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External Auditory Canal Leiomyoma: a Pediatric Case Report
684 and etiology of congenital cholesteatoma of the tympanic membrane are discussed. DOI: 10.1016/j.ijporl.2006.12.024
External auditory canal leiomyoma: A pediatric case report Christopher T. Wootten *, John Fasig, David Kaylie Vanderbilt University, Department of Otolaryngology, 7209 Medical Center East, 215 21st Avenue North, 37232 Nashville, TN, United States EAC leiomyomas remain rare. Three cases have been previously published–—all angioleiomyomas occurring in middle-aged men. We report a leiomyoma of the EAC arising in a pediatric patient, and this is the first report of its kind. The differential for these tumors now includes congenital and acquired tumors of the cartilaginous EAC. Complete excision is the treatment of choice with no recurrences reported in the literature to date. DOI: 10.1016/j.ijporl.2006.12.025
Pediatric skull base plunging ranula: Case report and review of the literature Samuel T. Ostrower *, Sanjay R. Parikh Department of Otorhinolaryngology-Head and Neck Surgery, Albert Einstein College of Medicine, 3400 Bainbridge Avenue, Bronx, NY 10467, USA
Abstracts Migration of fragmented tracheostomy tube into left main bronchus Chang-Teng Wu a,*, Jainn-Jim Lin a, Reming Yeh b a Division of Pediatric Critical and Emergency Medicine, Chang Gung Memorial Hospital, Chang Gung University Medical College, Chang Gung Children’s Hospital, 5 Fu-Shin Street, Kwei-Shan, Taoyuan 333, Taiwan, ROC b Department of Otolaryngology —Head and Neck Surgery, Chang Gung Memorial Hospital, Chang Gung University Medical College, Taoyuan, Taiwan, ROC Tracheostomy is common in the management of ventilator-dependent respiratory failure, although numerous complications associated with the procedure have been reported. Nevertheless, aspiration of a fractured part of a tracheostomy tube is rare in young children. We present a case of a fragmented tracheostomy tube that occurred 8 h after first use. DOI: 10.1016/j.ijporl.2006.12.027
Hygroma or teratoma? Pitfalls in the management of congenital cystic neck masses N.J. Clifton *, S.K. Ross, B. Gupta, K.P. Gibbin Directorate of Otorhinolaryngology/Head and Neck Surgery, Queen’s Medical Centre, Nottingham University Hospital, NHS Trust, Nottingham, UK
A plunging or cervical ranula is a mucous extravasation pseudocyst which arises from the sublingual gland and crosses the mylohyoid line into the neck. The definitive surgical treatment for plunging ranula is transoral excision of the ipsilateral sublingual gland. Plunging ranula is a rare entity in the pediatric population. To our knowledge, there are no reported cases of pediatric plunging ranula extending to the skull base. We present a rare case of a pediatric plunging ranula with extension to the parapharyngeal space and skull base as well as a review of the literature.
The differential diagnosis of a cervical mass detected antenatally or postnatally includes cystic hygroma and very rarely, teratoma. Even with present day high resolution imaging techniques, including MRI, a teratoma may be indistinguishable from a cystic hygroma radiologically. We present two cases of cervical teratoma. Experience with the first case, initially diagnosed and treated as cystic hygroma on MRI appearance, led to early suspicion and diagnosis of teratoma in the second case. Clinicians are now treating selected cases of cystic hygroma in utero with injection sclerotherapy on radiological grounds alone. From our experience we feel it important to highlight this pitfall in diagnosis and urge doctors to consider teratoma, albeit extremely rare, in the differential diagnosis.
DOI: 10.1016/j.ijporl.2006.12.026
DOI: 10.1016/j.ijporl.2006.12.028
External auditory canal leiomyoma: A pediatric case report Christopher T. Wootten *, John Fasig, David Kaylie Vanderbilt University, Department of Otolaryngology, 7209 Medical Center East, 215 21st Avenue North, 37232 Nashville, TN, United States EAC leiomyomas remain rare. Three cases have been previously published–—all angioleiomyomas occurring in middle-aged men. We report a leiomyoma of the EAC arising in a pediatric patient, and this is the first report of its kind. The differential for these tumors now includes congenital and acquired tumors of the cartilaginous EAC. Complete excision is the treatment of choice with no recurrences reported in the literature to date. DOI: 10.1016/j.ijporl.2006.12.025
Pediatric skull base plunging ranula: Case report and review of the literature Samuel T. Ostrower *, Sanjay R. Parikh Department of Otorhinolaryngology-Head and Neck Surgery, Albert Einstein College of Medicine, 3400 Bainbridge Avenue, Bronx, NY 10467, USA
Abstracts Migration of fragmented tracheostomy tube into left main bronchus Chang-Teng Wu a,*, Jainn-Jim Lin a, Reming Yeh b a Division of Pediatric Critical and Emergency Medicine, Chang Gung Memorial Hospital, Chang Gung University Medical College, Chang Gung Children’s Hospital, 5 Fu-Shin Street, Kwei-Shan, Taoyuan 333, Taiwan, ROC b Department of Otolaryngology —Head and Neck Surgery, Chang Gung Memorial Hospital, Chang Gung University Medical College, Taoyuan, Taiwan, ROC Tracheostomy is common in the management of ventilator-dependent respiratory failure, although numerous complications associated with the procedure have been reported. Nevertheless, aspiration of a fractured part of a tracheostomy tube is rare in young children. We present a case of a fragmented tracheostomy tube that occurred 8 h after first use. DOI: 10.1016/j.ijporl.2006.12.027
Hygroma or teratoma? Pitfalls in the management of congenital cystic neck masses N.J. Clifton *, S.K. Ross, B. Gupta, K.P. Gibbin Directorate of Otorhinolaryngology/Head and Neck Surgery, Queen’s Medical Centre, Nottingham University Hospital, NHS Trust, Nottingham, UK
A plunging or cervical ranula is a mucous extravasation pseudocyst which arises from the sublingual gland and crosses the mylohyoid line into the neck. The definitive surgical treatment for plunging ranula is transoral excision of the ipsilateral sublingual gland. Plunging ranula is a rare entity in the pediatric population. To our knowledge, there are no reported cases of pediatric plunging ranula extending to the skull base. We present a rare case of a pediatric plunging ranula with extension to the parapharyngeal space and skull base as well as a review of the literature.
The differential diagnosis of a cervical mass detected antenatally or postnatally includes cystic hygroma and very rarely, teratoma. Even with present day high resolution imaging techniques, including MRI, a teratoma may be indistinguishable from a cystic hygroma radiologically. We present two cases of cervical teratoma. Experience with the first case, initially diagnosed and treated as cystic hygroma on MRI appearance, led to early suspicion and diagnosis of teratoma in the second case. Clinicians are now treating selected cases of cystic hygroma in utero with injection sclerotherapy on radiological grounds alone. From our experience we feel it important to highlight this pitfall in diagnosis and urge doctors to consider teratoma, albeit extremely rare, in the differential diagnosis.
DOI: 10.1016/j.ijporl.2006.12.026
DOI: 10.1016/j.ijporl.2006.12.028