ABSTRACT
A case involving a 35-year-old man with massive, bilateral, slow-growing ossifying fibromas in the maxillary sinuses resulting in facial deformity and orbital compression is discussed. The historical difficulty in categorizing fibro-osseous lesions and the importance of clinical, radiographic, and surgical findings relating to the proper diagnosis and treatment are reviewed. The use of the CT scan to delineate the extent of the pathologic lesion is demonstrated.
Subject(s)
Fibroma , Maxillary Sinus Neoplasms , Neoplasms, Multiple Primary , Osteoma , Paranasal Sinus Neoplasms , Adult , Fibroma/pathology , Humans , Male , Maxillary Sinus Neoplasms/pathology , Neoplasms, Multiple Primary/pathology , Osteoma/pathology , Paranasal Sinus Neoplasms/pathologyABSTRACT
Four cases of laryngeal trauma are presented and the literature is reviewed. Diagnostic techniques and controversial primary treatment of airway obstruction are discussed. Recommendations include the use of indirect laryngoscopy on initial examination and the performance of a tracheostomy in cases of airway obstruction, in lieu of endotracheal intubation. The cases illustrate these points and demonstrate the variability in time intervals between injury and onset of symptoms.
