Benign Lymphoid Hyperplasia of the Tongue Base Causing Upper Airway Obstruction

Severe benign lymphoid hyperplasia (LH) is unusual in the head and neck region, but the diagnosis of LH is of clinical importance as it may be confused with malignant lymphoma, both on clinical examination and pathologically. While the etiology is poorly understood, a number of previous theories exist, which are included here in the context of a literature review. In this paper we present a case of severe pharyngeal lymphoid hyperplasia causing airway obstruction and requiring tracheotomy and subsequent surgical debulking.

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Upper Airway Obstruction in Infectious Mononucleosis

Annals of Otology Rhinology & Laryngology ◽

10.1177/000348948008900511 ◽

1980 ◽

Vol 89 (5) ◽

pp. 430-433 ◽

Cited By ~ 21

Author(s):

Judith A. Wolfe ◽

Lee D. Rowe

Keyword(s):

Airway Obstruction ◽

Infectious Mononucleosis ◽

Upper Airway ◽

Lymphoid Hyperplasia ◽

Unusual Complication ◽

Recent Experience ◽

Respiratory Obstruction ◽

Swallowing Function ◽

Bulbar Paralysis ◽

Upper Respiratory

Life-threatening upper respiratory obstruction is an unusual complication of infectious mononucleosis. Although the majority of fatalities result from progressive bulbar paralysis or the Guillain-Barré syndrome, airway impairment primarily occurs as a result of pharyngeal lymphoid hyperplasia and associated faucial arch edema. Recent experience in a young child with infectious mononucleosis who exhibited progressive hypersomnolence, sleep apnea, and stridor during sleep is presented. In addition, a retrospective analysis of 72 cases of respiratory complications of infectious mononucleosis provides guidelines for specific airway management. Mild upper respiratory obstruction with persistent fever, severe odynophagia, and malaise is treated with parenteral corticosteroids. Immediate tonsillectomy using a halothane and oxygen induction technique is recommended for severe airway occlusion. Tracheotomy is currently reserved for those patients with progressive alveolar hypoventilation, hypercarbia, atelectasis, and bulbar paralysis. In general, tonsillectomy is well-tolerated, eliminating airway obstruction, improving swallowing function, and rapidly resolving pharyngeal discomfort.

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Tophaceous gout presenting as a dorsal nasal lump

The Journal of Laryngology & Otology ◽

10.1258/0022215054273160 ◽

2005 ◽

Vol 119 (6) ◽

pp. 492-494 ◽

Cited By ~ 11

Author(s):

J P Hughes ◽

Silvana Di Palma ◽

J Rowe-Jones

Keyword(s):

Literature Review ◽

Head And Neck ◽

Soft Tissues ◽

Neck Region ◽

Endoscopic Technique ◽

Tophaceous Gout ◽

Head And Neck Region ◽

Nasal Bones ◽

Aesthetic Rhinoplasty ◽

Emergency Tracheotomy

A literature review reveals that gout has been described as affecting many sites in the head and neck region, both in the arthritic and tophaceous form. Gout can often mimic malignancy or infection, and has been described as causing acute airway problems requiring emergency tracheotomy. Here we describe the first published case of tophaceous gout affecting the soft tissues overlying the nasal bones. The patient presented with a bony, hard, dorsal hump and requested aesthetic rhinoplasty.We also describe an endoscopic technique for removal of tophi using a powered microdebrider system with a protected burr head. Endoscopic powered microdebrider blade excision of tophi affecting the limbs has already been described, with reduced complications when compared with conventional curettage and debridement techniques. This is the first such application to the nose.

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Parapharyngeal cerebrospinal fluid collection: an unusual complication of temporal bone fracture

The Journal of Laryngology & Otology ◽

10.1017/s0022215110002409 ◽

2010 ◽

Vol 125 (3) ◽

pp. 321-323

Author(s):

C Kirton ◽

A Guidera

Keyword(s):

