Naturopathic Self-Treatment of an Atypical Fibroxanthoma: Lessons for Dermatologic Surgery.

Background: Alternative therapies are favored by some patients. In skin cancer, this may be to try to avoid surgery out of fear for the procedure and its functional or cosmetic consequences. Frequently, use of these therapies is not curative and can cause harm.

Double endoscopic technique for operative dilation of esophageal strictures resistant to conventional therapy.

Esophageal strictures are a common problem causing significant morbidity for affected patients. Most can be treated safely and successfully with esophageal dilation. We have treated two patients with post-radiation esophageal strictures so tight that standard dilation technique failed even with an aggressive approach.

Loss of reflex tearing: an expected consequence of juvenile nasopharyngeal angiofibroma.

Objective: To report the loss of reflex tearing after surgical treatment of juvenile nasopharyngeal angiofibroma (JNA).

Study Design And Setting: A retrospective case series of 8 patients with surgical extirpation of JNA from 1995 to 2003 in a major teaching hospital setting was studied for symptomatic xerophthalmia.

Results: One patient was lost to follow-up.

Head and neck manifestations in HIV infection.

Diseases of the head and neck often are the first sign of Human Immunodeficiency Virus (HIV) infection. As current treatment increases the survival time of HIV-positive patients, the physician may encounter patients with a greater variety and number of diseases related to the primary HIV infection. Some entities are harbingers of HIV infection, such as Kaposi's sarcoma and parotid cystic enlargement.

Sclerosing cervicitis: report of a skull base lesion with literature review.

Background: Invasive fibrosclerotic lesions of the head and neck outside of the thyroid and orbit are extremely rare. To date 13 cases of sclerosing cervicitis have been described in the literature.

Methods: We present a case of a sclerosing inflammatory lesion encountered at the skull base in a 49-year-old woman.