682 Abstracts

Atlantoaxial subluxation mimicking neck mass

Suay Ozmen *, Demir Munir Bajin,Omer A. Ozmen, Umut Mehmet Akyol

Hacettepe University Medical Faculty, Departmentof Otorhinolaryngology, 8/7 Dikmen, 06540Ankara, Turkey

Non-traumatic atlantoaxial subluxation (AAS) is arare complication of upper respiratory system infec-tion or head and neck surgery. It is called Grisel’ssyndrome named after P. Grisel, who first describedthis condition. AAS without an underlying causeis an extremely rare entiity. We present a caseof AAS mimicking anterior in the neck without anunderlying cause.

DOI: 10.1016/j.ijporl.2006.11.028

Hydatid cyst of the submandibular salivary glandin a child

Cagatay Han Ulku a,*, Yavuz Uyar a,Salim Gungor b, Duygu Koroglu a, Hamdi Arbag a

a Selcuk University School of Medicine, Departmentof Otolaryngology, Head and Neck Surgery, Meram42100, Konya, Turkeyb Selcuk University School of Medicine Departmentof Pathology, Meram, Konya, Turkey

The majority of hydatid cysts are seen in the liverand lungs. In countries where Echinococcus infesta-tion is common, high index of suspicion is requiredfor hydatosis and although it is a rare location, ahydatid cyst should be considered in the differentialdiagnosis of the cervical lesions in order to avoidany dangerous complication such as untreatablemultiple hydatosis or a fatal anaphylactic reaction.Surgical removal without causing any spillage ofits contents is the most effective treatment. Tothe best of our knowledge, only one submandibulargland hydatid cyst case in a child has been reported.

A case of 9-year-old male with hydatid cystof the submandibular salivary gland is presented.The literature was reviewed and characteristicsof the disease were discussed.

DOI: 10.1016/j.ijporl.2006.11.029

Congenital inferior turbinate hypertrophy:An unusual cause of neonatal nasal obstruction

Jeff Kwok *, Man-Kit Leung, Peter Koltai

Touro University College of Osteopathic Medicine,United States

Inferior turbinate hypertrophy (ITH) in the pedia-tric population is generally an acquired problemwhose etiology includes septal deviation, allergicrhinitis, gastroesophageal reflux disease, andenlarged adenoids. Congenital ITH is rarely seen,but requires full evaluation since these babies canexhibit respiratory and feeding difficulties. Areview of the English language citations in thePubMed database (1965—2006) failed to revealany references that specifically address congenitalITH. We report a case of a newborn boy withITH and resulting respiratory distress, obstruc-tive sleep apnea, and altered external nasaldevelopment who failed medical managementbut was successfully treated by performingan endoscopic inferior turbinoplasty utilizing amicrodebrider.

DOI: 10.1016/j.ijporl.2006.11.030

Facial paralysis in an infant with infectiousmononucleosis

Aziz Polat *, Yasemin Isık Balcı,Masallah Candemir, Tugrul Karakus, Mine Cinbis

Pamukkale University, Faculty of Medicine,Department of Pediatrics, 20100 Denizli, Turkey

Infectious mononucleosis is caused by Epstein—Barrvirus, and is rarely seen in infancy. Clinical findingsinclude exudative tonsillitis, generalized or cervicallymphadenopathy, and hepatosplenomegaly. Manycomplications can arise, but these rarely includefacial paralysis. We reported a 19-month-old patientwho developed facial paralysis secondary to infec-tious mononucleosis.

DOI: 10.1016/j.ijporl.2006.11.031

A case of osteoma with cholesteatoma of theexternal auditory canal and cerebellar abscess

B. Viswanatha *

ENT Department, Victoria Hospital, BangaloreMedical College, Bangalore, Karnataka, India

An osteoma of the external auditory canal is anuncommon unilateral lesion that is often asympto-matic. The association of osteoma with cholestea-toma of the external auditory canal and middle earcleft is very rare. Here a case of osteoma andcholesteatoma of the external auditory canal with