Incidental Finding of a Persistent Stapedial Artery in a Patient Presenting

Ostoscopic Clinic
Incidental Finding of a Persistent Stapedial Artery in a Patient Presenting With Conductive Hearing LossCollin J. O’Bryan, BS, and James J. Klemens, MDDOI: 10.1177/01455613211032005Significance Statement
A persistent stapedial artery is a congenital vascular malformation that can cause tinnitus and/or conductive hearing loss. Although rare, this case highlights the importance of recognizing aberrant anatomy as a potential cause of patients’ symptoms. It also demonstrates how to recognize and treat patients with a symptomatic persistent stapedial artery.DivengruleOstoscopic ClinicA Rare Cause of Red Tympanic Membrane: Jugular Bulb DiverticulumBoon Chin Te, MRCSed, Kai Ping Ong, MD, and Izny Hafiz Zainon, MS (ORL-HNS)DOI: 10.1177/01455613211031384Significance Statement
Pulsatile tinnitus with erythematous tympanic membrane mass suggests vascular pathologies such as dural arteriovenous fistula, glomus tympanicum, or aberrant carotid artery. Jugular bulb aneurysmatic diverticulum is rare but should be suspected in a case with the presence of aneurysm in other organs. An imaging study is mandatory to confirm the diagnosis. Patient must avoid digging ear as it can cause profuse bleeding. Treatment option can be open surgery or endovascular treatment.Divengrule-1699631523Imaging ClinicAn Unusual Case of Stubborn Petrified PinnaMounika Reddy Y, DNB, T Shankar, MS, Y Gautham Reddy, MD, and Nitya Goddanti, MSDOI: 10.1177/01455613211028087Significance Statement
Petrified pinna is clinically characterized by an unbending rigid stone hard ear. Usually, the majority of the patients are asymptomatic but occasionally may experience pain from local pressure while sleeping. This uncommon condition is reported to be in association with local trauma, hypothermia, inflammation, and several life-threatening endocrine and systemic diseases. Awareness and knowledge to identify this entity is essential as it might be helpful in treating several systemic conditions and thus any untoward events.Divengrule-1699631524Head and Neck ClinicEarly Internal Branch of Superior Laryngeal Nerve Bifurcation Passes Through Double Thyroid ForamenGeorge K. Paraskevas, MD, MSc, PhD, Alexandros Poutoglidis, MD, MSc, Nikolaos Lazaridis, MD, MSc, PhD, Nikolaos Anastasopoulos, MD, MSc, PhD, and Nikolaos Tsetsos, MD, MScDOI: 10.1177/01455613211029115Significance Statement
Internal branch of superior laryngeal nerve (ibSLN) provides sensory innervation mostly to the supraglottic part of the larynx and thus prevents aspiration during ingestion. Normally, it is distributed to the larynx after piercing the thyrohyoid membrane above the superior laryngeal artery. Multiple anatomical variations in the course of ibSLN have been reported. An early ibSLN bifurcation and course through double thyroid foramen constitutes an interesting anatomical variation that may easily lead to an injury during procedures in the thyroid gland and the larynx. Knowledge of the anatomical variability is essential in order to prevent surgical complications that could potentially impact the patient’s quality of life.Divengrule-1699631526Case ReportColon Cancer With Metastatic Involvement of the Thyroid Incidentally Found at Excision of Parathyroid AdenomaThaddeus J. Sullivan, BS, and Fayez Chahfe, MDDOI: 10.1177/01455613211028060Abstract
Metastatic disease from primary colon cancer in the thyroid is rare. The authors have submitted such a case. What makes this case particularly unusual is that it was in a man. 80% of such cases are in women. It has been speculated that there may be a humoral component. What is even more unique in this case is that it was found during the workup of a symptomatic parathyroid adenoma. The diagnosis was confirmed with immunochemistry using markers Cytokeratin 20 (CK20), Cytokeratin 7 (CK7), and Thyroid Transcription Factor 1 (TTF-1).Divengrule-1699631529Case ReportApocrine Hidrocystoma of the Parotid GlandInes Kharrat, MD, Imen Achour, PhD, Wadii Thabet, MD, Mohamed Amine Chaabouni, MD, Majdi Trigui, MD, Mariem Triki, MD, Bouthaina Hammami, PhD, and Ilhem Charfeddine, PhDDOI: 10.1177/01455613211031028Abstract
