A 33-year-old white male presented with a one-year history of right-sided odynophagia. Symptoms were constant and exacerbated by swallowing. He had a history of cryptic tonsils but had not undergone tonsillectomy; his past medical history was otherwise unremarkable. There was tenderness to palpation over the right tonsil with exacerbation of symptoms. No head and neck masses were appreciated. A CT scan was obtained.
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Falling on Deaf Ears: Hearing loss in older adults may be an undertreated condition
Most people will experience some degree of hearing loss as they age. Statistics from the National Institute on Deafness and Other Communication Disorders at the National institutes of Health (NIH) indicate that 30 percent of adults ages 65 to 74, and 47 percent of adults 75 years or older, have hearing loss.
Clarity Needed on Which Patients with PTC Can Be Safely Observed
Can localized papillary thyroid cancer (PTC) forgo surgery and be observed? Background: Recent epidemiologic trends have documented a dramatic increase in the incidence of PTC, much of it due to the […]
Intranasal Corticosteroid Not Recommended as Monotherapy for Acute Rhinosinusitis
Is an intranasal corticosteroid (INCS) effective monotherapy for treatment of acute rhinosinusitis? Background: Acute rhinosinusitis is often treated with antibiotics as if it were a bacterial infection; however, estimates suggest that […]
Hoarseness Guidelines Continue to Draw Scrutiny: Panel members question evidence-based criteria
The newly adopted clinical practice guidelines (CPG) on hoarseness—and concerns that portions are overly simplistic and could harm care—took center stage here in a panel discussion at the Annual Meeting of the American Society of Pediatric Otolaryngology, part of the Combined Otolaryngology Spring Meetings held here April 28-May 2.
MRI Useful for Identification of Sudden Sensorineural Hearing Loss Etiology
What is the evidence for different etiologies of sudden sensorineural hearing loss (SSNHL)? Background: The incidence of SSNHL has been estimated from five to 20 per 100,000 persons per year, but […]
Secondhand Smoke Increases Chronic Rhinosinusitis Risk
Is exposure to secondhand smoke a risk factor for chronic rhinosinusitis (CRS)? Background: There are surprisingly few studies that address the association between secondhand smoke (SHS) and sinusitis, and most use […]
Scarless Surgery: The benefits and drawbacks of robotic thryroidectomy
Using robotic arms, surgeons can now remove the thyroid gland through an incision in the axilla, or armpit, thereby avoiding the large scar on the front of the neck caused by traditional thyroid surgery. The procedure offers no other benefits over the traditional approach developed a century ago by Emil Theodor Kocher, MD, according to head and neck surgeons who perform the robotic surgery. In fact, it takes longer to recover from the robotic surgery, they say, with some patients complaining of chest numbness for months afterwards.
Submandibular Gland Excision Successful for Surgical Management of Sialorrhea
What is the best procedure for surgical management of drooling? Background: Surgical treatment for sialorrhea is considered when conservative measures fail. Options include sublingual gland excision, submandibular gland (SMG) duct […]
Experts Debate Pediatric Airway Issues
In a recent debate-style panel, five otolaryngologists addressed topical clinical issues relating to the pediatric airway ranging from adenotonsillectomy in children with obstructive sleep symptoms, to whether cidofovir should be used as a standard treatment in children with recurrent respiratory papillomas.
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