Severe nasal presentation of antiphospholipid syndrome.

We report a rare and severe nasal presentation of antiphospholipid syndrome in a 41-year-old man with systemic lupus erythematosus and end-stage renal disease. His nasal signs included total septal necrosis, along with external nasal swelling and erythema. Prior to the correct diagnosis, multiple medical and surgical treatments were attempted without success.

Transnasal esophagoscopy: revisited (over 700 consecutive cases).

Background: High-resolution transnasal esophagoscopy (TNE) allows comprehensive, in-office examination of the esophagus without sedation.

Objective: To compare the authors' present experience using TNE with our initial, previously reported experience.

Methodology: Retrospective review of 611 consecutive patients undergoing TNE was compared with 100 consecutive patients previously reported.

Cricoid chondrosarcoma presenting as arytenoid hypertelorism.

Background: Arytenoid hypertelorism (arytenoid cartilages spaced too widely apart) appears to be the most common initial recognizable physical finding of cricoid chondrosarcoma. Nine cases from the Center for Voice Disorders are presented. With arytenoid hypertelorism caused by cricoid chondrosarcoma, usually the posterior larynx is open.

Hemicricoidectomy as the primary diagnosis and treatment for cricoid chondrosarcomas.

Objectives/hypothesis: The objective was to present a new approach for the diagnosis and treatment of chondrosarcoma involving the cricoid cartilage. The technique involved an extramucosal resection of the ipsilateral half of the involved cricoid cartilage, providing enough tissue to be sent for pathological study, and resulted in good laryngeal function without jeopardizing patients' long-term survival.

Study Design: Retrospective study.