Cerebrospinal Fluid ◽

Literature Review ◽

Airway Obstruction ◽

Temporal Bone ◽

Bone Fracture ◽

Fluid Collection ◽

Upper Airway ◽

Upper Airway Obstruction ◽

Unusual Complication ◽

Temporal Bone Fracture

AbstractObjective:We present an unusual case of parapharyngeal cerebrospinal fluid collection causing upper airway obstruction following a temporal bone fracture.Method:Case report and literature review of temporal bone fracture associated with parapharyngeal cerebrospinal fluid collection.Results:A 19-year-old man presented with cerebrospinal fluid otorrhoea and temporal bone fracture following a head injury. He was discharged after 48 hours of observation. The patient returned within 6 hours with sudden unilateral neck swelling and stridor after blowing his nose. Flexible nasendoscopy and computed tomography showed extrinsic compression of the pharynx, with partial upper airway obstruction. A literature review using Pubmed™ and Medline™ identified no previously reported cases of parapharyngeal cerebrospinal fluid collection associated with temporal bone fracture.Conclusion:This case illustrates a previously undescribed complication of temporal bone fracture. Raised intracranial pressure in the presence of a cerebrospinal fluid fistula may lead to airway obstruction, following temporal bone fracture.

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The successful use of bipolar radiofrequency ablation (coblation) in treatment of a lymphatic malformation affecting the upper airway

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20163104 ◽

2016 ◽

Vol 2 (4) ◽

pp. 267 ◽

Cited By ~ 1

Author(s):

Lynn H. Koh ◽

Henry KK Tan

Keyword(s):

Case Report ◽

Radiofrequency Ablation ◽

Upper Airway ◽

Neck Region ◽

Lymphatic Malformation ◽

Treatment Modalities ◽

Airway Compromise ◽

Lymphatic Malformations ◽

Head And Neck Region ◽

Bipolar Radiofrequency

<p class="abstract">Lymphatic malformations of the head and neck region frequently involve the upper aero digestive tract. Patients with these lymphatic malformations may present in early infancy with sudden airway compromise. This necessitates early intervention with intubation or tracheostomy for airway stabilization. The etiology and pathogenesis of lymphatic malformations is still unclear, and a wide array of treatment modalities has been proposed. We present a case report of a neonate with a lymphatic malformation involving the upper airway, and discuss how the patient was initially stabilized with a tracheostomy, following which he underwent a series of staged procedures, including bipolar radiofrequency ablation, which eventually led to successful decannulation.</p>

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Leiomyosarcoma of the auricle: case report and literature review

The Journal of Laryngology & Otology ◽

10.1017/s0022215100140204 ◽

1998 ◽

Vol 112 (2) ◽

pp. 166-168 ◽

Cited By ~ 5

Author(s):

R. Murat Karasen ◽

Yavuz Sutbeyaz ◽

Cemal Gundogdu ◽

Bulent Aktan

Keyword(s):

Smooth Muscle ◽

Case Report ◽

Literature Review ◽

Head And Neck ◽

External Auditory Canal ◽

Neck Region ◽

Malignant Tumour ◽

Head And Neck Region ◽

Muscle Origin

AbstractLeiomyosarcoma is a malignant tumour of smooth muscle origin. These tumours are rarely encountered in the head and neck region. A case of leiomyosarcoma of the auricle is presented. There are two cases of external auditory canal leiomyosarcoma in the literature. To our knowledge the present case is the first example of leiomyosarcoma of the auricle.

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Airway management in vascular central airway obstruction: a literature review

10.22514/sv.2021.131 ◽

2021 ◽

Keyword(s):

Literature Review ◽

Airway Management ◽

Airway Obstruction ◽

Preoperative Planning ◽

Upper Airway ◽

Upper Airway Obstruction ◽

Surgical Reconstruction ◽

Central Airway Obstruction ◽

Central Airway

Vascular central airway obstruction (CAO) is a rare cause of upper airway obstruction in adults. CAO occurs below the level where it is invisible in a laryngoscope. Doctors therefore should pay attention to the possibilities of vascular CAO when attempting to prevent and resolve catastrophic complications from upper airway obstruction such as cardiorespiratory collapse and hemoptysis, which requires a thoughtful preoperative planning of airway management before starting a surgical reconstruction.

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Eosinophilic chronic rhinosinusitis and concurrent Kimura’s disease treated with mepolizumab

BMJ Case Reports ◽

10.1136/bcr-2019-232627 ◽

2021 ◽

Vol 14 (1) ◽

pp. e232627

Author(s):

Jacqueline Ho ◽

Sophie Walter ◽

Richard J Harvey

Keyword(s):

English Language ◽

Cervical Lymphadenopathy ◽

Upper Airway ◽

Neck Region ◽

Kimura’S Disease ◽

Inflammatory Disorder ◽

Head And Neck Region ◽

Chronic Inflammatory Disorder ◽

First Case ◽

Eosinophilic Chronic Rhinosinusitis

Kimura’s disease is a rare, benign, chronic inflammatory disorder characterised by its eosinophilic infiltrate. Patients often present with one or more progressively enlarging subcutaneous lymph nodes in the head and neck region or enlarging salivary glands. We describe the case of a 26-year-old man presenting with severe peripheral eosinophilia and upper airway inflammatory symptoms, who later developed cervical lymphadenopathy and formally diagnosed with Kimura’s disease. Based on our English-language MEDLINE literature search, to our knowledge this is the first case report describing treatment of Kimura’s disease with mepolizumab.

