Bilateral sudden onset proptosis in child :AML

Bilateral sudden onset proptosis in child :AML

726 Abstracts / International Journal of Pediatric Otorhinolaryngology 75 (2011) 725–729 similar imaging modality. The clinical presentation, diagno...

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726

Abstracts / International Journal of Pediatric Otorhinolaryngology 75 (2011) 725–729

similar imaging modality. The clinical presentation, diagnosis, and treatment strategies are reviewed along with the current literature.

occur in the oral cavity but when they do occur they have a predilection for the tongue. We present the first case report of a cleft tongue associated with choristomas of the tongue and oral cavity treated by surgical resection and uniting of the cleft tongue.

doi:10.1016/j.ijporl.2011.03.030 doi:10.1016/j.ijporl.2010.05.041

Recurrent meningitis in a child secondary to a parasellar arachnoid cyst: A case report Tashneem Harris a,*, Darlene Lubbe b, Patrick Semple c a Division Otolaryngology, University of Cape Town, South Africa b Division of Otolaryngology, University of Cape Town, Faculty of Health Sciences, South Africa c Division of Neurosurgery, University of Cape Town, Faculty of Health Sciences, South Africa We report a case of recurrent pneumoccal meningitis in an 8year-old boy with an underlying congenital cerebrospinal fluid (CSF) fistula of the sphenoid sinus associated with a large parasellar arachnoid cyst. High resolution computed tomography (CT) scan showed no obvious skull base defects. A magnetic resonance imaging (MRI) scan revealed a large parasellar arachnoid cyst. He underwent obliteration of the right sphenoid sinus via an endoscopic transsphenoidal approach. Conclusion: Recurrent bacterial meningitis requires needs to be fully investigated with CT scan and MRI of the brain and skull base. Repair of these skull base defects are mandatory. doi:10.1016/j.ijporl.2011.04.001

Absence of the epiglottis in an infant with Pierre Robin sequence Damla Guclu Guven a,*, Dursun Ali Senses b, Bugra Subasi a, ¨ seyin Yaman a Hu a Duzce University Duzce Medical Faculty, Department of Otorhinolaryngology, Duzce, Turkey b Duzce University Duzce Medical Faculty, Department of Pediatrics, Duzce, Turkey

Epiglottis anomaly associated with Pierre Robin sequence (PRS) is a rare occurrence. Most infants with PRS have presented life-threatening symptoms of respiratory distress and severe feeding problems that usually end with death. To the knowledge of the authors, this is the first reported case of epiglottis agenesis associated with PRS. The clinician must be aware of this unusual presentation in a PRS, and the presented case reveals the challenges in the treatment of the respiratory and feeding problems. This case is discussed with a review of the literature. doi:10.1016/j.ijporl.2010.05.042

Bilateral sudden onset proptosis in child: AML Roshan K. Verma *, Jagveer Singh Yadav, Naresh K. Panda Department of Otolaryngology and Head and Neck Surgery, Post Graduate Institute of Medical Education and Research (PGIMER), Sec. 12, Chandigarh 160012, India Orbital infiltration with bilateral proptosis has been observed in 2% cases of acute or chronic lymphatic leukaemia. In contrast myelogenous leukaemia only very rarely gives rise to extra ocular muscle infiltration. We report an unusual case of acute myelocytic leukaemia in 10-year-old male child presenting with acute bilateral proptosis as its sole manifestation to an ENT surgeon and also describe characteristic radiological features.

Melanotic neuroectodermal tumor of infancy—A report of two cases Premdeep Gandhi a,*, Shikha Khanna b, Virendra Singh c, Ambika Gupta d a Dept. of Oral Pathology, Govt. Dental College, Rohtak, Haryana 124001, India b Dept. of Oral Surgery, Govt. Dental College, Rohtak, Haryana 124001, India c Dept. of Oral and Maxillofacial Surgery, Govt. Dental College, Rohtak, Haryana 124001, India d Dept. of Oral Medicine, Govt. Dental College, Rohtak, Haryana 124001, India

doi:10.1016/j.ijporl.2011.04.002

Cleft tongue and choristomas: A case report Brannon D. Mangus *, Steven L. Goudy Vanderbilt University, Department of Otolaryngology–Head & Neck Surgery, 7209 Vanderbilt Medical Center, 1215 21st Avenue South, Nashville, TN 37232, United States

The cleft tongue is a rare malformation with few reported cases in the literature. Choristomas are tumor-like masses that rarely

The melanotic neuroectodermal tumor of infancy (MNTI) is a rare childhood neoplasm with a classical clinical presentation. It appears as a rapidly enlarging pigmented mass in the upper jaw and can be easily mistaken for a malignant neoplasm. Although possessing an aggressive growth rate and radiographic appearance, the MNTI almost always behaves in a benign fashion and can be treated with local excision. However, few cases of malignant transformation and recurrences have been reported in literature and that makes follow-up very important. This paper describes two cases of MNTI with classical histological presentation. doi:10.1016/j.ijporl.2010.05.043