WAENT - World Articles in Ear Nose and Throat

Pictures & Videos of the Month - 2009, 2010

Jun. 2010 -- Flash Slide Presentation of an Intrathorasic Thyroid Goiter
The pictures are from a 45 year of female with a large thyroid goiter extending to the prevertebral space and into the mediastinum to the level of the aortic arch.. View Flash Slide Presentation	Click on Pictures to Enlarge

May 2010 -- Video of a Biopsy of the Nasopharynx

The video show the ho had a suspected mass in the nasopharynx which was found incidentially on a MRI scan. .

View Video of Transnasal Endoscopic Biopsy of the Nasopharynx

Click on Pictures to Enlarge

Apr. 2010 -- Picture of a MRSA - Methicillin-resistant Staphylococcus Aureus
The patient is a 55 year old who had a 3 day history of progressive swelling and pain involving the right lower lip. The lip was incised which expressed 3 ml of pus. Final cultures revieled MRSA. A rubber band drain was placed for three days and the patient was placed on sulfamethoxazole and trimethoprim (Bactrim). The patient had an uneventful recovery. Learn More About MRSA	Click on Pictures to Enlarge

Apr. 2010 -- Video of Tympanoplasty
The picture on the right shows the elevation of the annular ligament during a tympanoplasty or repair of the eardrum. The middle ear mucosa is seen below the ligament. This mucosa is incised to obtain access to the middle ear. View Tympanoplasty Video	Click on Pictures to Enlarge

Mar. 2010 -- Video of Drainage of Ethmoid Mucocele.

This video shows an ethmoid mucocele and nasal polyp in a 80 year old patient who sought medical attention after an ethmoid sinus mass was found on CT Scan. On nasal endoscopy the mucocele cavity was entered and abundant thick fluid was removed. A wide opening into the mucocele's cavity was created.

View Video

Dr. Sudhakar Vaidya, Ujjain, India

Mar. 2010 -- Picture of a Post Auricular Abscess. Submitted By: Jasbir Bhandari
The pictures on the right shows a young girl with acute coalescent mastoiditis. Treatment of Coalescent Mastioditis and Subperiosteal Abscess

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.