man who experienced recurrent facial palsy during altitude changes in an aircraft. CT scan revealed dehiscence of the tympanic portion of the facial nerve canal, leading to the diagnosis of facial baroparesis. After undergoing ESS, the patient has been free of facial palsy during airplane altitude changes for 4 years. This is the first reported case of facial baroparesis relieved by ESS.

ACTA OTO-LARYNGOLOGICA CASE REPORTS (2023)

Article Otorhinolaryngology

The rare adult vocal cord hemangioma: A case report

Shih-Wei Wang, Chih-Hung Lin, Ning-Chia Chang

Summary: This article reports a case of laryngeal hemangioma in a 71-year-old male patient who presented with one-month duration of blood-tinged sputum and hoarseness. Endoscopic examination revealed a well-demarcated vegetative lesion attached to the right vocal cord. Surgical excision was performed due to the superficial location of the lesion. Post-operation follow-up showed improved symptoms and no evidence of local recurrence. The diagnosis of cavernous hemangioma of the vocal cord was rendered based on histopathological features. The use of cold instrument microlaryngoscopic excision technique yielded a satisfactory result in the treatment of adult-type laryngeal hemangioma.

ACTA OTO-LARYNGOLOGICA CASE REPORTS (2023)

Article Otorhinolaryngology

A case of Waardenburg syndrome type I with congenital sensorineural hearing loss

Quang Minh Le-Tran, Duc Phu Nguyen, Quang Huy Huynh

Summary: Waardenburg syndrome is a rare genetic disorder characterized by hearing loss and pigmentary defects of the skin, hair, and eyes. A five-year-old girl with bilateral profound sensorineural hearing loss was diagnosed with Waardenburg syndrome type I. Cochlear implant surgery successfully managed her congenital hearing loss, resulting in normal audiological outcomes with a CAP score of 7 four years after surgery. Despite its rarity, Waardenburg syndrome can significantly impact a patient's development, particularly in cases of congenital sensorineural hearing loss.

ACTA OTO-LARYNGOLOGICA CASE REPORTS (2023)

Article Otorhinolaryngology

Nasal septum lesions causing diagnostic difficulty: Case report

Aiko Kishino, Syuji Yonekura, Ichiro Fukumoto, Tomoyuki Arai, Tomohisa Iinuma, Takeshi Suzuki, Kazuki Yamasaki, Yuichiro Otsuka, Manayu Shiina, Masayuki Ota, Jun-ichiro Ikeda, Toyoyuki Hanazawa

Summary: Benign nasal septal tumors are rare and have different histologic features. Treatment should consider prognosis, functionality, and esthetics. We present two similar cases with different diagnoses of nasal septal tumors, both treated with resection. One case was likely eosinophilic angiocentric disease, but not confirmed by IgG4:IgG ratio. The other case was diagnosed as extranodal Rosai-Dorfman disease based on histological features. Careful diagnosis based on clinical and pathological perspectives is necessary due to the wide variation in histological appearance of nasal septal tumors.

ACTA OTO-LARYNGOLOGICA CASE REPORTS (2023)

Article Otorhinolaryngology

Transmembranous piston extrusion after stapedotomy: A rare complication

Hester B. E. Elzinga, Hans G. X. M. Thomeer

Summary: Reported an adverse event of piston extrusion through the tympanic membrane after successful otosclerosis surgery, and its surgical solution. Four patients with a history of stapes surgery in otosclerosis presented with recurrent conductive hearing loss due to piston extrusion. Revision stapes surgery was performed with interposition of cartilage layer between tympanic membrane and piston, resulting in successful outcome without recurrence.

ACTA OTO-LARYNGOLOGICA CASE REPORTS (2023)

Article Otorhinolaryngology

Arytenoid cartilage necrosis due to prolonged endotracheal intubation: A case report of conservative follow-up with variable endoscopic findings

Akihisa Tanaka, Takashi Masui, Hirokazu Uemura, Tadashi Kitahara

Summary: A case of arytenoid cartilage necrosis (ACN) caused by prolonged endotracheal intubation (PEI) was treated conservatively with close endoscopic follow-up. The patient recovered vocal cord mobility and was able to phonate via ventricular band mobility without any respiratory distress. Careful endoscopic evaluations are necessary until wound healing completes to prevent sudden suffocation after PEI.

ACTA OTO-LARYNGOLOGICA CASE REPORTS (2023)

Article Otorhinolaryngology

Disseminated herpes zoster in an immunocompetent young adult: A rare complication of Ramsay Hunt syndrome

Naoyuki Matsumoto, Makiko Toma-Hirano, Takuya Yasui, Ken Ito

Summary: Ramsay Hunt syndrome (RHS) is a rare complication of latent varicella-zoster virus infection, and this case reports a unique occurrence of disseminated herpes zoster in an immunocompetent young adult with RHS. The patient presented with left-sided facial weakness, otalgia, vesicles on the left ear, hearing loss, and vertigo. Despite treatment with famciclovir and prednisolone, the symptoms worsened and the patient was diagnosed with disseminated herpes zoster. The importance of differentiating drug eruption for appropriate clinical decision-making is emphasized.

ACTA OTO-LARYNGOLOGICA CASE REPORTS (2023)