OBJECTIVE Submental hematoma or pseudo-Ludwig's phenomenon, is a rare entity seen in anticoagulated patients and can precipitate upper airway obstruction. Our objective is to present a rare case of spontaneous submental hematoma due to poorly controlled hypertension in elderly patient and to perform a literature review. CASE REPORT 101-year-old female presented to emergency room with sudden p...

OBJECTIVES/HYPOTHESIS Evaluate feasibility and success of elongating only the venous pedicle of the submental flap to increase the superior arc of rotation for the "hybrid" flap allowing coverage of more distal defects. STUDY DESIGN Retrospective evaluation of all submental flaps undergoing pedicle-lengthening procedure at a single institution. METHODS Medical records were reviewed for all ...

An elderly female patient presented to surgical outpatient clinic with complaint of gradual onset of painless submental and sublingual midline swellings for 6 months of duration. The swellings were noncompressible, nontranslucent, nonpulsatile, and nontender on palpation. Clinical diagnosis was plunging ranula or dermoid cysts. Ultrasound examination of sublingual swelling showed cystic lesion ...

BACKGROUND Submental dermoid cysts are uncommon midline cysts which occur due to entrapment of ectoderm between the second and third branchial arches during embryogenesis. Most dermoid cysts of the head and neck are benign, but rarely malignant transformation may occur. To the best of our knowledge, this is the first report of a carcinosarcoma arising in a submental dermoid cyst. CASE PRESENT...

An extremely rare case of papillary carcinoma is described arising in a submental-intralingual thyroglossal duct cyst. A 27-year-old male presented with a painless swelling in the submental region extending to the tongue which had gradually been increasing in size over the last three months. Upon examination of the neck, a tender right paramedian mass was found in the submental region just abov...

Electrical recruitment of the upper airway (UAW) muscles has been attempted as a treatment method for Obstructive Sleep Apnea (OSA) [l-61. Hypoglossal nerve (HG) and genioglossus muscle (GG) stimulations have given successful results in OSA patients [3-61. A reliable method for detection of obstructions is needed to trigger the stimulations in phase with respiration during obstructive breaths b...

Anterior belly of the digastric muscle (ABDM) variations have been reported to occur in as few as 2.7% to as many as 69.6% of individuals. Therefore, it is important to understand the anatomical diversity of ABDM variants, particularly with regard to head and neck surgery. The report documents a unilateral duplication of the ABDM with an oblique belly which crosses the midline. Measurements of ...

Aims & Objective: Assessment of submental intubation as an intubation option for the facial trauma cases Material &Methods: 15 patients were intubated with submental approach in our institution during a one year time period from August 2009 to July 2010. Result: In our patients, submental intubation gave a better airway intubation for the reduction and fixation of all the facial fracture and in...

Objectives. To compare reconstructive techniques, operative times, duration of hospitalization, and need for subsequent flap revisions between reconstructive approaches to lateral skull base defects. Study Design. Case series with chart review. Setting. Tertiary academic referral center. Subjects. Patients (n = 31) undergoing reconstruction of composite lateral skull base defects from 2002 to 2...

BACKGROUND AND OBJECTIVES Cryolipolysis has previously received FDA clearance for fat reduction in the abdomen, flanks, and thighs. There is also interest in small volume fat reduction for areas such as the chin, knees, and axilla. This article reports the results of a cryolipolysis pivotal IDE study for reduction of submental fullness. STUDY DESIGN/MATERIAL AND METHODS A prototype small volu...