ENT

Foreign Body in Maxillary Sinus: A Rare Case of Chronic Rhinosinusitis

Richard Barnett, DO^* and Meigra Chin, MD^*

DOI: https://doi.org/10.21980/J85H09Issue 3:4 No ratings yet.

Computed tomography (CT) sinus with contrast demonstrated complete opacification of left paranasal sinuses and nasal cavity, and a linear radiopacity within the left maxillary sinus consistent with a foreign body. There were additional left facial subcutaneous radiopaque opacities.

ENT Visual EM

Cauliflower Ear Secondary to a Chronic Auricular Hematoma

Nichole Niknafs, DO^*

DOI: https://doi.org/10.21980/J8S63XIssue 3:4 No ratings yet.

On exam, the patient has a gross deformity to the left pinna that was not painful to touch or fluctuant. Findings and history are consistent with cauliflower ear, secondary to a chronic auricular hematoma.

ENT Visual EM

Sialadenitis

Lauren Sylwanowicz, MD^* and Andrew Wong, MD, MBA^{^}

DOI: https://doi.org/10.21980/J8NH0NIssue 3:4 No ratings yet.

The computed tomography (CT) scan demonstrates prominent enlargement and heterogeneous enhancement of the right submandibular gland (single large arrow) compatible with sialadenitis. There is no evidence of a sialolith or obstruction on the CT. There is associated edema (two small arrows) of the right submandibular space, parapharyngeal space and anterior right neck with partial effacement of the right vallecula and right pyriform sinus.

ENT Visual EM

An Unusual Case of Pharyngitis: Herpes Zoster of Cranial Nerves 9, 10, C2, C3 Mimicking a Tumor

Jason Cheng, DO^*, Gregory Reinhold, DO^* and Rahmon Zuckerman, DO^*

DOI: https://doi.org/10.21980/J8B05K Issue 3:2 No ratings yet.

On exam, the patient was sitting upright while holding an emesis basin filled with saliva. His voice was noticeably hoarse. Examination of the head and neck revealed vesicular eruptions on the left scalp in the V1 dermatome and on the left mastoid process (Images 1 and 2). Physical exam also shows vesicular eruptions on the left posterior oropharynx that did not cross midline (Image 3).

ENT Visual EM

Ramsay Hunt Syndrome

John Costumbrado, MD, MPH^* and Ryan Brenchley, MD^*

DOI: https://doi.org/10.21980/J85S7QIssue 3:2 No ratings yet.

Left-sided cranial nerve VII palsy with flattened forehead creases, inability to keep the left eye open, and drooping of the corner of mouth. Vesicular lesions were found in and posterior to the left ear in a unilateral, dermatomal distribution.

ENT Visual EM

A Case of Otomastoiditis

Chad Correa, BS^* and Claire Thomas, MD^{^}

DOI: https://doi.org/10.21980/J8RK89Issue 3:2 No ratings yet.

The patient underwent computed tomography (CT) of the head which revealed opacification of the left middle ear (red arrow) and mastoid air cells (red circles). Additionally, there was thickening of the soft tissues of the external auditory canal (blue arrowhead), likely reflecting concurrent otitis externa. Based on the imaging, he was admitted for findings consistent with acute otomastoiditis.

ENT Infectious Disease Visual EM

A Sublingual Mass in a 5-Year-Old Male

Chris A Rees MD, MPH^*, Andrea T Cruz, MD, MPH^{^} and Corrie E Chumpitazi, MD, MS^{^}

DOI: https://doi.org/10.21980/J8H622Issue 3:1 No ratings yet.

Oral ranula. On oral inspection he had a 3 x 1.5 cm, soft, non-tender, mobile, cystic, sublingual mass on the right aspect of the floor of his mouth that did not move with swallowing (Image 1). There was mild associated submandibular swelling on the right side of his face.

ENT Visual EM

Novel Emergency Medicine Curriculum Utilizing Self-Directed Learning and the Flipped Classroom Method: Head, Eyes, Ears, Nose and Throat Emergencies Small Group Module

Andrew King, MD^*, Paul Crawford^*, Christopher San Miguel, MD^*, Michael Barrie, MD^*, Sandra Spencer, MD^{^}, Alyssa Tyransky^* and Nicholas Kman, MD^*

DOI: https://doi.org/10.21980/J8PW5N Issue 2:4 No ratings yet.

We aim to teach the presentation and management of HEENT emergencies through the creation of a flipped classroom design. This unique, innovative curriculum utilizes resources chosen by education faculty and resident learners, study questions, real-life experiences, and small group discussions in place of traditional lectures. In doing so, a goal of the curriculum is to encourage self-directed learning, improve understanding and knowledge retention, and improve the educational experience of our residents.

Curricula ENT Small Group Learning

Bedside Ultrasound for the Diagnosis of Peritonsillar Abscess

Harshal Bhakta, BS,^* Maili Alvarado, MD^{^} and Daryn Towle, MD*

DOI: https://doi.org/10.21980/J8N33N Issue 2:4 No ratings yet.

The first video is an intraoral ultrasound using the high frequency endocavitary probe demonstrating an anechoic fluid collection adjacent to the patient’s enlarged left tonsil. The second video shows real-time ultrasound-guided successful drainage of the PTA.

Ultrasound ENT Infectious Disease Visual EM

Oropharynx Ulceration

Lauren Sylwanowicz, MD^* and Andrew Wong, MD, MBA^*

DOI: https://doi.org/10.21980/J87W60 Issue 2:4 No ratings yet.

The photograph demonstrates an area of ulcerative tissue at the left palatine tonsil without surrounding erythema or purulent drainage. The computed tomography (CT) scan shows a large ulceration of the left soft palate and palatine tonsil (red arrow). There is no evidence of skull base osteomyelitis. There is suppurative lymphadenopathy with partial left jugular vein compression due to mass effect (yellow highlight). There is mild nasopharyngeal airway narrowing with architectural distortion (blue arrow), but no other evidence of airway obstruction.

ENT Visual EM