Oral steroids in chronic rhinosinusitis; macrolide therapy for chronic rhinosinusitis; parotid gland lymphoma consideration in parotid lesion evaluation; better dialogues with patients may minimize liability in cranial nerve injury malpractice trials; obesity in children with OSA can lead to depression, withdrawal; many otolaryngologists dissatisfied with current sinus CT results
A 75-year-old man presented with a left ear lobule melanoma and was found, on examination, to have a concurrent right parotid mass and bilateral cervical lymphadenopathy. A CT scan of the neck confirmed a 2-cm right superficial parotid mass containing both solid and cystic components without any pathognomonic characteristics, as well as bilateral cervical lymphadenopathy with multiple 2- to 3-cm lymph nodes. FNA biopsy of the parotid mass was consistent with carcinoma, whereas FNA samples from the cervical lymph nodes were non-diagnostic.