Here, we document a rare and unique presentation of an accessory tragus (AT). A 3-year-old male presented with a 2-cm congenital post-auricular mass on his right side. Upon resection and histologic examination, the mass demonstrated histologic features consistent with an AT. To the best of our knowledge, this is the first reported case of an AT presenting posterior to the auricle.
This case report documents a rare and unique presentation of an oropharyngeal duplication cyst and subsequent neonatal airway management. A one-day-old premature female presented with postpartum respiratory distress requiring emergent intubation secondary to an oropharyngeal mass of the left tongue. After being stabilized and transferred to an academic center, imaging revealed a cystic lesion that was then marsupialized and drained by the otolaryngology team. Pathology demonstrated mature colonic tissue and was consistent with an enteric duplication cyst. This report highlights the importance of prenatal diagnosis and the potential of a lifesaving ex utero intrapartum treatment (EXIT) procedure.
ObjectivesApproximating the maxillary sinus natural ostium's (MSNO) natural position during anterograde surgery is challenging, as only a single visual “landmark,” the maxillary line, is routinely offered to guide the identification of the MSNO in three‐dimensional space. Despite almost 40 years of endoscopic sinus surgery (ESS) experience in North America, maxillary recirculation and discontinuity between the natural and surgical ostia are commonly encountered during revision ESS. Consequently, we feel an additional visual landmark would assist in localizing the MSNO with or without image guidance. In this study, we aim to provide a second reliable landmark in the sinonasal cavity.MethodsWe present a cadaveric anatomical landmark series that provides a second visual landmark for the MSNO, which we have labeled the transverse turbinate line (TTL): a 2‐millimeter zone of confidence for the craniocaudal positioning of the MSNO that can be combined with the anteroposterior (AP) landmark of the maxillary line.ResultsIn our study, 40 cadaveric sinuses were dissected, and the TTL was found to correspond consistently with the zone between the superior and inferior aspects of the MSNO.ConclusionWe anticipate that this second relational landmark may decrease the time required for anterograde access to the MSNO in trainees, increase the accuracy of identification, and translate to lower long‐term recirculation and maxillary surgery failure rates.Level of EvidenceN/A Laryngoscope, 2023
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