Subject(s)
Mucorales/immunology , Respiratory Hypersensitivity/etiology , Sinusitis/etiology , Adult , Female , Humans , Sinusitis/pathology , Sinusitis/surgeryABSTRACT
Diffuse idiopathic skeletal hyperostosis previously has been reported to cause a number of extraspinal manifestations including dysphagia, respiratory distress, dysphonia and cervical myelopathy. We report a case of cervical DISH so extensive as to interfere with the swallowing mechanism and lead to aspiration. Patients with DISH who have mechanical compression of the posterior pharynx may be at high risk for aspiration.
Subject(s)
Hyperostosis, Diffuse Idiopathic Skeletal/complications , Pneumonia, Aspiration/etiology , Spinal Osteophytosis/complications , Aged , Cervical Vertebrae/diagnostic imaging , Deglutition Disorders/etiology , Female , Humans , Hyperostosis, Diffuse Idiopathic Skeletal/diagnostic imaging , RadiographyABSTRACT
Twenty-four patients with malignant tumors of the external auditory canal and middle ear, originally seen between 1960 and 1980, were reviewed retrospectively. Seventeen patients had epidermoid carcinoma, one had adenocarcinoma, three had rhabdomyosarcoma, and one had osteosarcoma. At presentation, four had disease confined to the external auditory canal, three had superficial invasion of the bony canal, four had deeply invasive disease, and thirteen had disease that extended beyond the temporal bone. Treatment consisted of radiation, surgery, and combination therapy. Four patients with osteosarcoma or rhabdomyosarcoma received adjuvant chemotherapy. Five years after therapy, one of four patients with external auditory canal tumor died of disease, and two died of intercurrent disorders. One of three patients with superficial temporal bone invasion and two of four patients with deeply invasive tumor died of their disease; another died of intercurrent disorder. Twelve of 13 patients with tumor beyond the temporal bone died.
Subject(s)
Ear Canal/surgery , Ear Neoplasms/surgery , Ear, Middle/surgery , Adenocarcinoma/surgery , Adult , Aged , Aged, 80 and over , Carcinoma, Adenoid Cystic/surgery , Carcinoma, Squamous Cell/surgery , Combined Modality Therapy , Female , Follow-Up Studies , Humans , Male , Middle Aged , Osteosarcoma/surgery , Rhabdomyosarcoma/surgery , Skull Neoplasms/surgery , Temporal Bone/surgeryABSTRACT
A solid parotid mass and an ipsilateral facial weakness is nearly pathognomonic for a malignant parotid neoplasm. There are only a few documented cases in the world's literature of nonmalignant parotid lesions causing facial paralysis. A case is presented of a Warthin's tumor causing a facial palsy. Extensive areas of necrosis, inflammation, and fibrosis surrounding branches of the facial nerve may have accounted for the facial palsy.
