Nuances in the management of rhinophyma.

Rhinophyma is a cosmetically disfiguring disease of the external nose that most frequently affects elderly Caucasian males. Frequently, there is associated derangement of nasal airway patency. Although the true incidence of rhinophyma and its exact etiology remain unknown, it is widely believed to represent the final stage in a continuum of acne rosacea.

Complications with forehead flaps in nasal reconstruction.

Objectives/hypothesis: To determine what characteristics and comorbidities are associated with a higher rate of complications in patients undergoing nasal reconstruction with a forehead flap.

Study Design: Retrospective chart review.

Methods: Chart review was completed on all patients undergoing nasal reconstruction with forehead flap from 1995 to 2008.

Dual action of TGF-beta1 on nasal-polyp derived fibroblasts.

Objectives: Transforming growth factor beta-1 (TGF-beta1) is a known fibrogenic factor with immunosuppressive properties. We wanted to determine the effect of stimulation with TGF-beta1 on nasal polyp-derived fibroblasts and assess the role this molecule would have in polyp formation and growth.

Study Design: Nasal-polyp derived fibroblasts were cultured with or without TGF-beta1, and proliferation and cytokine secretion were measured.

Small cell carcinoma of the submandibular gland: a rare small round blue cell tumor.

The presence of small cell carcinoma within the submandibular gland is an uncommon clinical entity. However, other small round blue cell tumors are encountered in the head and neck with greater frequency. These include lymphoma, Ewing's sarcoma, melanoma, esthesioneuroblastoma, and neuroblastoma.

Radiographic classification of temporal bone fractures: clinical predictability using a new system.

Objective: To compare the traditional system of radiographic classification of temporal bone fractures (transverse vs longitudinal vs oblique) with a newer system (otic capsule violating vs otic capsule sparing) with respect to their ability to predict sequelae of temporal bone trauma.

Design: Retrospective chart and radiology review.

Setting: University trauma center and Department of Otolaryngology-Head and Neck Surgery.