An International Journal of Otorhinolaryngology Clinics

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2014 | Number | Volume 6 | Issue 3

EDITORIAL

Editor's Speak

[Year:2014] [Month:Number] [Volume:6] [Number:3] [Pages:1] [Pages No:0 - 0]

PDF  |  DOI: 10.5005/aijoc-6-3-iv  |  Open Access |  How to cite  | 

CASE REPORT

Ezzeddin Elsheikh, Mohamed Rifai, Ismail Seddik Elnashar, Hesham Abdelaziz

Giant Myxoid Osteoma of the Frontoethmoidal Region

[Year:2014] [Month:Number] [Volume:6] [Number:3] [Pages:3] [Pages No:1 - 3]

PDF  |  DOI: 10.5005/aijoc-6-3-1  |  Open Access |  How to cite  | 

Abstract

Although they are relatively rare, osteomas are the most frequent benign neoplasm of the paranasal sinuses. When they are large or symptomatic, surgical intervention through open or endoscopic approaches is required. The association between osteoma and myxoma is rarely addressed in the literature and myxoid degeneration of osteomas is not known. We report a case of a giant frontoethmoidal osseous lesion in a 52 years old man which was completely removed through an open approach. Histological examination of the removed mass revealed an osteoma with a myxoid component.

CASE REPORT

Rashmi Sharma, Parmod Kalsotra, Rohan Gupta, Nitika Gupta, Ghanshyamdev Gupta

Neurofibromatosis II

[Year:2014] [Month:Number] [Volume:6] [Number:3] [Pages:3] [Pages No:4 - 6]

PDF  |  DOI: 10.5005/aijoc-6-3-4  |  Open Access |  How to cite  | 

Abstract

Neurofibromatosis type II is an inherited autosomal dominant syndrome, characterized by multiple neoplasms of the central and peripheral nervous system associated with ocular abnormalities. The most common tumor associated with the disease is the vestibulocochlear schwannoma, and as many as 10% of patients with this tumor have neurofibromatosis type 2. In this report, we aim to present a 36-year-old female who presented with chief complaints of unilateral tinnitus, and, during her workup, which included cranial and whole spine magnetic resonance imaging, we found bilateral acoustic neuroma with multiple meningiomas. Based on clinical and imaging findings, the diagnosis of neurofibromatosis type 2 was made.

CASE REPORT

Xu Rena, Marc William Herr, Peter Sadow, Daniel Deschler

Late Neck Metastasis of Clear Cell Salivary Carcinoma of the Soft Palate

[Year:2014] [Month:Number] [Volume:6] [Number:3] [Pages:3] [Pages No:7 - 9]

PDF  |  DOI: 10.5005/aijoc-6-3-7  |  Open Access |  How to cite  | 

Abstract

Introduction

Clear cell carcinoma is a rare form of salivary gland tumor, most commonly affecting the palate and tongue. We present a patient with cervical lymph node metastasis 28 years after treatment for clear cell salivary carcinoma of the soft palate.

Case presentation

A new neck mass was found in a 69-yearold man with a remote history of clear cell salivary carcinoma of the soft palate. Fine-needle aspiration biopsy demonstrated no evidence of malignancy; however, excisional biopsy revealed carcinoma. Neck dissection was performed and final pathologic review demonstrated clear cell salivary carcinoma metastatic to a cervical lymph node.

Discussion

Clear cell salivary carcinoma may be less indolent than previously believed. Metastases to cervical lymph nodes and distant sites have been reported in one-fourth of patients and can occur many years after treatment. Immunohistochemical staining is a valuable adjunct for differentiating clear cell carcinoma from other neoplasms that demonstrate clear cell components.

Conclusion

This rare case of late neck metastasis after clear cell salivary carcinoma of the soft palate highlights the need for high clinical suspicion of recurrence many years after treatment and indicates the role of neck dissection for diagnosis and treatment in patients with possible nodal spread.

