Giant Epidermoid Cyst of the Bony External Ear Canal - A Rare Case Report
Article Type: Case Report | First Published: December 05, 2019
Epidermal cyst of the bony external auditory canal in adults is rare. Only nine cases are reported in the literature. They occasionally tend to develop into a malignancy. A 35-years-old female presented with complaints of decreased hearing and fullness at the left ear. The severity of these symptoms increased gradually for 6 months. On physical examination, the left otoscopy showed a mass that was completely occluding the canal; the tympanic membrane was not visualized. The property of this mass...
Preoperative Computed-Tomography for Endoscopic Sinus Surgery: A Simplified Checklist
Saad M Alshammari, MD and Nada A Alshaikh, MD
Article Type: Research Article | First Published: October 21, 2019
Endoscopic sinus surgery (ESS) gained growing popularity with indications expanding beyond rhinosinusitis. Preoperative high-resolution computed tomography (CT) scan is essential in providing the surgical map for surgeons. In addition of being a diagnostic imaging technique, it gives valuable information about origin, nature and extension of the pathology to adjacent structures. Therefore, preoperative review of para-nasal sinuses (PNS) CT scan is crucial in order to perform successful and compl...
A Revisit of Open Repair for Zenker's Diverticulum Compared to Endoscopic Repair
Ryan Marshall, MD, Gobind Gill, MD, Mohamad Babi, MD, Kirk Withrow, MD and Do-Yeon Cho, MD
Article Type: Research Article | First Published: November 04, 2019
The purpose of our study is to prove open repair (OR) for Zenker's diverticulum can result in similar lengths of stay in the hospital, and similar convalescent periods when compared to endoscopic repair (ER). Retrospective chart review was performed between 2013-2018 for those patients who had surgical repair of Zenker's diverticulum by two surgeons. After discussing all risks, benefits, and alternatives, patient made a decision whether to have ER vs OR of Zenker's diverticulum. These findings s...
Open Rhinoplasty Approach for Resection of a Subcutaneous Aneurysmal Fibrous Histiocytoma
Anna Frants, MD, Marissa Lafer, MD, Cheng Z Liu, MD and Judy W Lee, MD
Article Type: Case Report | First Published: October 14, 2019
Aneurysmal fibrous histiocytoma (AFH), also known as aneurysmal dermatofibroma, is a rare variant of the more common and benign dermatofibroma (fibrous histiocytoma). AFHs account for approximately 2% of all cutaneous fibrous histiocytomas, and have been reported to occur most often on the extremities of young to middle aged adults, with a slight female predominance. The mass was excised en bloc using an open rhinoplasty approach. Once the nasal skin-SMAS envelope was elevated, a lobular, cystic...
Modified Rhinolift: A Minimally Invasive Technique for Age- Related Tip Ptosis
Nikolaus Hjelm, MD, Peter Ciolek, MD, Ryan Heffelfinger, MD and Howard Krein MD, PhD
Article Type: Case Report | First Published: October 07, 2019
As one ages, the structure of the nose undergoes a number of changes, leading to alterations in form and function. Patients with no previous history of nasal issues may present with age-related nasal obstruction later in life. Tip ptosis is a well-recognized etiology of nasal obstruction in the aging patient. The pathogenesis is believed to be due to weakening of several of the tip support mechanisms. Of primary importance, there is age-related degradation of the fibrous union at the cephalic ed...