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177 results on '"Khorsandi, Azita S."'

2. Diagnostic Difficulties of Plunging Ranula: A Review of 18 Cases.

Author

Yun, Jun, Gidumal, Sunder, Saturno, Michael P., Wein, Lauren E., Fan, Jun, Khorsandi, Azita S., Chung, Daniel, Chen, Hua, and Chai, Raymond L.

Abstract

Objective(s): Despite advancements in imaging techniques and cytological analysis, plunging ranula remains a challenging surgical, radiologic, and pathologic phenomenon. Of the 18 patients we evaluated at our institution, we highlight three cases that illustrate the high rate of misleading imaging and cytological results when assessing plunging ranula. Methods: Imaging results, biopsy findings, operative techniques, and pathological reports were reviewed from patients who had either a preoperative or postoperative diagnosis of ranula and underwent surgery by a single head and neck surgeon at a tertiary care center. Results: Of the 18 identified patients, computed tomography was correct on preoperative imaging 73% of the time and magnetic resonance imaging was correct on preoperative imaging 71% of the time. Two patients underwent preoperative ultrasound and their ultrasound reports did not accurately diagnose the presence of a ranula. Two patients underwent preoperative fine needle aspiration biopsy due to inconclusive preoperative imaging, in which results suggested either a ranula or epidermal cyst. Both ultimately did not match the final pathology. Three of eighteen patients (17%) underwent an inappropriate initial surgery due to incorrect imaging diagnoses and/or biopsy findings. Conclusion: Despite use of preoperative modalities to distinguish plunging ranula from other cystic floor of mouth lesions, surgeons must be aware that no workup modality is fully precise. The potential for revision surgery must be included in all preoperative discussions for presumed plunging ranula. Level of Evidence: 4 Laryngoscope, 134:2689–2696, 2024 [ABSTRACT FROM AUTHOR]

Published
2024
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3. Thyroid cancer necrosis not evident on imaging: A cautionary case series on poorly differentiated thyroid carcinoma diagnosed only on final pathology

Author

Beute, John E., primary, Silberzweig, Alex M., additional, Gold, Brandon S., additional, Shaari, Ariana L., additional, Kapustin, Danielle A., additional, Matloob, Ammar, additional, Dowling, Eric M., additional, Starc, Michael T., additional, Fan, Jun, additional, Khorsandi, Azita S., additional, Brandwein-Weber, Margaret, additional, Urken, Mark L., additional, and Chai, Raymond L., additional

Published
2023
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17. Diagnosis and management of pharyngoesophageal stenosis: A comprehensive approach to prophylactic, endoscopic, and reconstructive treatment options

Author

Spaulding, Sarah L., primary, Ansari, Edward, additional, Xing, Monica H., additional, Sandler, Mykayla L., additional, O'Malley, Quinn F., additional, Ho, Rebecca, additional, Spitzer, Hannah, additional, Levy, Juliana, additional, Ganz, Cindy, additional, Khorsandi, Azita S., additional, Mundi, Neil, additional, and Urken, Mark L., additional

Published
2021
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18. Adenoid Cystic Carcinoma of the Gingiva: A Case Report and Literature Review.

Author

Seo, Gabriella T., Xing, Monica H., Mundi, Neil, Matloob, Ammar, Khorsandi, Azita S., and Urken, Mark L.

Subjects
ADENOID cystic carcinoma, GINGIVAL neoplasms
Abstract

Objectives: Adenoid cystic carcinoma (ACC) is a commonly encountered salivary gland malignancy. However, it rarely occurs in the gingiva, an area generally thought to be devoid of minor salivary glands. We present a case occurring in this unusual site and review other reported cases. Methods: A 56 year-old male presented with a right-sided mandibular toothache for 1 year and underwent dental extraction. Due to persistent pain, follow up examination revealed a large gingival lesion. A biopsy was positive for adenoid cystic carcinoma. Results: The patient underwent a complete right segmental mandibulectomy and was reconstructed with a fibular osteocutaneous free flap. Three months postoperatively, during the planning for adjuvant radiation therapy, the patient developed pain in the left mandible. Imaging revealed extensive involvement of the left native mandible. Deep bone biopsies in several areas of the left mandible revealed ACC. He then underwent a complete left hemi-mandibulectomy and reconstruction with a fibular osteocutaneous free flap. Tensor fascia lata suspension slings were placed due to concern for an open mouth deformity attributable to disruption of bilateral masticator slings. He will undergo adjuvant radiation therapy. Our review of the literature revealed 50 cases of gingival ACC published since 1972. Disease recurrence and distant metastases were noted in several patients, occurring at the latest after 30 years follow-up. Conclusions: Given its indolent behavior, high proclivity for late recurrence and metastasis, and overall infrequency, ACC represents a pathology that requires early diagnosis and comprehensive long-term surveillance. While ACC is well described in oral cavity sites with high densities of minor salivary glands, it is not commonly seen in the gingiva. As such, gingival ACC may display a unique biological and/or clinical character. We offer the first literature review of this rare entity. [ABSTRACT FROM AUTHOR]

Published
2022
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27. Differential Diagnosis Under the Microscope: Crystalloid Granuloma of the Parotid Gland.

Author

O'Malley, Quinn F., Sims, John R., Spaulding, Sarah L., Sandler, Mykayla L., Everest, Sedef, Khorsandi, Azita S., Brandwein-Weber, Margaret, and Urken, Mark L.

