Dual tongue: the unexpected origin

Laryngeal lipoma is a very rare benign laryngeal tumour. Although it has an indolent growth, laryngeal lipoma can lead to compression and obstruction at upper aero digestive tract which leads to dysphagia, dyspnoea and hoarseness. Case Report: A 26-year-old man who came with presenting complaint that he developed a second tongue recently. His voice has turned muffled. Examination showed an accessory tongue appeared to arise from supraglottic region from nasoendoscopy. A transoral endoscopic excision of the lipoma was done. He has a complete resolution of symptom immediately following surgery with no recurrence on follow up. Conclusion: A complete excision of laryngeal lipoma is important as its location may cause mechanical narrowing of upper aerodigestive tract, giving symptoms of airway obstruction and difficulty swallowing. We highlighted the structures that may involve in laryngeal lipoma and its type

Primary localized amyloidosis in nasopharynx: a case report

Nasopharyngeal amyloidosis is an extremely rare benign tumour. It is divided into localized or systemic amyloidosis. It is more common in men. Clinical presentation includes nasal blockage, epistaxis and reduced hearing. Classical positive Congo red stain and appearance of apple green birefringence on polarized microscopy confirms the diagnosis of amyloidosis. We present a case of nasopharyngeal amyloidosis in a 44-year old lady who presented with acute hearing loss for 1 week with epistaxis mimicking nasopharyngeal carcinoma. Clinical examination showed a nasopharyngeal mass with biopsy proven AA amyloidosis. She is now cured of amyloidosis following endoscopic transnasal excision of tumour. We discuss on the similarity of presentation between nasopharyngeal carcinoma; the commonest malignant tumour in our region and the much rarer nasopharyngeal amyloidosis as well as highlighting the importance in early recognition of the latter in view of its known risk of systemic involvement

Nodal histiocytic disorder in children: report of three cases and review of literature

Background: Histiocytic system consists of phagocytes and dendritic cells. Both are found in lymph nodes. Usually, this disorder presents with painless cervical lymph node enlargement hence frequently mistaken for lymphoma or tuberculosis. Case presentation: Here, we report three pediatric cases: one of Langerhans cell histiocytosis and two of sinus histiocytosis and massive lymphadenopathy with neck mass as initial presentation. The final diagnosis was made with fine needle aspiration cytology, biopsy, and ancillary tests. Conclusion: Biopsy and immunohistochemistry studies are recommended for determining subtypes of histiocytosis and further management of patient

Olfactory and gustatory outcomes following endoscopic transsphenoidal hypophysectomy

Abstract Objective The aim of this study was to evaluate olfactory, gustatory, and quality-of-life outcomes in patients who underwent endonasal transsphenoidal hypophysectomy. Methods In this prospective study, the patients were assessed subjectively using the Malay version of sQOD-NS (short questionnaire of olfactory disorders in a negative statement) and objectively using the culturally adapted Sniffin’ Sticks smell test and taste test preoperatively and 3 months postoperatively. The Sniffin’ Sticks smell test consists of odor identification, odor discrimination, and odor threshold tests. The taste test consists of different sweet, salt, sour, and bitter concentrations. Results Twenty patients were enrolled in the study. The study comprises 45% female and 55% male. On average patients’ ages were 49.5 years. In this study we found a significantly reduced in odor identification score (p = 0.049) post-surgery; however, there was no statistically significant difference in odor threshold, odor discrimination, and taste. The olfactory quality of life outcome based on the Malay version of sQOD-NS (p = 0.001) was significantly reduced after surgery. There was no significant difference in the Sniffin’ Sticks smell test (p < 0.178) and taste test (p < 0.425) pre-surgery and post-surgery. The tumor’s location, either sellar or suprasellar, did not influence the smell outcome of patients postoperatively (p = 0.056). Conclusion The study showed that the endoscopic transsphenoidal technique for pituitary surgery does not pose permanent olfactory disability