International Journal of Pediatric Otorhinolaryngology Extra
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Submental primary hydatid cyst: A rare differential diagnosis of midline neck swelling in children
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We report herein a child with a hydatid cyst that was primarily located in the submental region without any pulmonary or hepatic involvement. A hydatid cyst of the neck should be considered as a possible diagnosis while evaluating any slow growing cyst in the cervical region especially in a patient living in endemic areas so as to keep surgical precautions in mind while operating to avoid any dangerous complications such as contamination and a fatal anaphylactic reaction.
Source: International Journal of Pediatric Otorhinolaryngology Extra - March 1, 2009 Category: ENT & OMF Authors: Jyotish Kumar, Jacob Chacko, Sudipta Sen Tags: Case reports Source Type: journals
An unusual localization of a bronchogenic cyst: Cervical region—A case report
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Conclusions: Although the incidence of a bronchogenic cyst is rare, it must be considered in the differential diagnosis of the cervical masses.
Source: International Journal of Pediatric Otorhinolaryngology Extra - March 1, 2009 Category: ENT & OMF Authors: Adnan Narcı, Önder Şahin, Tolga Altuğ Şen, Evrim Özkaraca, Salih Çetinkurşun Tags: Case reports Source Type: journals
A frightening bronchial foreign body
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We report our experience, not previously reported in the literature, with a young male Jehovah Witness who aspirated a metal button backing into his right bronchus intermedius. While in the operating room, a size 5, 30cm Storz rigid ventilating bronchoscope with a 0 degrees rod lens telescope was passed through the larynx to visualize the bronchus intermedius. Then, using the “duckbill” telescopic alligator forceps, the sharp edges of the foreign body were grasped and removed. The patient recovered well and was discharged home hours after without any complications.
Source: International Journal of Pediatric Otorhinolaryngology Extra - March 1, 2009 Category: ENT & OMF Authors: P. Pace-Asciak, E. Chang, J.P. Ludemann Tags: Case reports Source Type: journals
A new method to solve an old problem: Extraction of a sharp foreign body from the lateral basal part of the bronchial tree of a child
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Summary: This paper describes a novel method for the removal of a needle aspirated into the basal part of the right bronchial tree of a 14-year-old girl, where due to the distal location, earlier attempts at extraction had been unsuccessful.With careful advanced planning creative modelling, and the assistance of our medical engineer, a modified method was developed that allowed successful extraction in cooperation with the pulmonary physician, thereby obviating the need for a possible thoracotomy and lobectomy.
Source: International Journal of Pediatric Otorhinolaryngology Extra - March 1, 2009 Category: ENT & OMF Authors: F.R. Datema, J. Borgstein Tags: Case reports Source Type: journals
Endoscopic endonasal excision of congenital midline meningoencephalocele in a 5-month infant
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Summary: Congenital infantile midline nasal meningoencephaloceles are rare anomalies. A 5-month-old Egyptian boy otherwise healthy presented with history of respiratory distress, difficulty in oral feeding and appearance of a mass in right nostril. The CT scan showed soft tissue density lesion filling the right nasal fossa with small bony defect in the most anterior part of anterior cranial fossa adjacent to right side of the crista galli suggesting meningoencephalocele. MRI showed the same mass criteria as on CT with fluid signal intensity. The lesion was approached and removed endonasally under general anesthesia with th...
Source: International Journal of Pediatric Otorhinolaryngology Extra - March 1, 2009 Category: ENT & OMF Authors: Omar A. El-Banhawy, Ahmed N. Halaka Tags: Case reports Source Type: journals
Rhinoscleroma in a child
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In this study, we present a 5-year-old girl with unilateral rhinoscleroma.
