Allan P. Wolff

Acute epiglottitis in adults: Experience with fifteen cases†‡

Fifteen adults with acute epiglottitis are discussed. Three required tracheostomy because of delayed diagnosis. There were no deaths.

Intracavernous Carotid Artery Aneurysm Presenting as Recurrent Epistaxis

Massive epistaxis from a leaking intracavernous carotid artery aneurysm is a rare occurrence. Such an unusual case is presented with appropriate imaging and a successful treatment program.

MR Diagnosis of Acoustic Neuromas

Two hundred forty-three patients with clinically suspected acoustic neuroma were evaluated radiologically by CT, and in selected cases CT cisternography and/or magnetic resonance imaging. Fifty-one acoustic neuromas were diagnosed and surgically removed; 36 were large tumors with extracanalicular extension and 15 were strictly intracanalicular small tumors. With routine CT (without and with contrast medium) large and enhancing lesions (36 of 51) were visualized, but small intracanalicular tumors (15 lesions) were missed. The latter were visualized by CT cisternography (seven cases) or MR (eight cases). Magnetic resonance, when used with spin-echo technique using both short as well as long sequences for axial and coronal thin slices (5 mm or smaller), demonstrated all the surgically verified lesions.

Current concepts in neuroradiological diagnosis of acoustic neuromas

Two hundred twenty‐one cases with clinical suspicion of a cerebellopontine angle (CPA) and/or internal auditory canal (IAC) lesions were evaluated in our hospital in the last 2 1/2 years by various radiological modalities. Fifty‐two tumors were diagnosed and surgically removed; 48 were acoustic neuromas (33 large tumors and 15 intracanalicular small tumors) and 4 meningiomas.

Four Unusual Neoplasms of the Nasopharynx

Epidermoid carcinoma and angiofibroma are the commonly diagnosed lesions of the nasopharynx. Less common are unusual tumors of epithelial origin as well as those from endothelial and mesenchymal precursors. Otolaryngologists must be knowledgeable in the literature associated with these tumors to facilitate early diagnosis and to institute appropriate therapy. Cases of verrucous carcinoma, inverted papilloma, adenoid cystic carcinoma, and extramedullar plasmacytoma are presented. Current literature is reviewed and accepted modes of treatment are outlined.

Kirschner Wire Migration through the Jugular Foramen

Kirschner wires commonly are used to provide interosseous fixation. Although they usually retain their intended position, migration of these sharply pointed metal pins has been reported.