Subjects
NECK radiography, PAROTID gland surgery, GRANULOMA, PHYSICAL diagnosis, SALIVARY gland tumors, THYROIDECTOMY, MICROSCOPY, SENSORY disorders, CHEEK, THYROID gland tumors, DIFFERENTIAL diagnosis, MAGNETIC resonance imaging, AMYLASES, EAR, PAROTID glands, DIAGNOSTIC errors, CYTOLOGY, DECISION making in clinical medicine, PAROTID gland tumors, NEEDLE biopsy, RARE diseases, CRYSTALLIZATION
Abstract

The article presents a case of a 62-year-old man who was rushed to a clinic due to left parotid mass and sensation changes in his left cheek and preauricular area for several weeks to discuss crystalloid granuloma (CG) of the parotid gland. Other topics include the different crystalline structures (crystalloids) in neoplastic and non-neoplastic salivary gland lesions like oxalate, intraluminal and tyrosine, and the conditions called sialolithiasis and sialadenitis.

Published
2021
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30. A novel approach to neurologic function sparing surgical management of vagal schwannomas: Continuous intraoperative nerve monitoring of the laryngeal adductor reflex

Author

Sandler, Mykayla L., primary, Sims, John R., additional, Sinclair, Catherine, additional, Ho, Rebecca, additional, Yue, Lauren E., additional, Téllez, Maria J., additional, Ulkatan, Sedat, additional, Khorsandi, Azita S., additional, Brandwein‐Weber, Margaret, additional, and Urken, Mark L., additional

Published
2019
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31. Vagal schwannomas of the head and neck: A comprehensive review and a novel approach to preserving vocal cord innervation and function

Author

Sandler, Mykayla L., primary, Sims, John R., additional, Sinclair, Catherine, additional, Sharif, Kayvon F., additional, Ho, Rebecca, additional, Yue, Lauren E., additional, Téllez, Maria J., additional, Ulkatan, Sedat, additional, Khorsandi, Azita S., additional, Brandwein‐Weber, Margaret, additional, and Urken, Mark L., additional

Published
2019
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35. Metastatic thyroid carcinoma to the parapharyngeal and retropharyngeal spaces: Systematic review with seven newly reported cases describing an uncommon presentation of a common disease.

Author

Sandler, Mykayla L., Xing, Monica H., Levy, Juliana C., Chai, Raymond L., Khorsandi, Azita S., Gonzalez‐Velazquez, Camilo, and Urken, Mark L.

Subjects
SYMPTOMS, METASTASIS, NECK dissection, LYMPH nodes, MEDULLARY thyroid carcinoma, THYROID cancer
Abstract

Background: Metastatic thyroid carcinoma to retropharyngeal and parapharyngeal (RP/PP) lymph nodes is rare. Literature suggests previous lateral neck dissection (LND) may alter patterns of lymphatic drainage in the neck, predisposing to these less common sites of spread. Methods: PRISMA‐guided systematic search for all published cases detailing RP/PP metastases of well‐differentiated thyroid carcinoma from 1970 to 2019. Results: Seventy articles were identified and 44 were included, along with seven cases treated at our institution, totaling 239 cases. Cases represented both retropharyngeal (60.7%) and parapharyngeal (39.3%) metastases identified in the initial (27.6%) and recurrent (72.4%) setting. Conclusion: RP/PP metastases generally present in the recurrent setting. RP/PP metastases often represent high‐risk disease, and surgical treatment is recommended. [ABSTRACT FROM AUTHOR]

Published
2021
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36. Chondromyxoid fibrorna of the mastoid portion of the temporal bone: MRI and PET/CT findings and their correlation with histology

Author

Oh, Noeun, Khorsandi, Azita S., Scherl, Sophie, Wang, Beverly, Wenig, Bruce M., Manolidis, Spiros, and Jacobson, Adam

Subjects
Fibromas -- Causes of -- Diagnosis -- Care and treatment -- Case studies, PET imaging -- Usage, Magnetic resonance imaging -- Usage, Health
Abstract

Abstract We report a very rare case of a chondromyxoid fibroma of the mastoid portion of the temporal bone in a 38-year-old woman who presented with left-sided hearing loss. Magnetic [...]

Published
2013

41. Leiomyoma of the sternothyroid muscle

Author

Rowe, Meghan E., primary, Khorsandi, Azita S., additional, Guerrero, Dominick R., additional, Brett, Elise M., additional, Sarlin, Jonathan, additional, and Urken, Mark L., additional

Published
2016
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48. Ipsilateral Ophthalmic and Cerebral Infarctions After Cosmetic Polylactic Acid Injection Into the Forehead

Author

McCulley, Timothy J., Ragam, Ashwinee, Agemy, Steven A., Dave, Sarita B., Khorsandi, Azita S., and Banik, Rudrani

Abstract

A 55-year-old woman developed no light perception vision in her right eye 5 days after an injection of polylactic acid cosmetic filler into her right forehead. Diffuse corneal edema and anterior chamber inflammation prohibited any view to the posterior segment to identify the cause of her profound vision loss. MRI of the orbits with diffusion-weighted imaging showed hyperintensity of the right optic nerve with signal reduction on apparent diffusion coefficient mapping, consistent with ischemia. Our patient also was found to have acute infarctions in the distribution of the right anterior cerebral artery on MRI of the brain despite having no permanent focal neurologic deficits aside from vision loss.

Published
2017
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