Otolaryngology - Head and Neck Surgery RSS feed: Articles in Press. Otolaryngology-Head and Neck Surgery is the official peer-reviewed publication of the American Academy of Otolaryngology-Head and Neck Surgery Foundation. The mission of Otolaryngology-Head and Neck Surgery is to publish contemporary, ethical, clinically relevant information in otolaryngology, head and neck surgery (ear, nose, throat, head, and neck disorders) that can be used by otolaryngologists, clinicians, scientists, and specialists to improve patient care and public health.http://www.otojournal.org//inpress?rss=yesElsevier Inc.en © 2010 American Academy of Otolaryngology–Head and Neck Surgery Foundation. Published by Elsevier Inc. All rights reserved. Otolaryngology - Head and Neck Surgery0194-59982010-03-03 © 2010 American Academy of Otolaryngology–Head and Neck Surgery Foundation. Published by Elsevier Inc. All rights reserved. healthpermissions@elsevier.comhttp://www.otojournal.org/article/PIIS0194599809016507/abstract?rss=yesOlfactory neuroblastoma (ONB) is a relatively rare malignancy originating from the olfactory neuroepithelium; it constitutes three percent to approximately six percent of all nasal cavity tumors. It usually presents as a polypoid mass in the superior nasal cavity, including the cribriform plate, superior turbinate, and superior portion of the nasal septum. ONB outside of the region where olfactory epithelium exists is exceedingly rare. ONB has been reported to arise from the maxillary sinus, inferior meatus, and sphenoid sinus, but never from the posterior nasal septum. We report a case of primary ONB that originated from the inferoposterior portion of the nasal septum.Primary olfactory neuroblastoma originating from the posterior nasal septum - Corrected ProofKyu-Sup Cho, Duk-Gyu Lee, Kyung Un Choi, Hwan-Jung Roh10.1016/j.otohns.2009.10.030Otolaryngology - Head and Neck Surgery (2010)2010-03-03Otolaryngology - Head and Neck Surgery2010-03-03CASE REPORThttp://www.otojournal.org/article/PIIS0194599809016520/abstract?rss=yesTuberculous otitis media (TOM) is currently a rare infection. However, when it occurs, it can cause severe sequelae. TOM is difficult to diagnose at an early stage because of the associated vague clinical manifestations, low rate of positive stains, and the long time it takes to obtain culture results. Facial paralysis with TOM in infancy is very rare. We report the case of an infant who had TOM with facial paralysis, which was initially suspected as acute bacterial otitis media. The baby was born to a mother with tuberculosis.Tuberculous otitis media with facial nerve paralysis in an infant: A case of maternal transmission - Corrected ProofSung-Hwan Park, Eui-Kyung Goh, Soo-Keun Kong, Jong-Kil Lee10.1016/j.otohns.2009.10.032Otolaryngology - Head and Neck Surgery (2010)2010-03-03Otolaryngology - Head and Neck Surgery2010-03-03CASE REPORThttp://www.otojournal.org/article/PIIS0194599809018737/abstract?rss=yesAbstract: Objective: To report the high-resolution computed tomography and magnetic resonance imaging (MRI) findings of a bulging oval window in children with recurrent meningitis and congenital cerebrospinal fluid fistula.Study design: Case series.Setting: Academic medical center children's hospital.Subjects and methods: A series of eight ears in four children with profound, bilateral sensorineural hearing loss and perilymphatic hydrops were evaluated. Two patients presented with recurrent meningitis. All children were assessed with high-resolution computed tomography, and two children also underwent MRI.Results: Seven of eight ears had a common cavity malformation. The vestibular compartment showed severe dysplasia (n = 5), moderate dysplasia (n = 1), or a single semicircular canal (n = 2). The lamina cribrosa was clearly absent in four of eight ears. Its presence was difficult to assess in ears with small internal auditory canals. A bulging oval window, present in six of eight ears, was defined as a fluid density on high-resolution computed tomography or a hyperintense mass demonstrated by T2-weighted MRI protruding from the vestibule into the middle ear cavity. When present, this herniation of a fluid-filled sac could be seen on both MRI and computed tomography. This imaging finding was surgically confirmed in two patients.Conclusion: The bulging oval window, which represents a fluid-filled sac, can be identified by both high-resolution computed tomography and MRI. Communication between the middle ear and the subarachnoid space through the inner ear is an important etiology for recurrent meningitis in children with sensorineural hearing loss.Radiographic diagnosis of trans-stapedial cerebrospinal fluid fistula - Corrected ProofDale R. Ehmer, Timothy Booth, J. Walter Kutz, Peter S. Roland10.1016/j.otohns.2009.12.029Otolaryngology - Head and Neck Surgery (2010)2010-03-03Otolaryngology - Head and Neck Surgery2010-03-03ORIGINAL RESEARCHhttp://www.otojournal.org/article/PIIS0194599809017082/abstract?rss=yesThe patient, a 32-year-old female with ulcerative colitis, had a sudden left-sided hearing loss in February 2009. The symptoms coincided with a flare of her ulcerative colitis. Her profound hearing loss was unresponsive to oral or intratympanic steroids. She returned to the ENT physician on July 29, 2009, because she had a profound loss of hearing in her right ear. An MRI and a CT scan were obtained and no abnormalities