Laryngeal injury secondary to prolonged intubation has been extensively discussed in the literature. Little however, has been reported regarding laryngeal injury from short-term intubation. It is unclear what the basis may be for the common findings of hoarseness and discomfort after intubation for general anesthesia. Examined were 475 adults using indirect laryngoscopy immediately following intubation for elective surgical procedures. Our study indicates a small but significant number of patients will exhibit an injury after elective short-term intubation. This is most likely a result of intubation technique and recovery is generally prompt with conservative observation.

Mycobacterium tuberculosis and atypical mycobacterium are well-known causes of cervical lymphadenopathy, most often presenting without symptoms of systemic infection. These organisms may also directly involve the parenchyma of the major salivary glands and their periglandular or intraglandular nodes. The diagnosis of mycobacterial infections of the major salivary glands, compared to cervical lymph nodes, is equally--if not more--difficult to make. The differential must include the same spectrum of inflammatory and neoplastic diseases as well as lesions unique to the salivary glands. Selected cases are presented and discussed to show that principles established for the treatment of cervical mycobacterial infections must also be applied to major salivary gland infections. In particular, cutaneous fistulas may result from incisional biopsy or incision and drainage of the involved gland. Partial parotidectomy or submaxillary gland excision may be required, followed by multidrug, antituberculous chemotherapy for one to two years. Culturing of the organisms is extremely difficult, and the diagnosis of either mycobacterium tuberculosis or atypical mycobacterial infection must be based on a combination of history and clinical examination, skin testing, histopathology, acid-fast stains, culture, and response to surgery and antituberculous chemotherapy.

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\s=b\ The glomus tumor, or glomangioma, is a hyperplastic or hamartomatous lesion of the glomus body. It is composed of vascular channels surrounded by characteristic "epithelioid" cells, which are probably derived from smooth muscle. Glomus tumors rarely occur in the head and neck. We encountered the fifth documented case, to our knowledge, of a glomus tumor presenting in the nasal cavity. Although the lesion in this case was asymptomatic, intranasal glomus tumors producing nasal obstruction, pain, and epistaxis have been described. The complete excision of a glomus tumor normally cures the condition. (Arch Otolaryngol 1984;110:755-756)

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