WAENT - World Articles in Ear Nose and Throat

Pictures & Videos of the Month - 2009

Feb. 2010 -- Video of the Month - Middle Ear Valsalva in a Patient With Bilateral Cholesteatomas.

Video of a 20 year old patient with bilateral cholesteatomas. The patient is able to valsalva her middle ear. Pictures of her otoscopic examination and CT Scan are presented.

View Video

Feb. 2010 -- Picture of the Month - Rhinophyma Submitted By: Bhandari, JS, Kangra, India.
Rhinophyma is a disease characterized by sebaceous hypertrophy. Rosacea has been implicated as a possible cause. Medical treatment with topical antibiotics such as metrogel and to keep the skin pores open, soaps, moisturizes, gels, sun screen may be recommended. In Severe cases, surgery may be required. View Surgical Treatment of Rhinophyma

Jan. 2010 -- Picture of the Month - Squamous Cell Carcinoma of the Ear Submitted By: Bhandari, JS, Kangra, India.
A large squamous cell carcinoma of the ear with has invaded the ear cabakm preauricular region and parotid salivary gland. This is a T4 cancer and would require a large surgical resection, including: 1) Total auriculectomy 2) Lateral temporal bone resection to 3) Total parotidectomy 4) Radical neck dissection And the patient would also require post operative radiation/chemo therapy.	Close-Up View of Picture

Jan. 2010 -- Picture of the Month - Squamous Cell Carcinoma of the Upper Lip
Submitted By: Bhandari, JS, Kangra, India.

A large squamous cell carcinoma of the upper lip. Note the chelitis and leukoplakia in the corners of the mouth. The inferior extension of the lesion needs to be defined. If the lesion does not extend too far inferiorly, this would then be a T2 cancer and amenable to treatment with surgical resection, possibly using an Abbe-Estlander Flap for reconstruction.

View Leukoplakia Pictures &
Read Discussion.

Close-Up View of Picture

Dec. 2009 -- Picture & Manuscript of the Month - Leukoplakia Submitted By: Santosh Patil, MDS, Nitin Kalla. BDS, Harshwardhan Singh, BDS
A 20 year old female patient reported with a complaint of a white lesion over cheek and gums for two years. Later, she noticed pain and secondary changes in the same area for two months. The patient had a habit of tobacco consumption and placed quid in the vestibule during the past 5 years. View Leukoplakia Pictures & Read Discussion.

Dec. 2009 -- Video of the Month Stapedectomy

This video demonstrates a stapedectomy technique where the prosthesis is placed into position and crimped on the incus before the stapes is removed.

View Video of The Surgical Removal of the Polyps (Microdirect Laryngoscopy with Mucosal Flap Reconstruction)

Nov. 2009 -- Video of the Month - Vocal Cord Polyp Removal

This video is of a 47 year old female patient with a 45 pack year history of smoking. She has had a hoarse voice for over a year. On fiberoptic laryngoscopy she was found to have large vocal cord polyps. Notice how thin the overlying mucosa is and the clear gelatinous material in the polyps allow visualization of the vocalis tendon.

View Video of The Surgical Removal of the Polyps (Microdirect Laryngoscopy with Mucosal Flap Reconstruction)

Oct. 2009 -- Video of The Month - Debridement of Necrotic Nasal Tissue.

The picture of to the right shows extensive necrosis of the nasal cavity and septal perforation in a 35 year old mail who abused narcotics.

View Video of Debridement of the Necrotic Tissue.

Click on Picture to View Video of the Nasal Debridement.

Oct. 2009 -- Picture of The Month - Perilymph Fistula.

The picture on the right shows a large cholesteatoma involving the middle ear and mastoid cavity. The patient was 55 years old with a long history of hearing loss and a one week history of severe dizziness. Surgery was performed and a fistula with exposure of the endosteum of the horizontal semicircular canal was found.

View Flash Presentation of A Cholestetooma with a Fistula of Semicircular Canal.

Click on Picture to Flash Presentation of a Perilymph Fistula.

Sep. 2009 -- Picture of The Month - Esophageal Diverticulum.

The picture to the right shows a mid esophageal diverticulum in a 40 your old patient with dysphagia. Click on the picture to view a Flash Presentation of the X-Rays and endoscopic findings.

Click on Picture to View Flash Presentation

Sep. 2009 -- Picture of The Month - Dermoid Cyst of the Neck.

The picture to the right shows dermoid cyst in a 14 year old pediatric patient. Click on the picture to view a Flash Presentation of the CT Scan and surgery.

Click on Picture to View Flash Presentation

Aug. 2009 -- Picture of The Month - Vocal Cord Ulceration.

The picture to the right shows a larynx with extensive leukoplakia of the true vocal cords and ulceration of the right true vocal cord in a patient who smoked 1.5 packs of cigarettes per day for 42 years.