Citations

Hearing loss, tinnitus, and vertigo have long been associated with Paget's disease of the bone. We reviewed the records of 463 patients with Paget's disease who were seen in the otolaryngology department. Hearing loss was common. It was our observation that mixed hearing losses were part of the disease process. Sensorineural hearing loss was the most frequent loss, but it usually was not part of the disease process. Tinnitus, vertigo, or both were seen in about 20% of these patients.

Frontal sinus mucocele was our preoperative diagnosis in a patient who had frontal swelling and downward displacement of the eye. Supporting this were typical roentgenogram changes, a long history of asthma, pansinusitis, and previous multiple‐polypectomy surgery. Frontal sinus exploration revealed a locally eroding lesion.It was composed of spindled cells and lipid‐laden histiocyctes with a pattern of fibrous xanthoma and was treated conservatively. It should not be confused with true malignancies such as fibrous histiocytoma having a similar histopathologic appearance and requiring more aggressive surgical treatment.

Twenty‐one cases of histologically confirmed dermoid cysts of the nose are reviewed. The sites involved were the dorsum (18), septum (5), glabella (2), nasal tip (2), and columella (1), with several patients having multiple sites of involvement. Bony or cartilaginous destruction occurred in 14 patients (67%). A sinus tract was evident in ten patients (48%). Complete excision of these lesions is necessary for prevention of recurrence. The differential diagnosis includes hemangiomas, gliomas, encephaloceles, epidermoid cysts, neurofibromas, and lipomas.