Aural myiasis: Case report from Nigeria

Abstracts / International Journal of Pediatric Otorhinolaryngology 75 (2011) 1469–1473

Nasal chondromesenchymal hamartoma: A case report and literature review Jose L. Mattos a,*, Stephen V. Early a,b a University of Virginia School of Medicine, University of Virginia, Charlottesville, VA, United States b Department of Otolaryngology, Head and Neck Surgery, University of Virginia, PO Box 800713, Charlottesville, VA 22908, United States

Nasal chondromesenchymal hamartoma is a rare neoplasm that most commonly affects children in the first year of life. However, cases in older individuals have been reported. This unusual lesion is benign in nature, but can be locally aggressive leading to complications. Only 23 cases have been reported, although cases in older literature may have been identified. We present the 24th case in a 3-year-old child with recurrent eye infections, congestion, and proptosis. This is the second case reported in children between the ages of 2 and 10 years, and also the second case of recurrence after complete initial resection.

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emphasize the evaluation of the patient, the benefit of preoperative imaging, the surgical risks, and the post-operative concerns. doi:10.1016/j.ijporl.2010.10.037

Bilateral simultaneous acute coalescent mastoiditis: A rare complication Elham Alwedyani, Abdulrahman AlSanosi * From the Department of Otorhinolaryngology, College of Medicine, King Saud University, Riyadh, Saudi Arabia

In the era of antibiotics the frequency of acute mastoiditis has decreased sharply. Here we present a 9-month-old girl with bilateral acute simultaneous coalescent mastoiditis who was treated conservatively.

doi:10.1016/j.ijporl.2010.09.031 doi:10.1016/j.ijporl.2010.10.038

A non-lethal bilateral temporal bone fracture in a 4 month old infant Hani Rifai, Hamdy El-Hakim * Pediatric Otolaryngology, Divisions of Pediatric Surgery and Otolaryngology, The Stollery Children’s Hospital & University of Alberta Hospitals, Edmonton, Canada

Temporal bone fractures in the pediatric age group account for 6–22% of all temporal bone fractures cases. It is extremely rare in infants, and will usually result in a lethal outcome. Complications of temporal bone fractures include cerebro-spinal fluid leaks, ossicular disruption, hearing loss and acquired cholesteatomas. We present the case report of a 4 month old baby who survived a motor vehicle accident, but sustained bilateral temporal bone fractures, with ossicular disruption and dislocation, and cholesteatoma formation. A cerebro-spinal fluid leak and brain herniation were averted courtesy of the head of the incus tamponading the defect in the skull base. We also present a short review of the current management of temporal bone fractures and its complications in children. doi:10.1016/j.ijporl.2010.09.032

Neonatal nasal mass: Chondromesenchymal hamartoma Anita Jeyakumar *, Tim McEvoy, Nicholas Fettman Department of Otolaryngology, 1465 South Grand Blvd, Suite B826, Saint Louis University, St Louis, MO 63104, USA

Neonatal nasal masses are rare and can present with respiratory and feeding problems. Frequently, due to a paucity of available data, nasal masses can be diagnostic and therapeutic dilemmas. We present a case of a 7-day-old full-term female, who presented to our clinic with a right-sided nasal mass that had been present since birth. A biopsy of the mass revealed a diagnosis of nasal chondromesenchymal hamartoma (NCMH). In this report, we

Respiratory distress caused by congenital mixed (lymphoid– venous) vascular hamartoma Gabriella Kecske´s a,*, La´szlo´ Rovo´ a, Pe´ter Rago´ b, Ma´rta Katona c, Szabolcs Tornyos c, Vale´ria Majoros a, Jo´zsef Jo´ri a a University of Szeged, Department of Oto-Rhino-Laryngology and Head-Neck Surgery, Tisza L.krt 111, 6725 Szeged, Hungary b University of Szeged, Department of Pathology, Hungary c University of Szeged, Department of Pediatrics, Hungary

Vascular malformations are a well described group of congenital cystic neck lesions. Besides true neoplasms the smallest percentage of these cases are non-neoplastic malformations or congenital disturbances of tissue development, often with an abnormal mixture of tissue indigenous to the region. A hamartoma may occur in any organ, it is characterized by a focal overgrowth of mature normal cells and tissues at sites of identical cellular composition. Haemangiomas, lymphangiomas, arteriovenous, capillary and venous malformations belong to the hamartoma group. The mixed hamartoma consisting of different types of vascular cells occurs seldom. The authors discuss the preoperative diagnostic possibilities, the differential diagnostic steps and the treatment concepts, through the case of a rare, congenital, mixed, prenatally diagnosed hamartoma, which led to early airway compromise. doi:10.1016/j.ijporl.2010.10.039

Aural myiasis: Case report from Nigeria F. Olatoke, O.A. Afolabi *, O.A. Lasisi, B.S. Alabi, A.A. Aluko ENT Unit, Kogi State Specialist Hospital, Lokoja, Nigeria

Myiasis is a disease caused the larvae of the Diphtera or twowinged flies. There are only sporadic reports in the literature

