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  1. Skull Base Osteomyelitis and Parapharyngeal Abscess as Complications of Otitis Media in a Young Immunocompetent Man
    Salim I, Mohd Saad MS, Ahmad Kailani AAA, Md Daud MK
    Indian J Otolaryngol Head Neck Surg, 2024 Dec;76(6):6009-6012.
    PMID: 39559024 DOI: 10.1007/s12070-024-05054-3
    Skull base osteomyelitis (SBO) is a rare and lethal infection of temporal bone, uncommonly caused by purulent otitis media. Although uncommon, a young and immunocompetent person is not exceptional to develop SBO as in our case. We reported a case of SBO in a young, immunocompetent gentleman who presented with right otorrhea associated with fever, trismus, headache, and neck stiffness, which was unresponsive to oral and topical antibiotics. Examination revealed fullness at the right mastoid tip with no evidence of mastoid abscess, trismus, with restrictions of neck movements. Otoscopy of right ear showed mucopus with 10% anterosuperior tympanic membrane perforation without keratin or granulation tissue. Pus for culture and sensitivity grew Klebsiella pneumonia and computed tomography (CT) showed osteomyelitic changes with associated parapharyngeal collection. The patient was started on intravenous antimicrobial therapy and responded well to the treatment.
  2. Fulltext Submandibular Gland Basal Cell Adenoma
    Salleh MN, Ahmad Kailani AAA, Nik Min NFA, Mohamad I, Hussain FA, Mat Zin AA
    Iran J Otorhinolaryngol, 2022 Mar;34(121):131-134.
    PMID: 35655769 DOI: 10.22038/IJORL.2021.58329.3007
    INTRODUCTION: Basal cell adenoma (BCA) is a rare benign epithelial tumour of the salivary gland majorly involving the parotid gland, and rarely the submandibular gland.

    CASE REPORT: We describe a rare case of BCA of the submandibular gland diagnosed preoperatively using fine needle aspiration cytology in a 60-year-old woman presenting with painless submandibular swelling. The surgery went uneventfully, and the histopathological examination confirmed the diagnosis.

    CONCLUSIONS: BCA can be accurately diagnosed only through histological observations due to its resemblance to various benign and malignant salivary and non-salivary gland tumours, which are difficult to biopsy.

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