CASE REPORT

Kerem Öztürk, Mustafa Şahin, Raşit Midilli, Gülce Gürsan, Nazan Özsan, Recep Savaş

Extramedullary Plasmacytoma of Head and Neck Region: Report of Six Cases with Different Localizations

[Year:2014] [Month:Number] [Volume:6] [Number:3] [Pages:7] [Pages No:10 - 16]

PDF  |  DOI: 10.5005/aijoc-6-3-10  |  Open Access |  How to cite  | 

Abstract

Extramedullary plasmacytoma (EMP) is a rarely seen neoplasm of plasma cells which may be locally destructive by involving submucosal soft tissues of upper respiratory tract but without systemic dissemination. It comprises less than 1% of head and neck malignities. Clinical presentation depends on tumor's effect and its involvement site. Diagnosis is made with histopathologic examination of tissue biopsy. Responses to its treatment with local radiotherapy and surgery are similar. In this article; it is intended to update our knowledge regarding EMP and remind this rarely encountered disease by presenting various cases detected in nasopharynx, tonsil, buccal mucosa, larynx, mastoid cavity and sphenoid sinus, with literature line.

CASE REPORT

Rashmi Mallanagouda Patil, Anirudha Vasant Kushtagi

Intranasal Pleomorphic Adenoma

[Year:2014] [Month:Number] [Volume:6] [Number:3] [Pages:2] [Pages No:17 - 18]

PDF  |  DOI: 10.5005/aijoc-6-3-17  |  Open Access |  How to cite  | 

Abstract

Pleomorphic adenoma is a benign tumor arising from major salivary glands and also has been reported in salivary glands of palate rarely in nasopharynx, oropharynx and larynx and lacrimal glands. We report a case pleomorphic adenoma of nasal septum and discuss the clinical features, management along with review of literature.

CASE REPORT

Vivek Mathew, Gaurav Ashish, Amit Kumar Tyagi, Anand Kamalam Job, Ramanathan Chandrasekharan

Isolated IgG4-related Disease of Sphenoid Sinus Manifesting as Blindness

[Year:2014] [Month:Number] [Volume:6] [Number:3] [Pages:4] [Pages No:19 - 22]

PDF  |  DOI: 10.5005/aijoc-6-3-19  |  Open Access |  How to cite  | 

Abstract

Introduction

IgG4 related disease is a rare entity which can affect almost all parts of the body. The available literature of this entity related to paranasal sinuses is very limited.

Presentation of case

We present a case of isolated sphenoid sinus affliction by IgG4 related sclerosing disease manifesting as blindness, which recovered fully with pulsed steroid therapy.

Discussion

We present this case in view of developing insights toward diagnosis and management of IgG4 related sclerosing disease in paranasal sinuses, specifically the sphenoid sinus.

Conclusion

IgG4 disease involving paranasal sinuses (PNS) is rare entity and is managed with pulse methylprednisolone and immunomodulator drugs. Considering the limit of understanding of etiopathogenesis of this disease, surgeon needs to keep this differential diagnosis in mind. It may present atypically like isolated sinus involvement and optic neuritis.

CASE REPORT

Heena Sonawane, Freny R Karjodkar, Kaustubh Sansare, Nimish Prakash

Orthokeratinized Odontogenic Cyst: A Rarity

[Year:2014] [Month:Number] [Volume:6] [Number:3] [Pages:5] [Pages No:23 - 27]

PDF  |  DOI: 10.5005/aijoc-6-3-23  |  Open Access |  How to cite  | 

Abstract

Orthokeratinized odontogenic cyst (OOC) was first identified as the rare variant of keratocystic odontogenic tumor (KCOT) for its different histopathology and rare recurrence which was reclassified by WHO in 2005. The orthokeratinized odontogenic cyst is a distinct clinicopathologic entity and is histologically characterized by a thin, uniform, epithelial lining with orthokeratinization and a subjacent granular cell layer. The basal cells are usually cuboidal or flattened. OOC in maxilla is rare. This article presents a case of 56-years-old male patient with OOC in left maxilla. The clinical, radiographic and histological features of the cyst are discussed in this case report.

RESEARCH ARTICLE

Jumroon Tungkeeratichai, Navarat Apirakkittikul, Somyos Kunachak

Multilevel Surgery in Moderate to Severe Obstructive Sleep Apnea Patients

[Year:2014] [Month:Number] [Volume:6] [Number:3] [Pages:5] [Pages No:87 - 91]

Keywords: Apnea hypopnea index,Glossectomy,Lateral pharyngoplasty,Multilevel surgery in obstructive sleep apnea,Obstructive sleep apnea,Uvulopalatoplasty

PDF  |  DOI: 10.5005/jp-journals-10003-1162  |  Open Access |  How to cite  | 

Abstract

Objective

The aim of this study was to investigate the objective and subjective effectiveness of multilevel surgery, i.e. combined lingualplasty with new technique of partial posterior glossectomy (PPG) and uvulopalatopharyngoplasty in moderate to severe obstructive sleep apnea (OSA) patients.