Source: International Journal of Pediatric Otorhinolaryngology Extra - March 1, 2009 Category: ENT & OMF Authors: Mosaad Abdel-Aziz Tags: Case reports Source Type: journals
Impacted foreign body in secondary bronchus: Chest percussions during therapeutic bronchoscopy
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We report a case of 1-year 7-month-old boy who presented with impacted peanut in the secondary bronchus. An alternative method of dislodging the impacted foreign body was used in this case with concomitant chest percussions during rigid bronchoscopy. This method helped to dislodge the peanut successfully.
Source: International Journal of Pediatric Otorhinolaryngology Extra - March 1, 2009 Category: ENT & OMF Authors: R. Sayuti, A. Fadzil, R. Ahmad Tags: Case reports Source Type: journals
Aplasia of the submandibular gland with compensatory sublingual gland hypertrophy: A case report
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We report a 14-year-old boy presenting with submandibular mass. He was later diagnosed as having aplasia of the submandibular gland and a compensatory ipsilateral sublingual hypertrophy. The diagnosis was made by imaging (CT-scan and MR). The case is presented with the emphasis that aplasia of the submandibular gland followed by a presumably compensatory sublingual gland enlargement is a rare phenomenon but still should be considered in the differential diagnosis of a neck mass.
Source: International Journal of Pediatric Otorhinolaryngology Extra - March 1, 2009 Category: ENT & OMF Authors: Yoav Yanir, Ginadi Fleiman, Raanan Cohen-Kerem Tags: Case reports Source Type: journals
First branchial cleft cyst: A rare presentation with mesotympanic extension
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Summary: A 2-year-old girl presented with a left middle ear cholesteatoma. A CT scan showed a mass in the left middle ear starting from the mesotympanum extending through a bony canal defect into the parapharyngeal space, deep to the facial nerve and ending in the submandibular region. The patient underwent surgical excision of the first branchial cleft cyst by superficial parotidectomy with facial nerve dissection and mastoidectomy with middle ear exploration. This case illustrates a rare presentation of a first branchial cleft cyst with histologic and anatomical features of both types of Work's classification of brachial cleft anomalies.
Source: International Journal of Pediatric Otorhinolaryngology Extra - March 1, 2009 Category: ENT & OMF Authors: Robert H. Chun, Sukgi S. Choi Tags: Case reports Source Type: journals
Anaesthetic management of a child having congenital macroglossia with mandibular deformity
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We present a case of a 7-year-old child having congenital macroglossia with mandibular deformity due to malocclusion, admitted for reduction glossectomy. It was predicted to be a difficult intubation and it was successfully achieved by blind nasal technique.
Source: International Journal of Pediatric Otorhinolaryngology Extra - March 1, 2009 Category: ENT & OMF Authors: Premila Malik, Nandita Kad, Jatin Lal, Sarla Hooda Tags: Case reports Source Type: journals
Long wooden stick penetrating across the retromandibular, nasopharyngeal and contralateral orbital region in a child
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Summary: Penetrating wooden stick in the maxillocranial region is rarely reported in children. A 2-year-old boy fell from a tree with a long wooden stick penetrating in the retromandibular region in an accident was sent to the hospital. An emergent operation was performed after CT scan and the wooden stick foreign body was successfully removed. The CT morphology, complications, and management in such cases are briefly discussed. This case is noteworthy because the patient was so lucky that the stick did not penetrate intracranially and he recovered without any complication including function of nose, eye and mastication an...
Source: International Journal of Pediatric Otorhinolaryngology Extra - March 1, 2009 Category: ENT & OMF Authors: Wen Li, Yan Wang Tags: Case reports Source Type: journals
Minimally invasive drainage of a giant retropharyngeal abscess
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We present the first report of the use of a baby Yankauer suction advanced through the oropharyngeal incision to drain intrathoracic RPA loculations.
