Colonic duplication in the submandibular region of the neck

1586 symptoms. The authors report a case of a 4-monthold infant who presented with a failure to thrive and respiratory distress due to a congenital vallecular cyst. Marsupialization was performed with total symptoms resolution. doi:10.1016/j.ijporl.2008.04.019

Pyogenic granuloma as a complication of prolonged nasogastric tube insertion in an immuno-compromised host

Abstracts We present a case of an unusual colonic duplication cyst which was located in the submandibular region of the neck. To our knowledge, this is the first reported case of a submandibular cyst lined with colonic mucosa. This type of cystic mass is felt to be due to either displacement of primitive intestinal epithelium or abnormal differentiation of primitive endodermal cells into colonic mucosa in an abnormal location. Diagnosis was made with a combination of CT scan, ultrasound, and ultimately surgical pathology. Treatment is with surgical excision, and the prognosis is excellent with complete excision. doi:10.1016/j.ijporl.2008.05.023

George Kuruvilla a,b,c, Greta Ra a, Atilano Lacson d,e, Hamdy El-Hakim a,b,c,* a Pediatric Otolaryngology Service, Division of Pediatric Surgery, The Stollery Children’s Hospital, Edmonton, Alberta, Canada b Pediatric Otolaryngology Service, Division of Otolaryngology, The Stollery Children’s Hospital, Edmonton, Canada c Pediatric Otolaryngology Service, Department of Pediatrics, The Stollery Children’s Hospital, Edmonton, Canada d Division of Anatomical Pathology, The Stollery Children’s Hospital, Edmonton, Canada e Department of Laboratory Medicine & Pathology, The Stollery Children’s Hospital, Edmonton, Canada Pyogenic granuloma is a polypoidal capillary hemangioma that occurs on the skin and mucosal surface. Trauma, hormonal changes seen in pregnancy and use of the oral contraceptive pill have a role in its pathogenesis. Except for the oral cavity, involvement of gastrointestinal tract is quite rare and there are no reports of hypopharyngeal involvement. We report a case of hypopharyngeal pyogenic granuloma most likely secondary to prolonged nasogastric tube insertion in an immuno-compromised host.

Image-guided endoscopic and microdebrider assisted repair of choanal atresia in a neonate Jeffrey B. LaCour, Mihir R. Patel, Carlton Zdanski * Department of Otolaryngology-Head and Neck Surgery, University of North Carolina Hospitals, Chapel Hill, NC, USA Endoscopic transnasal repair of choanal atresia in a 3-week-old infant with CHARGE syndrome under image guidance was employed. Image guidance provided optimal visualization of aberrant bony structures in this small syndromic patient, thus optimizing safety in avoiding damage to vital structures at the skull base. Furthermore, successful endoscopic repair avoided a tracheotomy and expedited extubation. Considering the number of syndromic patients with aberrant skull base and nasal anatomy, imageguided endoscopic repair for choanal atresia may improve safety by avoiding compromise of vital structures at the skull base, particularly in very small neonates. Fiducial marker registration versus laser surface registration is a key consideration in neonates as well as midface deficient patients.

doi:10.1016/j.ijporl.2008.04.020 doi:10.1016/j.ijporl.2008.05.024 Colonic duplication in the submandibular region of the neck Jacob E. Smith a, Mary K. Wren b, Mary S. Richardson b, David R. White a,* a Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, United States b Department of Pathology, Medical University of South Carolina, United States

Airway obstruction due to a retro-tracheal inflammatory myofibroblastic tumour in a 19-month-old boy Prodip K. Das-Purkayastha *, B.E.J. Hartley, N.J. Sebire Great Ormond Street Hospital For Children NHS Trust, ENT, Great Ormond Street, London WC1N 3JH, United Kingdom