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Extraoral Osseous Choristoma in the Head and Neck Region: Case Report and Literature Review

Case Reports in Otolaryngology ◽

10.1155/2019/8532356 ◽

2019 ◽

Vol 2019 ◽

pp. 1-3

Author(s):

Philipp Arens ◽

Andrea Ullrich ◽

Heidi Olze ◽

Florian Cornelius Uecker

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Literature Review ◽

Head And Neck ◽

Benign Tumor ◽

Neck Region ◽

Cervical Tumor ◽

Submandibular Region ◽

Head And Neck Region ◽

Important Differential Diagnosis

An osseous choristoma is a benign tumor consisting of regular bone tissue in an irregular localization. Choristomas in the head and neck region are rare. Most frequently, they are found in the region of the tongue or oral mucosa. There are also very few reports on osseous choristomas in the submandibular region. We present the case of a woman with a large, caudal osseous choristoma within the lateral cervical triangle. Literature review is given about all of the reported cases in the region of the neck. The pathogenesis is yet unexplained. Our case supports the theory that the development of an osseous choristoma is a reaction to a former trauma. Cervical osseous choristomas are seldom, but they represent an important differential diagnosis when dealing with a cervical tumor.

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Cavernous Hemangioma of the Tongue

Case Reports in Dentistry ◽

10.1155/2013/898692 ◽

2013 ◽

Vol 2013 ◽

pp. 1-3 ◽

Cited By ~ 1

Author(s):

Krishna Kripal ◽

Senthil Rajan ◽

Beena Ropak ◽

Ipsita Jayanti

Keyword(s):

Oral Cavity ◽

Head And Neck ◽

Cavernous Hemangioma ◽

Lateral Surface ◽

Benign Tumor ◽

Clinical Importance ◽

Neck Region ◽

Histological Evaluation ◽

Head And Neck Region ◽

Appropriate Treatment

Hemangioma is a benign tumor of dilated blood vessels. It is most commonly seen in the head and neck region and rarely in the oral cavity. Hemangiomas in the oral cavity are always of clinical importance and require appropriate treatment. We report here a case of a 34-year-old female patient with a swelling on the lateral surface of tongue which did not respond to the sclerosing agent and was finally confirmed as cavernous hemangioma on histological evaluation.

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Benign Lymphoid Hyperplasia of the Tongue Masquerading as Carcinoma: Case Report and Literature Review

The Journal of Contemporary Dental Practice ◽

10.5005/jcdp-6-3-111 ◽

2005 ◽

Vol 6 (3) ◽

pp. 111-119 ◽

Cited By ~ 5

Author(s):

Sunitha Carnelio ◽

Gabriel Rodrigues

Keyword(s):

Case Report ◽

Literature Review ◽

Lymphoid Hyperplasia ◽

Germinal Centers ◽

Major Surgery ◽

Benign Lymphoid Hyperplasia ◽

Mononuclear Infiltrate ◽

Carcinoma Of The Tongue

Abstract Lymphoid hyperplasia of the tongue is a very rare benign lymphoproliferative lesion that closely resembles carcinoma or lymphoma, clinically or histopathologically. A case of benign lymphoid hyperplasia (BLH) of the tongue is reported. Clinically this lesion presented as a painless ulcer, which mimicked carcinoma of the tongue. Microscopy showed typical histologic features of multiple germinal centers with a rim of small mature lymphocytes together with a mixed, mainly mononuclear infiltrate which clinched the diagnosis of benign lymphoid hyperplasia. This diagnosis averted extensive investigations and major surgery. The etiology of these lesions is unknown. Their distinction from carcinoma and lymphoma is discussed. Citation Carnelio S, Rodrigues G. Benign Lymphoid Hyperplasia of the Tongue Masquerading as Carcinoma: Case Report and Literature Review. J Contemp Dent Pract 2005 August;(6)3:111-119.

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