Source: International Journal of Pediatric Otorhinolaryngology Extra - March 1, 2009 Category: ENT & OMF Authors: Evgeny Strovski, Jon-Ivar Mickelson, Jeffrey P. Ludemann Tags: Case reports Source Type: journals
Lacrosse-related laryngeal injury
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Summary: This case report illustrates a severe laryngeal fracture from injuries sustained during a lacrosse match. Contact sports such as lacrosse are popular with pediatric and teenage children. Laryngeal injury can be a life-threatening injury due to airway compromise, and prompt emergency medical treatment can be life saving. This case report details a patient's presentation, clinical exam, radiology and endoscopic findings, treatment including securing the airway and fracture repair, and outcome. The risk of mortality or severe morbidity warrants a high index of suspicion is given for children and teenagers with blunt ...
Source: International Journal of Pediatric Otorhinolaryngology Extra - March 1, 2009 Category: ENT & OMF Authors: Jeff C. Rastatter, Kris R. Jatana, Lindsay Leininger, Jeff A. Hall, James D. Lowery Tags: Case reports Source Type: journals
List of Societies
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Source: International Journal of Pediatric Otorhinolaryngology Extra - March 1, 2009 Category: ENT & OMF Source Type: journals
Migrating foreign body of the neck as a cause of recurrent febrile lymphadenopathy
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Summary: A 15-year-old girl was referred to our Pediatric Emergency Unit because of recurrent fever associated with a painful right laterocervical mass over the previous four months, which was unresponsive to various antimicrobial therapies. During surgery, performed to obtain a biopsy, an unexpected vegetable thin fibre, about 1.2cm long, was found among the laterocervical lymph nodes. The patient subsequently experienced complete clinical remission and told us that about one month before the development of symptoms she had felt a punctory sensation in the floor of her mouth after she had been playing with a blade of grass between her lips.
Source: International Journal of Pediatric Otorhinolaryngology Extra - January 21, 2009 Category: ENT & OMF Authors: Lorenzo Pignataro, Margherita Laguardia, Susanna Esposito, Samantha Bosis, Sara Torretta, Nicola Principi, Pasquale Capaccio Tags: Case reports Source Type: journals
Tufted angioma in the upper lip: A report of a case
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We described a case of a tufted angioma observed in a 12-year-old male from an indigenous Guarani community that was clinically diagnosed as an oral manifestation of primary syphilis. We discussed lesions to be considered as reasonable diagnostic possibilities and how the diagnosis was achieved. We concluded that in spite of being less frequent in the oral mucosa, tufted angioma must be considered in the differential diagnosis of oral proliferative lesions.
Source: International Journal of Pediatric Otorhinolaryngology Extra - January 21, 2009 Category: ENT & OMF Authors: Anna Cecilia Moraes Chaves, Márcia Gaiger de Oliveira, Pantelis Varvaki Rados, Manoel Sant́Ana Filho Tags: Case reports Source Type: journals
Congenital partial arhinia with no associated malformations
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We describe a case of complete heminose agenesis and absence of the ipsilateral nasal fossae, without other congenital malformations.
Source: International Journal of Pediatric Otorhinolaryngology Extra - January 20, 2009 Category: ENT & OMF Authors: Roberto Méndez-Gallart, Manuel Garrido-Valenzuela, Adolfo Bautista-Casasnovas, Elina Estevez-Martínez Tags: Case reports Source Type: journals
Multiple dermoid cysts of the external auditory canal
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We present the case of an 11-year-old girl with multiple dermoid cysts of external auditory canal. Because of its location and rarity, we report this case with brief review of literature.
Source: International Journal of Pediatric Otorhinolaryngology Extra - January 16, 2009 Category: ENT & OMF Authors: Sung Hyun Boo, Min Jung Heo, Chi-Sung Han Tags: Case reports Source Type: journals
Nasal vestibular stenosis after birth trauma during caesarean section
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Conclusion: The very initial management in terms of proper suturing of flaps and nasal stents or referral to a specialist following nasal trauma can avoid this type of deformity. We concluded that the management of vestibular stenosis is very difficult and the result of surgery is influenced by not only the surgical technique but also by cooperation of the patient and family members.