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Abstracts / International Journal of Pediatric Otorhinolaryngology 75 (2011) 1469–1473

concerning human ear myiasis. We report a case of a four-monthold infant with aural myasis and suppurative otitis externa with three live maggots extracted from external auditory canal after suffocation with olive oil and suctioning done with intact tympanic membrane. doi:10.1016/j.ijporl.2010.10.040

High-riding jugular bulb presenting as conductive hearing loss Sri Kiran Chennupati a, Nishant P. Reddy a, Robert C. O’Reilly b,* a St. Christopher’s Hospital for Children, Drexel University College of Medicine, Department of Otolaryngology, Philadelphia, PA 19134, United States b Nemours Alfred I. duPont Hospital for Children, Jefferson Medical College, Department of Otolaryngology, 1600 Rockland Road, Wilmington, DE 19803, United States

Partial cricotracheal resection for subglottic histiocytoma in a child. Case report and literature review Ahmad Alroqi a,b,*, Ahmad Alkurdi a,b, Khalid Almazrou a,b, Abdulaziz AlAjlan a,b a Department of Otolaryngology, King Abdul Aziz Medical City, Riyadh, Saudi Arabia b Department of Pathology, King Abdul Aziz Medical City, Riyadh, Saudi Arabia

Benign fibrous histiocytoma is a rare tumor of mesenchymal origin, and its occurrence in the head and neck is infrequently encountered. Most of the reported cases in the laryngeal region in the literature are of malignant nature, and mainly in adults. Fibrous histiocytoma can occur anywhere in the body. Fibrous histiocytoma represented 0.5% of all benign neoplasms of the larynx. A subglottic benign fibrous histiocytoma in a 5 year-old girl who underwent a single stage partial cricotracheal resection as a primary management. Up to our knowledge, this is the first report of such surgical management in this kind of tumors. doi:10.1016/j.ijporl.2010.11.032

The superior border of the jugular bulb normally lies below the hypotympanum. However, in rare cases, the jugular bulb may extend upwards elevating the floor of the hypotympanum and presenting in the middle-ear space. We present a case of a child with a bone-covered jugular bulb that mimicked the appearance of a mass impinging on the round window niche causing conductive hearing loss. In addition to a cholesteatoma or neoplasm, a bonecovered jugular bulb should also be considered when formulating a differential diagnosis in patients with similar clinical and radiologic findings.

Bilobar agenesis of thyroid gland with colloidal change of the isthmus and subclinical hypothyroidism: A case report Mainak Dutta *, Soumya Ghatak, Jayanta Saha, Ramanuj Sinha Department of Otorhinolaryngology and Head and Neck Surgery, R. G. Kar Medical College and Hospital, 1, Khudiram Bose Sarani, Kolkata 700004, West Bengal, India

doi:10.1016/j.ijporl.2010.11.030

Bilateral vocal cord immobility caused by a plastic slice: Image and anesthetic management Chau-Shiang Guo a, Yan-Yuen Poon b, Jyh-Ping Peng a,* a Department of Otolaryngology, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University College of Medicine, 123 Ta-Pei Road, Niao-Song Hsiang, Kaohsiung County 833, Taiwan b Department of Anesthesia, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan

This article will describe a rare case of bilateral vocal cord immobility caused by a foreign body and its successful anesthetic management. A 15-year-old adolescent boy presented dysphonia that appeared suddenly while drinking a beverage. According to the flexible laryngoscopy, a one-centimeter circular plastic slice from the cup seal was found stuck in the anterior commissure, making both of his vocal cords unable to move and blocking almost half of his airway. We removed the plastic slice through the rigid laryngoscopy where transtracheal catheter with jet ventilation was used to maintain oxygenation over a critical period. In this kind of case, transtracheal catheter with jet ventilation may be an alternative ventilatory technique to maintain the airway for further laryngomicrosurgery. doi:10.1016/j.ijporl.2010.11.031

Congenital thyroid abnormalities mostly include unilateral lobar agenesis, with or without involving the isthmus. Here we present only the third case of bilobar thyroid agenesis with residual isthmus as the only functioning thyroid tissue, and the first such case in a pre-pubertal male patient presenting early with a colloid goiter, with features of subclinical hypothyroidism as was evident from his biochemical profile. Subsequent CT scan, followed by radionucleotide scanning revealed hypertrophied isthmus, with empty paratracheal fossae, suggesting the diagnosis as bilobar thyroid agenesis. The child was managed conservatively with thyroxin with encouraging results. doi:10.1016/j.ijporl.2011.09.022

Otologic manifestations in a family with craniometaphyseal dysplasia E.B. Young a,*, J.L. Goins b, C.D. Constantine c, D.J. Kirse b a Wake Forest University School of Medicine, Winston-Salem, North Carolina, United States b Department of Otolaryngology, Wake Forest University School of Medicine, Winston-Salem, North Carolina, United States c Department of Hearing and Speech, Wake Forest University Baptist Medical Center, Winston-Salem, North Carolina, United States

Craniometaphyseal dysplasia is a rare genetic disorder classified as one of the osteochondrodysplasias. Hyperostosis is