Hypopharyngeal squamous cell carcinoma (SCC) is a rare form of malignancy and treatment approach is most commonly with chemo-radiotherapy or total pharyngolaryngoesophagectomy. We report a case of hypopharyngeal SCC managed with local resection and larynx preservation in a 77-year-old-woman. Total pharyngolaryngoesophagectomy renders patients with an alteration in both voice and ability to swallow hence carrying signifi cant post-operative morbidity. We review the literature for similar larynx-preserving operations and illustrate a novel approach to the management of this rare malignancy.

Introduction: The plexiform neurofibroma is a rare benign tumor which is often associated to type 1 neurofibromatosis or Von Recklinghausen’s disease. The laryngeal involvement in neurofibromatosis is extremely rare. The objective of our report is the consideration of laryngeal neurofibromatosis in the differential diagnosis of dyspnea in infants and children.

Objectives: To evaluate the clinical outcomes and complications following total laryngectomy in a South-East Asian Population. Design: 10-year retrospective review of cases of total laryngectomy or laryngo-pharygectomy. Main outcome measures: 5-year overall survival (OS) and disease-free survival (DFS). Results: 61 patients of which 55 (90%) had laryngeal SCC while 6 (10%) had hypopharyngeal SCC. Overall edian survival was 85 months. 5-year OS and DFS for laryngeal SCC were 65% and 47% respectively while 5-year OS and DFS for hypopharyngeal SCC were both 33%. Most common cause of death was due to advanced cancer secondary to disease recurrence.

Objectives: In a week, not every day the patient with allergic rhinitis will have symptoms; also, in a year, not every month the patient will have complaints. Therefore, the clinical evaluation of allergic rhinitis in children should take in consideration the frequency of symptoms and the circadian cycle.

Unexpected acute laryngeal obstruction is most often caused by foreign bodies or edema and rarely by cysts, infection, or neoplasia. Neoplastic cases include soft tissue tumors and benign epithelial tumors. We report a case of fatal, unexpected, sudden asphyxia due to laryngeal obstruction by a papillary squamous cell carcinoma, a unique presentation of laryngeal squamous cell carcinoma and in this case an unusual histologic pattern. A 61-year-old man experienced respiratory distress while at work. Laryngeal obstruction was discovered in the emergency department. Cricothyrotomy was performed, but his blood oxygen saturation levels failed to improve and he died after a prolonged resuscitation. Autopsy revealed a papillary squamous cell carcinoma on the inferior aspect of the right vocal fold. We suggest that this unusual presentation of laryngeal carcinoma may be due to the unusual histologic features of the tumor.

In the past decades, treatment of the temporal bone traumas (TBTs) was undeniably improved by advances in neuroradiological and in neuro-oto-surgical fields. However, these advances did not systematically enhance the quality of the approach to TBTs. Maybe they did not systematically target towards treatment- guidelines standardization. We suggest a simplified approach to TBTs, trying to enhance the communication among the different specialists involved in the matter, above all between the radiologists and not-radiologists.

Background: In patients with clinical T4 (cT4) squamous cell carcinoma (SCC) of sinonasal tract who received surgery, the relationship between positive surgical margins and positive clinical N stage as diagnosed by the presence of cervical lymph node metastasis has not been investigated so far. Therefore, we investigated the relationship between positive surgical margins and preoperative parameters in patients with cT4 SCC of the sinonasal tract following surgery.

Aim and objectives: Formalize a consensus about patient’s care management (nursing techniques, management of complications) with tracheotomy or tracheostomy at home and in care center. Background: Tracheotomy and tracheostomy are medical devices used for many years thus inspiring fear mainly by their symbolic impacts and the lack of training of health professionals.

Objective: To compare post-operative complications of mandibular angle fractures treated with manual reduction, arch bar maxillomandibular fixation (MMF), and non-arch bar MMF. Study Design: Retrospective chart review Methods: A retrospective review of patients with mandibular angle fractures at a tertiary care level 1 trauma center between 2001 and 2013. Reduction of the fracture(s) was classified into one of 3 groups: manual reduction, non-arch bar MMF, and arch bar MMF. The main outcome variables were post-operative malocclusion and infection.

We used a surgical procedure suggested by Murata et al. and inserted a T-silicon plate from the tympanic cavity into the opening of the eustachian tube in 2 cases of chronic otitis media. The goal of this surgery was to promote the regeneration and the epithelization of residual mucosa of the eustachian tube. In our results, epitheliums of regenerated tympanic mucosa were histologically examined. Two patients with eustachian tube stenosis demonstrated increased ventilatory function of the eustachian tube and showed epithelium of regenerated mucosa extended toward the mesotympanic and the pretympanic space surrounding the opening of the eustachian tube. Electron microscopic examination of regenerated mucosa of the anterior tympanic cavity, obtained after tubotympanoplasty revealed stratifi ed ciliated epithelium. From above results, our technique suggested to improve the ventilatory function of the eustachian tube, and to promote formation of epithelium of regenerated tympanic mucosa.

Purpose: since about only 30% of polysomnography results confirm the indications, it would be useful to identify clinical data predictive of positive results. The objective is to evaluate the correlation between clinical data and polysomnography findings in a cohort of patients.

Schwannomas of head and neck regioncommonly arise from the vestibular and vagus nerve. Hypoglossal nerve schwannomas are very rare. They may be intracranial only or have both intra and extracranial extension. Radiology specially, computed tomography (CT) and magnetic resonance (MRI) are useful in not only diagnosis but also identifying the nerve of origin. Total excision of the tumor via an external approach is the treatment of choice, for extracranial hypoglossal nerve schwannoma.