Study design and setting

Retrospective study of 60 OSA patients undergoing multilevel surgery for the treatment of moderate to severe OSA.

Results

Preoperative mean apnea hypopnea index (AHI) was 57.5 events/h and preoperative mean lowest SpO2 was 79.1%. After multilevel surgery, postoperative mean AHI significantly decreased to 29.7 events/h (p < 0.001) and postoperative mean lowest SpO2 increased to 84.4% (p < 0.001). Patients had postoperative followup assessments for 1 to 3 years. Results of surgery was classified as curative in 35/60 (58.3%) of patients, and as effective, i.e. postoperative AHI less than preoperative AHI in 52/60 patients (86.7 %). Surgery was ineffective in 8/60 (13.3%) patients. Early postoperative complications comprised early velopharyngeal insufficiency (VPI) 20% (12/60), dysarthria 20% (12/60) and wound dehiscence 3.33% (2/60) but without serious complications after 1 year.

Conclusion

Combined lingualplasty (with new PPG) and uvulopalatopharyngoplasty (UPPP) as multilevel surgery can be an effective treatment of choice for patients with moderate to severe OSA. No mediumterm serious complication was found.

Keywords

Apnea hypopnea index, Glossectomy, Lateral pharyngoplasty, Multilevel surgery in obstructive sleep apnea, Obstructive sleep apnea, Uvulopalatoplasty.

How to cite this article

Tungkeeratichai J, Apirakkittikul N, Kunachak S. Multilevel Surgery in Moderate to Severe Obstructive Sleep Apnea Patients. Int J Otorhinolaryngol Clin 2014;6(3):8791.

CASE REPORT

Santosh Kumar Swain, Rankanidhi Samal, Sidhartha Mohanty

An Unusually Giant Hematoma threatening to the Laryngeal Airway

[Year:2014] [Month:Number] [Volume:6] [Number:3] [Pages:3] [Pages No:92 - 94]

Keywords: Airway,Hematoma,Larynx,Warfarin

PDF  |  DOI: 10.5005/jp-journals-10003-1163  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Swain SK, Mohanty S, Singh N, Samal R. An Unusually Giant Hematoma threatening to the Laryngeal Airway. Int J Otorhinolaryngol Clin 2014;6(3):92-94.

CASE REPORT

Anand Job, Gaurav Ashish, Harshad Parmar, L Paul Emerson, Rajiv C Michael

Lichen Planus of Larynx Manifesting as Airway Compromise: A Rare Presentation

[Year:2014] [Month:Number] [Volume:6] [Number:3] [Pages:3] [Pages No:95 - 97]

Keywords: Clinical features,Lichen planus,Management,Oral cavity

PDF  |  DOI: 10.5005/jp-journals-10003-1164  |  Open Access |  How to cite  | 

Abstract

Introduction

Lichen planus is an inflammatory pathology which most commonly involves the mucocutaneous junction of oral cavity. It has been reported in many other sites of the body extending from eye to the urogenital system. Diagnosis is achieved combinely with clinical picture and histopathological findings. The treatment mainly involves systemic therapy with corti costeroids and regular periodic follow-up. It is rare but malig nant transformation has been suggested at some sites.

Case report

However, it is extremely rare in larynx and this case report seems to be the first case presenting with a combination of airway compromise due to laryngeal involvement with presence of cutaneous and oral lesions.

Conclusion

The above case report is presented in context of developing insights about etiopathogenesis, clinical features and management of laryngeal lichen planus.

How to cite this article

Ashish G, Emerson LP, Michael RC, Parmar H, Job A. Lichen Planus of Larynx Manifesting as Airway Compromise: A Rare Presentation. Int J Otorhinolaryngol Clin 2014;6(3):95-97.

CASE REPORT

JC Passey, Nikhil Arora, Varun Rai

Posterior Pharyngeal Wall Schwannoma

[Year:2014] [Month:Number] [Volume:6] [Number:3] [Pages:3] [Pages No:98 - 100]

Keywords: Hypopharynx,Posterior pharyngeal wall,S 100 staining,Schwannoma

PDF  |  DOI: 10.5005/jp-journals-10003-1165  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Rai V, Arora N, Malhotra V, Passey JC. Posterior Pharyngeal Wall Schwannoma. Int J Otorhinolaryngol Clin 2014;6(3):98-100.

