Neuroendocrine carcinoma arising from the septum. A very rare nasal tumour.

The case is presented of a 73-year-old male with a history of right-sided nasal obstruction, hyponasal speech and three episodes of recurrent epistaxis. On examination, there was a tumour in the right nasal cavity. Computed tomography showed a mass in the right nasal cavity extending to the right maxillary sinus, ethmoidal cells and right sphenoid sinus. The patient underwent a functional endoscopic removal of the tumour. Biopsy revealed a small cell neuroendocrine carcinoma. This is an extremely rare tumour of the nasal cavity and sinuses. Because of the aggressive behaviour of this tumour, he was also treated with combined chemotherapy and radiation. Ten months later, he remains free of disease.

A pain in the neck: a rare case of isolated hyoid bone trauma.

We report the first case of dislocation of the symphysis between the great cornu and the body of the hyoid bone following strangulation in survivors. The present paper presents a rare case of injury to the hyoid bone and reviews the current knowledge on hyoid bone injuries in survivors.

Cochlear implantation following temporal bone fracture.

Patients with bilateral temporal bone fractures frequently suffer profound hearing loss. These patients may benefit from cochlear implantation. Displaced fracture lines and ossification of the cochlea might complicate insertion of the electrode array. In the present paper we present a case of a failed cochlear implantation due to ossification of the cochlea, followed by a successful one on the opposite side in a patient who sustained bilateral temporal bone fractures. Preoperative imaging may identify these factors, help guide the appropriate surgical approach and choose which side to implant. We aim to highlight the necessity of imaging and discuss the reliability of computed tomography (CT) scanning in predicting cochlear patency in cases of temporal bone fracture. Possible management options in the case of complex cochlear implantation are also described.

Myoepithelial carcinoma of the retromolar area in a young female. A rare case report.

We present a case of a 34-year-old woman with myoepithelial carcinoma of the retromolar area. Myoepithilial carcinoma is a rare tumor of small salivary glands most usually located in the parotid gland. The major differential diagnosis of myoepithelioma is from pleomorphic adenoma. Little is known about the clinical and biological behavior and the prognosis of myoepithelial carcinoma and there is no consensus for its treatment. It is considered a low-grade malignancy; it sometimes shows aggressive behavior and may locally recur. Our patient was treated successfully with wide-local resection and remained free of disease for 6 months.