were noted. Steroids provided no benefit to her now bilateral profound hearing loss. She was referred to our care at that time for evaluation for cochlear implantation. Films were reviewed and no cochlear pathology was identified. The patient elected to proceed with bilateral cochlear implantation.Labyrinthitis ossificans secondary to autoimmune inner ear disease: A previously unreported condition - Corrected ProofAaron G. Benson10.1016/j.otohns.2009.10.048Otolaryngology - Head and Neck Surgery (2010)2010-02-17Otolaryngology - Head and Neck Surgery2010-02-17CASE REPORThttp://www.otojournal.org/article/PIIS0194599809017380/abstract?rss=yesSeromucinous hamartomas were first described in 1974. Since then, few additional cases have been reported. In addition to the dearth of reports on these lesions, the fact that they may involve the anterior nasal septum and the ventral skullbase and may also exhibit bone thinning are features that have not been described with these otherwise benign lesions. In this case report, we contribute the clinical, radiographic, and histopathologic features of these neoplasms, which may now also be classified as possible skullbase lesions.Sinonasal seromucinous hamartomas: Clinical features and diagnostic dilemma - Corrected ProofMindy R. Figures, Jayakar V. Nayak, Carl Gable, Alexander G. Chiu10.1016/j.otohns.2009.11.014Otolaryngology - Head and Neck Surgery (2010)2010-02-17Otolaryngology - Head and Neck Surgery2010-02-17CASE REPORThttp://www.otojournal.org/article/PIIS0194599809017628/abstract?rss=yesProminent ears are one of the most common congenital anomalies of the head and neck, affecting about five percent of the general population. The normal external ear makes a 20 to 30 degree angle with the temporal surface of the head. A more obtuse angle makes ears appear more prominent. When measured from the most lateral edge of the ear to the mastoid, the ear usually protrudes 2 to 2.5 cm. The three basic deformities in ear structure that are responsible for prominent-appearing ears are valgus of the concha with a cranioauricular angle greater than 40 degrees, underdevelopment of the antihelix, and excessive growth of the concha.Seal it and reveal it: Postoperative otoplasty care using a silicone-based occlusive dressing - Corrected ProofCathy J. Tang, Diana C. Ponsky10.1016/j.otohns.2009.11.015Otolaryngology - Head and Neck Surgery (2010)2010-02-17Otolaryngology - Head and Neck Surgery2010-02-17CLINICAL TECHNIQUES AND TECHNOLOGYhttp://www.otojournal.org/article/PIIS0194599809017719/abstract?rss=yesA32-year-old male presented complaining of throat irritation, cough, and dysphonia since a motor vehicle accident nine years previously. At that time, the patient experienced a traumatic brain injury (TBI) and required long-term ventilation. After 1.5 weeks of orotracheal intubation, a tracheotomy was performed. When we examined the patient, in-office transnasal laryngoscopy revealed a normal larynx with a firm white strand emanating from the trachea and extending through the glottis.Retained tracheotomy suture: Nine years of morbidity - Corrected ProofDarnell J. Brown, Michael J. Pitman10.1016/j.otohns.2009.11.022Otolaryngology - Head and Neck Surgery (2010)2010-02-10Otolaryngology - Head and Neck Surgery2010-02-10CLINICAL PHOTOGRAPHhttp://www.otojournal.org/article/PIIS0194599809015629/abstract?rss=yesSubcutaneous emphysema (SE) is the pathological presence of air in the subcutaneous tissues. It occurs postoperatively in a minority of surgical tracheotomies and is typically a benign, self-limited process resulting in temporary cosmetic disturbances without lasting sequelae. With severe SE, a tension phenomenon may develop and compress vital structures, resulting in potentially lethal impairment of cardiorespiratory function. This phenomenon, known as tension subcutaneous emphysema (TSE), has occurred following a variety of cardiothoracic procedures and percutaneous tracheostomy but has never been reported as a complication of open tracheostomy. We report on a patient who developed acute, life-threatening subcutaneous emphysema after an open tracheostomy and who was successfully treated with emergent subcutaneous decompression. The University of Missouri Health Sciences institutional review board approved this project.Life-threatening tension subcutaneous emphysema as a complication of open tracheostomy - Corrected ProofJason A. Showmaker, Matthew P. Page10.1016/j.otohns.2009.09.023Otolaryngology - Head and Neck Surgery (2010)2010-01-07Otolaryngology - Head and Neck Surgery2010-01-07CASE REPORThttp://www.otojournal.org/article/PIIS0194599809015794/abstract?rss=yesIsolated necrotizing fungal epiglottitis is rarely reported, and Candida is an uncommon cause that may develop in immunocompromised patients. This report demonstrates a treatment course more complex than those previously reported for Candida epiglottitis. Treatment using intravenous antifungal agents given for eight consecutive weeks combined with endoscopic approach for epiglottic necrotic tissue biopsy and debridement ultimately controlled the disease, which may be seen more frequently by otolaryngologists in the future.Isolating Candida epiglottitis - Corrected ProofWu-Chia Lo, Shiann-Yann Lee, Wei-Chung Hsu10.1016/j.otohns.2009.09.033Otolaryngology - Head and Neck Surgery (2009)2009-12-30Otolaryngology - Head and Neck Surgery2009-12-30CASE REPORT