Apocrine hidrocystoma is a cystic tumor originating from apocrine sweat glands. It is predominantly located in the eyelid margins. Here, we report a case of apocrine hidrocystoma of the parotid gland in a 19-year-old man who was referred to our outpatient clinic with a 5-year history of a gradual swelling in the left parotid region. The patient underwent left superficial parotidectomy. Histological examination confirmed the diagnosis of apocrine hidrocystoma. The case is original by the tumor’s location: to the best of our knowledge, this could be the first case in English and French literature reporting an apocrine hidrocystoma affecting the parotid gland. The purpose of this article is to report our case and discuss its clinical and anatomopathological features as well as its differential diagnoses.Divengrule-1699631531Case ReportPleomorphic Adenoma of the Submandibular Gland in a 10-Year-Old Child: A Case ReportBouatay Rachida, MD, Ons Kharrat, Resident, Wiem Boughzala, Resident, Seifeddine Ben Hammouda, MD, Nouha Ben Abdeljelil, MD, Naourez Kolsi, MD, and Jamel koubaa, MDDOI: 10.1177/01455613211022113Abstract
We report the case of a 10-year-old girl with a painless slowly growing mass that had developed over the course of 2 years in the left submandibular area. Physical examination revealed a firm painless submandibular mass with no other associated signs. Ultrasound graphics were in favor of a sebaceous cyst. Fine-needle aspiration and magnetic resonance images (MRI) concluded to a pleomorphic adenoma of the submandibular gland. The patient underwent left submandibulectomy. Histopathological examination confirmed the diagnosis of pleomorphic adenoma arising from the submandibular gland. The postoperative course was uneventful. Pleomorphic adenoma of the submandibular gland represents a diagnostic and therapeutic dilemma in children. Preoperative evaluation, including MRI and fine-needle aspiration, is recommended. Total submandibulectomy is also recommended to minimize recurrences and to avoid malignant transformation.Divengrule-1699631959Case ReportAtypical Carcinoid of the Larynx: A Case ReportYue Hu, MD, Xing Guo, MD, Feifei Jiang, MD, and Aihui Yan, MDDOI: 10.1177/01455613211024868Abstract
Neuroendocrine carcinomas are a spectrum of rare and highly heterogeneous malignant tumors. Neuroendocrine carcinomas mainly arise from neuroendocrine cells scattered throughout the body. They mainly occur in the lung and gastrointestinal tract. Atypical carcinoid of the larynx is a rare type of neuroendocrine carcinoma, which is easily misdiagnosed as hemangioma in appearance. We mainly feature the disease to you through the diagnosis and treatment of a case of atypical carcinoid of the larynx.Divengrule-1699631960Case ReportSimultaneous Sudden Hearing Loss and Peripheral Facial Paralysis in a Patient With Covid-19Fulya Ozer, MD, PhD and Ozlem Alkan, MDDOI: 10.1177/01455613211028094Abstract
Although peripheral facial paralysis and sudden sensorineural hearing loss are not as common as anosmia, they are reported neurological manifestations of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). We present a 62-year-old, serologically COVID-19 positive woman with seventh and eighth nerve involvement showed electrophysiologically with Auditory Brainstem Response and electroneurography and radiologically with internal acoustic canal magnetic resonance imaging. This single case report suggests a possible association between the SARS-CoV-2 infection with simultaneous sudden sensorineural hearing loss and isolated facial paralysis. However, further studies are needed to determine whether this relationship is coincidental or occasional.Divengrule-1699631962Clinical StudyNational Quality Evaluation of Medication Use for Pediatric Otitis Media With EffusionYu-Lu Chen, MS, Te-Yung Fang, MD, Pa-Chun Wang, MD, MSc, MBA, Ya-Hui