Source: International Journal of Pediatric Otorhinolaryngology Extra - January 12, 2009 Category: ENT & OMF Authors: Jagdeep S. Thakur, Vijay K. Diwana, Anamika Thakur Tags: Case reports Source Type: journals
Septal abscess in a 14-month-old child: Diagnosis, management, and discussion of reconstructive options
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Conclusions: The foremost consideration in treatment of nasoseptal hematoma or abscess includes acute drainage and culture-directed antimicrobial medical management to avoid systemic complications. Affected children may require nasal reconstruction, preferably after the 4th year of life. Conscientious surgeons must have an awareness of nasal function, nasofacial development, potential graft donor sites, and subsequent psychological impact of delayed treatment. Our preference is the open approach with the use of autologous costal cartilage for structural reconstruction.
Source: International Journal of Pediatric Otorhinolaryngology Extra - January 9, 2009 Category: ENT & OMF Authors: Jaimie DeRosa, Jeffrey R. Smit Tags: Case reports Source Type: journals
Objective tinnitus secondary to voluntary palatal myoclonus
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Summary: Palatal myoclonus is a known entity causing objective tinnitus but is involuntary in most of the cases. The aim of this case report is to highlight the importance of knowing that certain palatal myoclonus can be voluntary especially in children. The tinnitus disappeared after the contraction of palatal musculature was under controlled by the patient. It is important to identify voluntary palatal myoclonus since it can be successfully treated.
Source: International Journal of Pediatric Otorhinolaryngology Extra - January 9, 2009 Category: ENT & OMF Authors: Salim Rosdan, Md Daud Mohd Khairi, Din Suhaimi Sidek Tags: Case reports Source Type: journals
Type VIII oral–facial–digital syndrome. A rare case series of a forgotten syndrome subtype
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We describe three cases of OFD VIII to highlight their diverse manifestations, diagnostic workup and management issues.
Source: International Journal of Pediatric Otorhinolaryngology Extra - January 5, 2009 Category: ENT & OMF Authors: A. Chakravarti, Shashidhar Tatatavarthy, J.K. Sahni Tags: Case reports Source Type: journals
Unilateral congenital cystic dilatation of the submandibular gland duct: MDCT findings
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Summary: A male infant presented with unilateral cystic swelling in the floor of his mouth as a result of congenital stenosis of the orifice of duct of Wharton. Early diagnosis and treatment is important to avoid feeding difficulties and to prevent later complications. Multidetector computed tomography can be used as a diagnostic tool in order to differentiate congenital cystic lesions of the floor of the mouth.
Source: International Journal of Pediatric Otorhinolaryngology Extra - December 12, 2008 Category: ENT & OMF Authors: Ceyla Basaran, Esra Meltem Kayahan Ulu, Fuldem Yildirim Donmez, Huseyin Gurkan Tore, Erdinc Aydin, Mehmet Coskun Tags: Case reports Source Type: journals
Facial paralysis due to invasive Aspergillus of the temporal bone in an immunocompetent child
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We present a case of facial paralysis due to fungal mastoiditis in a 5-year-old immunocompetent child. She had a history of prolonged use of broad spectrum antibiotics due to meningitis and ear surgery.
Source: International Journal of Pediatric Otorhinolaryngology Extra - December 9, 2008 Category: ENT & OMF Authors: Abdullah Ayçiçek, Fethullah Kenar, Tuna Demirdal, Gülşah Aşık, Alpay Haktanır, Ramazan Sargın, F.Sefa Dereköy Tags: Case reports Source Type: journals
Double opposing Z-plasty for congenital midline cervical web: A case report
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Summary: Congenital midline cervical clefts (CMCCs), rare congenital anomalies of the cervical neck, are unaesthetic and can lead to secondary deformities of the mandible. Repair usually involves excision of the lesion followed by primary closure, W-plasty, or Z-plasty. We repaired a CMCC in a 4-year-old girl using double opposing Z-plasty of the subcutaneous tissues and platysma to increase the vertical length of the skin and form a deeper cervicomental angle. The surgery substantially improved appearance and function, producing a sharper cervicomental angle and reduction in cleft chin. Scarring was minimized with postsur...