CASE REPORT

JC Passey, Nikhil Arora

Giant Epidermal Inclusion Cyst of Floor of Mouth

[Year:2014] [Month:Number] [Volume:6] [Number:3] [Pages:2] [Pages No:101 - 102]

Keywords: Epidermal inclusion cyst,Floor of mouth,S 100

PDF  |  DOI: 10.5005/jp-journals-10003-1166  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Rai V, Arora N, Malhotra V, Passey JC. Giant Epidermal Inclusion Cyst of Floor of Mouth. Int J Otorhinolaryngol Clin 2014;6(3):101102.

CASE REPORT

Himanshu Kumar Mittal

A Unique Case of Primary Extranodal Non-Hodgkin's Lymphoma of the Lacrimal Sac with Extension to Ipsilateral Nasal Cavity

[Year:2014] [Month:Number] [Volume:6] [Number:3] [Pages:3] [Pages No:103 - 105]

Keywords: Extranodal,Lacrimal sac,Non-Hodgkin's lymphoma

PDF  |  DOI: 10.5005/jp-journals-10003-1167  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Mittal HK. A Unique Case of Primary Extranodal Non-Hodgkin's Lymphoma of the Lacrimal Sac with Extension to Ipsilateral Nasal Cavity. Int J Otorhinolaryngol Clin 2014;6(3):103-105.

CASE REPORT

JC Passey, Shilpi Dabas, Nikhil Arora, Kirti Jain

Esophageal Foreign Bodies: Report of Three Unusual Cases with Interesting Scenario

[Year:2014] [Month:Number] [Volume:6] [Number:3] [Pages:3] [Pages No:106 - 108]

Keywords: Deglutition,Deglutition disorder,Esophagus,Foreign body,Rigid endoscopy

PDF  |  DOI: 10.5005/jp-journals-10003-1168  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Arora N, Jain K, Passey JC, MalhotraV, Dabas S. Esophageal Foreign Bodies: Report of Three Unusual Cases with Interesting Scenario. Int J Otorhinolaryngol Clin 2014;6(3):106-108.

CASE REPORT

Gaurav Ashish, Anne Jenifer Prabhu, Sunithi Mani

Peripheral Giant Cell Reparative Granuloma of the Sino-orbital Region—A Giant Lesion: A Rare Case Report

[Year:2014] [Month:Number] [Volume:6] [Number:3] [Pages:5] [Pages No:109 - 113]

Keywords: Embolization,Endoscope,Giant cell granuloma,Sino-orbital

PDF  |  DOI: 10.5005/jp-journals-10003-1169  |  Open Access |  How to cite  | 

Abstract

How to cite this article

John M, Ashish G, Prabhu AJ, Mani S, Kurien M. Peripheral Giant Cell Reparative Granuloma of the Sino-orbital Region—A Giant Lesion: A Rare Case Report. Int J Otorhinolaryngol Clin 2014;6(3):109-113.

CASE REPORT

Ilson Sepúlveda, Michael Frelinghuysen, Cesar García, M Loreto Spencer, Enrique Platín, Jaqueline Alarcon, David Ulloa

Maxillary Carcinosarcoma: A Case Report and Review of the Literature

[Year:2014] [Month:Number] [Volume:6] [Number:3] [Pages:4] [Pages No:114 - 117]

Keywords: Carcinosarcoma,Computed tomography,Sinonasal,Tumor

PDF  |  DOI: 10.5005/jp-journals-10003-1170  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Sepúlveda I, Frelinghuysen M, García C, Spencer ML, Platín E, Alarcon J, Ulloa D. Maxillary Carcinosarcoma: A Case Report and Review of the Literature. Int J Otorhinolaryngol Clin 2014;6(3):114117.

CASE REPORT

Santosh Kumar Swain, Ranjan Kumar Sahoo, Mahesh Chandra Sahu

Two Case Reports of Antrorhinoliths

[Year:2014] [Month:Number] [Volume:6] [Number:3] [Pages:3] [Pages No:118 - 120]

Keywords: Antrorhinolith,Endoscopic sinus surgery,Rhinolith

PDF  |  DOI: 10.5005/jp-journals-10003-1171  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Swain SK, Sahoo RK, Sahu MC. Two Case Reports of Antrorhinoliths. Int J Otorhinolaryngol Clin 2014;6(3):118120.

