An apparently healthy 26-year-old woman presented with a two-year history of painless upper neck swelling. There were no obstructive or constitutional symptoms. She denied features of hypo or hyperthyroid states. She had no otologic or nasal features. On examination, the patient was comfortable in room air. She had a b …
A 68-year-old man with an underlying chronic obstructive pulmonary disease on a steroid inhaler presented with a one-month history of dysphonia. There was no dysphagia, odynophagia, neck swelling, or constitutional symptoms. There was also no choking, effortful speech, or shortness of breath. On examination, the patien …
A 40-year-old man with multiple comorbidities presented to the emergency department with noisy breathing. The patient had prior history of a week-long intubation for respiratory distress. According to the patient, noisy breathing was present since discharge. Upon examination, biphasic stridor was audible. He was not ta …
An 81-year-old man with multiple comorbidities presented with a two-year history of dysphonia. The patient had visited multiple clinics to no avail. He also reported occasional foreign body sensation, which was not bothersome. Besides that, there were no constitutional symptoms, regurgitation, or halitosis. No cough, d …
Parotid gland surgery can be challenging due to intricate relationship between the gland and facial nerve. Besides complete removal of the lesion, the main focus of surgery is centered on the facial nerve. Surgery can be technically demanding especially when the tumor is large or involves the deep lobe. We report a pat …
Objectives: Aloe barbadensis miller or Aloe vera has been used for therapeutic purposes since ancient times with antifungal activity known to be amongst its medicinal properties. We conducted a pilot study to determine the antifungal properties of Malaysian Aloe vera leaf extract on otomycosis species including Aspergi …
Patients with anterior neck masses commonly present to otorhinolaryngology clinics, but there are limited differential diagnoses for such lesions. Common ones include thyroid nodule and thyroglossal duct cyst. In an elderly patient, a differentiated thyroid carcinoma should be suspected especially if it moves with swal …