Chen, MHA, Ting-Chuan Wang, MHA, and Wan-Tsui Huang, MSDOI: 10.1177/01455613211020531 Otitis media with effusion (OME) is characterized by the presence of fluid in the middle ear without the presentation of signs or symptoms of acute ear infection. The point prevalence of OME reaches as high as 60% in children younger than 2 years of age. We used the National Health Insurance Research Database (NHIRD) to investigate the use of medication in children with OME before receiving ventilation tube insertion (VTI). Methods: Data of pediatric patients (age ≤ 12 years) who had OME and received VTI from January 1, 2011, to December 30, 2012, were retrieved from the Taiwan NHIRD. We surveyed the use of 4 medications to understand whether health care providers achieved the standards of medication use recommended by clinical practice guidelines. Results: This study examines the factors affecting the use of medication for pediatric OME. Overall, according to the study’s operational definitions, the use of systemic antibiotics was most common (59.9%), followed by systemic antihistamines (23.4%), systemic steroids (8.8%), and intranasal steroids (9.6%). Systemic antibiotics use was associated with 12 factors. Ten of the 12 factors increase the use of systemic antibiotics, including namely age (age > 2 years), comorbidities, teaching hospital, and community hospital. In contrast, namely catastrophic illness and watchful waiting are the 2 factors that decrease systemic antibiotics use. For the use of systemic antihistamines, systemic steroids, and intranasal steroids were related to 6, 5, and 2 factors, respectively. Conclusions: The rate of drug use differs from the rate of use recommended by commonly used clinical practice guidelines. We found that the higher the number of factors that influenced the patients’ drug use, the higher the rate of drug use. According to these results, drafting a treatment guideline for OME patients in accordance with current clinical practices in Taiwan is highly recommended.Divengrule-1699631964Imaging ClinicAn Unusual Case of a Pharyngeal Fistula to the Cervical Spine Causing OsteomyelitisKevin B. Harris, MD, Achintya D. Singh, MD, Brian B. Burkey, MD, Amit Bhatt, MD, John J. Vargo, MD, and Brian B. Baggott, MDDOI: 10.1177/01455613211029773Significance Statement
Pharyngeal fistulas to the cervical spine resulting in vertebral osteomyelitis are a rare, yet clinically important, complication of total laryngectomy performed in conjunction with chemoradiotherapy or radiation therapy. This complication is likely underdiagnosed and can have a high mortality rate. It is very important that clinicians are aware of this complication as early diagnosis and management may improve patient outcomes.Divengrule-1699632275Letter to the EditorRenin–Angiotensin–Aldosterone System Imbalance and Altered Aquaporin Activity: A New Perspective for COVID-19-Associated XerostomiaAmit Jain, MD, Massimo Lamperti, MD, and Francisco A. Lobo, MDDOI: 10.1177/01455613211030348Journal CoverSage PremierXLEAREB1Wexner Medical CenterEB2EoseraMcKeonEndoscopic endonasal orbital apex decompression for carotid cavernous fistulaThe Clinical Characteristics in Children with Sinonasal Inverted Papilloma: A Case Report and ReviewInfluence of the electrode array design on incidence of vertigo symptoms and vestibular functionAssociation between postoperative vertigo and hearing outcomes after stapes surgery for otosclerosisOtolaryngology specific symptoms may be highly observed in patients with a historySurgical Approach to Frontal and Ethmoid Sinus Osteomas: The Experience of Two MetropolitanAnatomical Variations Associated with Maxillary Sinus Fungal BallENT Telephone Clinics During the Coronavirus Pandemic: An Analysis of 400 Telephone ConsultationsOnline Otolaryngology: A comprehensive model for medical student engagement in the virtualIsolated Traumatic Dislocation of the Malleus into the External Auditory CanalOnline only cover pageIncidental Finding of a Persistent Stapedial Artery in a Patient PresentingVersoSage Twitter