Fungal otomastoiditis is a rare condition and is usually associated with host immunodeficiency. It is difficult to diagnose, and many cases are fatal. Treatment consists of surgical debridement, attempts to control the underlying immunological condition and antifungal chemotherapy. Individual case reports in immunocompetent patients have been published previously. We report a case series of seven with fungal otomastoiditis, all in immunocompetent patients.
Idiopathic left recurrent laryngeal nerve palsy is a relatively common entity. However, very occasionally, a sinister mediastinal cause is diagnosed on investigation. Even more rare is the situation where the same lesion also causes a phrenic nerve palsy.
We present such an interesting case where an aortic arch aneurysm, in an elderly male with renal disease, led to both recurrent laryngeal and phrenic nerve palsies. The clinical features, management options and related literature are discussed.
How to cite this article
Joseph TK, Nair RM. Combined Recurrent Laryngeal and Phrenic Nerve Paralysis due to Aortic Arch Aneurysm. Int J Phonosurg Laryngol 2013;3(2):58-60.
Most common malignancy involving orbit is secondary deposits. Orbital metastasis from thyroid malignancy is rare (3.6%) and is usually from follicular and medullary carcinoma thyroid. Here we are presenting the case report of a lady who presented with loss of vision and on evaluation was found to have orbital metastasis from papillary carcinoma thyroid.
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