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Unusual Presentation of a Laryngeal Mass

Unusual Presentation of a Laryngeal Mass Clinical Review & Education Clinical Problem Solving | RADIOLOGY Oscar Trujillo, MD, MS; Justin Cohen, MD; Marc Cohen, MD; C. Douglas Phillips, MD A B C D Figure. Sagittal views of a patient with a neck mass. A, Computed tomographic scan of the neck with intravenous contrast. B, Magnetic resonance imaging examination demonstrating the mass compressed by the endotracheal catheter. C, Intraoperative image. D, Resection in a submucosal plane with scissors under microlaryngoscopy. Awomaninher50s with a history of hypertension and chronic back no respiratory distress. The primary team administered dexametha- pain presented to the emergency department. She had been discov- sonesodiumphosphateandconsultedtheotolaryngologyservice.On ered unresponsive in bed, was apneic, and was intubated in the field. examination, her vital signs were within normal limits, she was non- She had experienced multiple episodes of emesis. At presentation, a verbalbutinnoacutedistress,herbreathingunlaboredandsilent,with computed tomographic (CT) scan demonstrated diffuse subarach- no stridor or stertor. Passing a flexible fiber-optic laryngoscope con- noid hemorrhage, intraventricular hemorrhage, and communicating firmedthepresenceofanapparentsubmucosalmassthateitherorigi- hydrocephaluswithtonsillarandcentralherniation.Shereceivedman- nated from the epiglottis or deep to a severely edematous right ary- nitolandanemergentextraventriculardrain.Duringherhospitalstay, epiglottic (AE) fold or arytenoid, or completely obstructed the vocal a cerebral aneurysm was successfully treated by an endovascular cords from view. The mass did not http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Otolaryngology - Head & Neck Surgery American Medical Association

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Publisher
American Medical Association
Copyright
Copyright 2014 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6181
eISSN
2168-619X
DOI
10.1001/jamaoto.2014.1204
pmid
25033441
Publisher site
See Article on Publisher Site

Abstract

Clinical Review & Education Clinical Problem Solving | RADIOLOGY Oscar Trujillo, MD, MS; Justin Cohen, MD; Marc Cohen, MD; C. Douglas Phillips, MD A B C D Figure. Sagittal views of a patient with a neck mass. A, Computed tomographic scan of the neck with intravenous contrast. B, Magnetic resonance imaging examination demonstrating the mass compressed by the endotracheal catheter. C, Intraoperative image. D, Resection in a submucosal plane with scissors under microlaryngoscopy. Awomaninher50s with a history of hypertension and chronic back no respiratory distress. The primary team administered dexametha- pain presented to the emergency department. She had been discov- sonesodiumphosphateandconsultedtheotolaryngologyservice.On ered unresponsive in bed, was apneic, and was intubated in the field. examination, her vital signs were within normal limits, she was non- She had experienced multiple episodes of emesis. At presentation, a verbalbutinnoacutedistress,herbreathingunlaboredandsilent,with computed tomographic (CT) scan demonstrated diffuse subarach- no stridor or stertor. Passing a flexible fiber-optic laryngoscope con- noid hemorrhage, intraventricular hemorrhage, and communicating firmedthepresenceofanapparentsubmucosalmassthateitherorigi- hydrocephaluswithtonsillarandcentralherniation.Shereceivedman- nated from the epiglottis or deep to a severely edematous right ary- nitolandanemergentextraventriculardrain.Duringherhospitalstay, epiglottic (AE) fold or arytenoid, or completely obstructed the vocal a cerebral aneurysm was successfully treated by an endovascular cords from view. The mass did not

Journal

JAMA Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Aug 1, 2014

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