Source: International Journal of Pediatric Otorhinolaryngology Extra - December 1, 2008 Category: ENT & OMF Authors: Siri Sunderi Cheng, Joshua A. Gottschall Tags: Case reports Source Type: journals
Young child with cystic fibrosis and sinonasal destructive polyposis which resolved incidentally with oral antifungals
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We report a unique case of a young male with CF presenting with severe destructive sinonasal polyposis, which was refractory to all treatment until he was treated for a concomitant fungal bronchopulmonary infection.
Source: International Journal of Pediatric Otorhinolaryngology Extra - December 1, 2008 Category: ENT & OMF Authors: Z.A. Dewji, J.P. Ludemann, J.A. Gardiner Tags: Case reports Source Type: journals
Cholesterol granuloma of the maxillary sinus in a young patient with associated neurosurgical pathology
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Summary: The cholesterol granuloma is a frequent exhibit in otomastoid inflammatory pathology. The evidence of such in the nasal-sinus region is rarely described in the literature. The diagnosis is usually difficult because the clinical, endoscopic and radiological findings are non-specific. In our study we are describing a case of cholesterol granuloma of the maxillary sinus found in a 16-year-old who presented an endoscopic exhibit suggesting antrochoanal polyp. The CT scan also showed an arachnoid cyst that caused frequent epileptic episodes in the patient. The neoformation was therefore extracted via endonasal endoscop...
Source: International Journal of Pediatric Otorhinolaryngology Extra - November 20, 2008 Category: ENT & OMF Authors: Michele Cassano, Antonio Pennella, Francesco Di Taranto, Paola Limosani, Matteo Simone Tags: Case reports Source Type: journals
Idiopathic cerebrospinal fluid leakage from a patent fallopian canal involving arachnoid cyst in an infant: A case report
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Conclusions: Idiopathic CSF otorrhea is extremely rare and only 10 other cases of leakage from the fallopian canal have been reported. The patient in this case is the youngest to have been reported.
Source: International Journal of Pediatric Otorhinolaryngology Extra - November 3, 2008 Category: ENT & OMF Authors: Kazuharu Yamazaki, Hiroaki Sato, Atsushi Kamei, Manami Akasaka Tags: Case reports Source Type: journals
Hypohidrotic ectodermal dysplasia presenting as aural and nasal myiasis
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We present one such rare case of full-blown Christ–Siemens–Touraine syndrome in a female patient who presented to us for the first time with nasal and aural myiasis. When associated with myiasis, these patients are more vulnerable for the complications of both aural cholesteatoma and atrophic rhinitis. Hence the otolaryngologist needs to consider this disorder in the differential diagnosis of simultaneous aural and nasal myiasis.
Source: International Journal of Pediatric Otorhinolaryngology Extra - October 27, 2008 Category: ENT & OMF Authors: Vikram Bhat K., B. Ramya, Karan Singh Yadav Tags: Case reports Source Type: journals
Nasal chondromesenchymal hamartoma in an adolescent
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Summary: Nasal chondromesenchymal hamartoma (NCMH) is an extremely rare benign tumour that was first described in 1998. It has been considered to be a disease of infancy. Here we report a case of NCMH in a 12-year-old boy who presented with a tumour in the left nasal cavity. Computed tomography and magnetic-resonance imaging revealed a heterogeneous and polypoid mass. The patient underwent endoscopic surgical excision. Histological analyses of the tumour were consistent with NCMH. This case report indicates that NCMH should be included in the differential diagnosis of paediatric nasal cavity lesions.
Source: International Journal of Pediatric Otorhinolaryngology Extra - October 24, 2008 Category: ENT & OMF Authors: Takayuki Nakagawa, Tatsunori Sakamoto, Juichi Ito Tags: Case reports Source Type: journals