CASE REPORT

Sushant Joshi

Rosai-Dorfman Disease

[Year:2014] [Month:Number] [Volume:6] [Number:3] [Pages:2] [Pages No:121 - 122]

Keywords: Massive lymphadenopathy,Rosai-Dorfman disease,Sinus histiocytosis

PDF  |  DOI: 10.5005/jp-journals-10003-1172  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Joshi S. Rosai-Dorfman Disease. Int J Otorhinolaryngol Clin 2014;6(3):121-122.

CASE REPORT

Pratik Dipak Shah, Srijon Mukherjee

Management of Extensive Blowout Fracture of Combined Orbital Floor and Medial Wall: A Challenge in Reconstruction

[Year:2014] [Month:Number] [Volume:6] [Number:3] [Pages:4] [Pages No:123 - 126]

Keywords: Blowout,Enophthalmos,Eyeball,Maxillary sinus

PDF  |  DOI: 10.5005/jp-journals-10003-1173  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Shah PD, Mukherjee S. Management of Extensive Blowout Fracture of Combined Orbital Floor and Medial Wall: A Challenge in Reconstruction. Int J Otorhinolaryngol Clin 2014;6(3):123126.

CASE REPORT

Mohammad W El-Anwar, Ezzedden Elsheikh, Ismail Elnashar

Petrous Ridge Meningioma Detection in a Patient Treated for Cancer Tongue

[Year:2014] [Month:Number] [Volume:6] [Number:3] [Pages:3] [Pages No:127 - 129]

Keywords: Cancer tongue,Meningioma,Petrous ridge

PDF  |  DOI: 10.5005/jp-journals-10003-1174  |  Open Access |  How to cite  | 

Abstract

How to cite this article

El-Anwar MW, Elsheikh E, Elnashar I. Petrous Ridge Meningioma Detection in a Patient Treated for Cancer Tongue. Int J Otorhinolaryngol Clin 2014;6(3):127-129.

CASE REPORT

Aparna Govindan, Premkumar Sasi, Suma Radhakrishnan, Jacob Paul Alapatt, KP Aravindan

Nonfunctioning Ectopic Pituitary Adenoma Presenting as Epistaxis: A Report of Two Cases

[Year:2014] [Month:Number] [Volume:6] [Number:3] [Pages:4] [Pages No:130 - 133]

Keywords: Adenocorticotropic hormone adenoma,Cytokeratin,Ectopic pituitary,Paraganglioma,Sphenoid sinus

PDF  |  DOI: 10.5005/jp-journals-10003-1175  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Govindan A, Sasi P, Radhakrishnan S, Alapatt JP, Aravindan KP. Nonfunctioning Ectopic Pituitary Adenoma Presenting as Epistaxis: A Report of Two Cases. Int J Otorhinolaryngol Clin 2014;6(3):130133.

CASE REPORT

Nilamadhab Prusty

Epidermoid Cyst of Tongue: A Case Presentation

[Year:2014] [Month:Number] [Volume:6] [Number:3] [Pages:3] [Pages No:134 - 136]

Keywords: Epidermoid cyst,Keratinization,Mastication,Recurrence

PDF  |  DOI: 10.5005/jp-journals-10003-1176  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Naik C, Prusty N. Epidermoid Cyst of Tongue: A Case Presentation. Int J Otorhinolaryngol Clin 2014;6(3):134-136.

CASE REPORT

Suryakanta Pradhan

Congenital Bilateral Choanal Atresia with Duodenal Atresia and Lagophthalmos

[Year:2014] [Month:Number] [Volume:6] [Number:3] [Pages:3] [Pages No:137 - 139]

Keywords: Choanal atresia,Duodenal atresia,Endoscopic transnasal approach,Lagophthalmos

PDF  |  DOI: 10.5005/jp-journals-10003-1177  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Gupta S, Pradhan S. Congenital Bilateral Choanal Atresia with Duodenal Atresia and Lagophthalmos. Int J Otorhinolaryngol Clin 2014;6(3):137139.

CASE REPORT

Alok Kumar Agrahari, Suddhasheel Roy, Rajiv Kumar Jain

An Unusual Foreign Body of Eight Months Duration in the Nasopharynx of a Three Years Old Child

[Year:2014] [Month:Number] [Volume:6] [Number:3] [Pages:2] [Pages No:140 - 141]

Keywords: Foreign body,Nasopharynx,Unusual

PDF  |  DOI: 10.5005/jp-journals-10003-1178  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Agrahari AK, Roy S, Jain RK. An Unusual Foreign Body of Eight Months Duration in the Nasopharynx of a Three Years Old Child. Int J Otorhinolaryngol Clin 2014;6(3): 140-141.

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