Publications by authors named "J C Rawl"

Article Synopsis
  • Tonsillar squamous cell carcinoma (TSCC) related to HPV is rising, with bilateral cases (biTSCC) being less common; three hypotheses for biTSCC formation include field carcinogenesis, single-clone, and multiple HPV infections.
  • A 49-year-old male with a history of chewing tobacco had a left tonsillar mass confirmed as TSCC, and a PET scan revealed a second tumor in the right tonsil; both masses were surgically removed without complications, leading to a diagnosis of synchronous biTSCC.
  • The study highlighted distinct tumor characteristics between the right and left masses, supporting the theory of multiple HPV infections and underscoring the need for more genetic analysis of tonsillar tumors to inform treatment approaches.
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Retroperitoneal hematomas are a rare and fatal complication of endovascular embolization. We report a case of an 89-year-old woman who was referred to interventional radiology for percutaneous embolization for intractable epistaxis as a result of a left nasal cavity mucosal melanoma. After successful embolization of the left sphenopalatine artery, the patient became hypotensive and was transferred to the intensive care unit.

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Thyroglossal duct cysts (TDCs) arise in roughly 7% of the general population and are typically diagnosed in childhood within the first decade of life. Typically, patients present with a painless, midline neck mass in close proximity to the hyoid bone which classically elevates with deglutition and tongue protrusion. We present a case of TDC found anterior to the sternum, a major deviation from the classical understanding of this lesion.

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Background: A randomized controlled trial was held to compare nonabsorbable packs to steroid-eluting absorbable stents as middle meatal spacers after endoscopic sinus surgery in patients with chronic rhinosinusitis (CRS).

Methods: CRS patients were randomly assigned to receive either nonabsorbable Merocel packs wrapped in non-latex glove material (packing type A) or Propel steroid eluting stents (packing type B). Twenty-two-item Sino-Nasal Outcome Test (SNOT-22) scores were collected preoperatively and postoperatively during the initial 4 debridements up to 3 months.

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Paranasal sinus mucoceles are benign, expansive, cystic lesions which arise from retention of mucus secretions. They arise primarily in the setting of cystic degeneration of the sinus mucosa or secondarily in the setting of obstruction of the sinus ostium due to mucosal trauma or chronic inflammation. Septal mucoceles are rare.

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