Head and Neck Surgery

A rare case of a huge mass in the thyroid gland that developed in a 45-year-old man who presented with a diffuse neck mass is discussed. Imaging showed a large mass in the neck, with no extra thyroid extension. A preoperative diagnosis was made by fine-needle aspiration as suspicious for tuberculosis or malignancy. Open surgical excision biopsy yielded a definitive...
(Vol 14 p 11-15, Head and neck surgery: 4 August 2014)
A 38-year-old woman was diagnosed as having hyperparathyroidism. Surgery to remove 3.5 parathyroid glands was scheduled along with intraoperative neuromonitoring of the recurrent laryngeal/superior laryngeal nerves. Even though the neuromonitoring during the surgery indicated intact recurrent laryngeal nerves, on removal of the endotracheal tube, the anesthesiologist...
(Vol 14 p 21-23, ENT; Head and Neck Surgery; General Surgery: 23 July 2014)
We report a rare case of leiomyosarcoma arising in the nasal cavity. A 45-year-old woman visited our hospital because of recurrent epistaxis in 1998. A biopsy was performed on a mass in the posterior area of the left nasal cavity, and a histological diagnosis of leiomyosarcoma was made. Although the nasal tumor was resected via left lateral rhinotomy, tumor recurrence was...
(Vol 13 p 4-11, ENT; Head and neck surgery: 6 March 2013)
Metastatic involvement of the thyroid is extremely rare and can present many years after the primary. Rarely, they cause critical airway obstruction and death as a result. This article describes the case of previously well 68-year-old man, who on presentation with left shoulder pain and mild shortness of breath, was found to have extensive and longstanding left cervical...
(Vol 12 p 23-26, Head and neck surgery; Medical ethics: 3 July 2012)
We present a case of a 58-year-old woman with a posterior neck mass who underwent fine-needle aspiration of the lesion, with initial cytopathologic evaluation being consistent with metastatic squamous cell carcinoma. However, following excisional biopsy of the tumor, histopathologic evaluation revealed a pilomatricoma. Appreciation of the difficulty in cytologic...
(Vol 12 p 17-22, Head and neck surgery; General surgery; Paediatric surgery; Pathology: 27 April 2012)
Oromandibular dystonia is thought to originate from a dysregulation of centrally mediated movement, whereby repetitive or sustained spasms of the masticatory, facial, or lingual muscles result in involuntary, and possibly painful jaw movement. Here we present 2 unique cases of oromandibular dystonia referred as temporomandibular joint disorders.
(Vol 12 p 1-5, Dentistry: 19 January 2012)
Dirofilariasis is a parasitic infection caused by a nematode, which typically infects dogs. Incidental human infection remains rare but is increasing. Dirofilariasis typically presents as a subcutaneous lesion or pulmonary nodules. Here we present the case of a 32-year-old British man who presented with mealtime symptoms from obstruction of Stensen’s duct. On histology...
(Vol 10 p 107-109, Maxillofacial Surgery: 22 December 2010)
A case of cutaneo-cutaneous fistula superior to the external auditory canal extending from the mastoid skin to the skin over the zygoma is reported. The adult patient presented with recurrent discharge and swelling of the skin over the zygoma and mastoid bones. Definitive treatment was in the form of complete excision of the fistula tract.
(Vol 9 p 54-57, ENT/head and neck surgery; Microbiology: 24 December 2009)
Foreign bodies within the para-nasal sinuses are a reported cause of chronic unilateral rhinosinusitis. The most commonly cited cause is of dental origin. One previously reported case cited a foreign body from the repair of an orbital blow-out fracture. Suspicion of a sinugenic foreign body cause may only be aroused by a thorough history and examination, usually confirmed...
(Vol 8 p 43-45, ENT; Head and neck surgery: 18 November 2008)
We report the case of a 60-year-old woman with a multinodular goitre who underwent total thyroidectomy and was found intraoperatively to have a parathyroid ‘incidentaloma’. The surgical approach to the management of patients with incidental parathyroid disease is discussed and a review of the literature is presented.
(Vol 7 p 45-47, ENT/Head Neck Surgery, General Surgery, Endocrinology: 14 May 2007)
In 1920 Walter Ellis Sistrunk described the classic operation of thyroglossal cyst excision including the central portion of the hyoid bone and a core of tissue around the thyroglossal tract to open into the oral cavity at the foramen caecum. We present this paper and discuss its relevance to current practice.
(Vol 6 p L1-L2, Landmark case report, Otolaryngology, Paediatric Surgery: 28 November 2006)
Metastatic involvement resulting in voice alteration may occur from vocal cord infiltration or recurrent laryngeal nerve involvement. We present a case of metastatic prostate adenocarcinoma to the left infrahyoid neck compressing the larynx resulting in hoarseness. A case report with one-year follow-up is presented. The patient is a 65-year-old male with hoarseness and a...
(Vol 5 p 28-33, Oncology, Ear, nose and throat: May 2005)
Metastatic involvement resulting in voice alteration may occur from vocal cord infiltration or recurrent laryngeal nerve involvement. We present a case of metastatic prostate adenocarcinoma to the left infrahyoid neck compressing the larynx resulting in hoarseness. A case report with one-year follow-up is presented. The patient is a 65-year-old male with hoarseness and a...
(Vol 5 p 28-33, Oncology, Ear, nose and throat: May 2005)
Reactive arthritis following upper respiratory tract infections is well known. The usual age group is young adults and management of the arthritis with anti-inflammatory medication is the mainstay of treatment. We present a case of reactive arthritis following tonsillitis, which was successfully treated by tonsillectomy.
(Vol 5 p 8-9, Otolaryngology; rheumatology; general medicine: January 2005)
A useful method of handling orthognathic treatment models is described that utilises magnetic attachment of study models to an articulator, allowing rapid and reliable manipulation between pre- and post-operative positions of the maxilla and/or mandible. Both the orthodontic and surgical staff can easily study planned surgical movements.
(Vol 3 p 16-18, Maxillofacial surgery: September 2003)

Editor-in-Chief

Frank Cross
Consultant Vascular and General Surgeon
The London Clinic, UK

Editors

Neil Barnes
Consultant Physician
Barts Health NHS Trust, London, UK
Ali Jawad
Professor of Rheumatology
Barts Health NHS Trust, London, UK

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