Study Design: Retrospective review.

Methods: A retrospective chart review was performed for three patients who underwent cricopharyngeal myotomy for intractable cough. Trigger phenomena, previous evaluation and treatment, and outcomes after surgery, namely patient perception of improvement and medication use after surgery, were assessed and documented.

Results: After cricopharyngeal myotomy, all three patients noted symptomatic improvement and were weaned off medication. Continued improvement was noted at follow up, with a mean length of 22 months (range: 7-36 months).

Conclusions: Cricopharyngeal myotomy may be an alternative treatment for chronic cough in patients for whom workup is negative and medical management, dilation, and botulinum toxin have failed to provide long-term relief.

Poster presented at CSOM: Combined Otolaryngology Spring Meeting in Orlando Florida, April 10-14, 2013.

Objectives: To discuss retinoblastoma protein as a prognostic indicator in oropharyngeal carcinoma.

Objectives: The objectives of this presentation are to discuss the anatomy, pathology, surgical techniques and post-operative management of frontal sinus.

Objectives: The objectives for this are to discuss our institutition’s management of cerebrospinal fluid leaks of the anterior and lateral skull base.

Objectives: The objectives for this presentation are to discuss the results of a literature review of Castleman’s disease in the pediatric population.

Presentation: 38 minutes

Study Design: Case report and literature review of pediatric patients with cervical CD.

Methods: Online medical journal databases were searched for patients aged 18 years or younger. Eighteen published papers were found, comprising 29 cases. One case from our institution was also included for a total of 30 patients.

Results: An asymptomatic mass in level V was the most common presentation. No gender differences were noted. Multiple forms of imaging were pursued, and no particular modality showed signs specific for CD. All cases were treated with complete surgical excision and diagnosed as hyaline-vascular type on histology, except for one case, where histologic type was not reported. No reports of multicentric disease, plasma cell, or mixed histology were found. No recurrences were reported.

Conclusions: This poster provides the largest known literature review of pediatric patients with cervical CD. In our analysis, there is a higher propensity for level V than previously reported in small studies. While CD is rare, it should be considered on the differential for a pediatric neck mass, particularly when presenting with an asymptomatic posterior neck mass and equivocal work-up. Fortunately, our study suggests that, if diagnosed as CD, the most likely diagnosis is hyaline-vascular type for which the long-term prognosis is good. Surgical excision is both diagnostic and therapeutic.

The lacrimal sac is the structure most vulnerable to injury when performing osteotomies for rhinoplasty. When performed in a low lateral position or along the frontal process of the frontal-maxillary suture, osteotomies have the potential to tear the medial canthal ligament and injure the underlying lacrimal sac resulting in dacryocystitis. We report a case of dacryocystitis in a 19 year old male who presented with recurrent episodes of pain, tearing, and discharge from his left eye following primary rhinoplasty. He was found to have obstruction of the lacrimal system secondary to a low lateral osteotomy with an impinging bone fragment on imaging. Endoscopic dacryocystorhinostomy was performed using a Sonopet® ultrasonic bone aspirator under image guidance to remove the bone fragments posing risk to further injury to the lacrimal sac and orbit. Patency of the nasolacrimal duct was achieved and the patient remained symptom free at 6 month follow up. We describe the first case of recurrent dacryocystitis following rhinoplasty requiring treatment by an endoscopic dacryocystorhinostomy (DCR). Endoscopic DCR with the use of the ultrasonic bone aspirator provides several advantages over open DCR, including the lack of an external incision and decreased risk of injury to the adjacent orbital soft tissue anatomy including the lacrimal system.

To discuss the history, anatomy and pathophysiology, diagnosis and surgical management of obstructive sleep apnea.

Presentation: 58 minutes

William Parkes is a fourth year resident at the Thomas Jefferson University Department of Otolaryngology. He attended Jefferson Medical College.

Presentation: 43 minutes

To determine the frequency and clinical relevance of unanticipated histopathologic results in routine sinonasal surgery and evaluate the necessity for histopathologic processing of septal cartilage, bone, and inferior turbinate specimens.

AAO-HNSF 2012 Annual Meeting Washington DC.

James Daniero is a fifth year resident at the Thomas Jefferson University Department of Otolaryngology. He attended Eastern Virginia Medical School.

Presentation: 30 minutes

• To describe the epidemiology, presentation, diagnosis and pathophysiology of otosclerosis.
• To discuss the treatment and genetics of otosclerosis.

Dr. Rabinowitz is a third year resident in the Dept of Otolaryngology. She received her undergraduate degree and her medical doctorate degree from the University of Pennsylvania.

Presentation: 1 hour

• Immunology Review
• Description of Disease
• The Atopic March
• Underlying Mechanism
• Interventions

Presentation: 57 minutes

Copy of PowerPoint slides at bottom of page.

• Background
• Vocal Fold Injection
• Calcium Hydroxylapatite (Radiesse Voice)-Literature Review
• Our Radiesse Data

Presentation: 57 minutes