Unusual Manifestation of Acoustic Neuroma” Hearing Sounds as Deeper “: A Case Report with Literature \RL reviewBehrouz Barati1, Mahboobe Asadi2Shahid Beheshti University of Medical Sciences, Velenjak, Tehran, IranB_barati@sbmu.ac.irShahid Beheshti University of Medical Sciences, Velenjak, Tehran, Iranmahboobeh_farvardin@yahoo.comCorresponding author:Mahboobe Asadi, Otolaryngology department, Shahid Beheshti University of medical Sciences, Tehran, IranE mail: mahboobeh_farvardin@yahoo.com

Cervical phrenic nerve schwannoma: A rare case reportKey clinical messagePhrenic nerve schwannomas in the neck are exceptionally rare and can present as asymptomatic lateral neck masses. Intraoperative nerve identification is critical for preservation of diaphragmatic function. Surgeons should include this rare entity in the differential diagnosis of cervical schwannomas to avoid misdiagnosis and inadvertent nerve injury.KeywordsNeck mass, phrenic schwannoma, Neck schwannoma

Auricular Capillary Hemangioma: A rare Case Report

IntroductionLaryngeal neuroendocrine carcinomas (LNECs) are rare tumors of the larynx with a wide spectrum of clinicopathological manifestations. Generally, laryngeal neuroendocrine neoplasms were divided into 2 categories, epithelial and neural, based on their origin. The epithelial subgroup consisted of typical carcinoid, atypical carcinoid, small cell neuroendocrine carcinoma, and large cell neuroendocrine carcinoma. The neural neuroendocrine neoplasm subgroup is mainly referred to as paraganglioma. 1Among these categories, atypical carcinoid is the most common form of neuroendocrine carcinomas in the larynx .Also; prognosis is getting worse from typical carcinoid to small cell neuroendocrine carcinoma.2 Laryngeal neuroendocrine neoplasms represent 0.5 to 1% of laryngeal epithelial carcinomas, occurring more frequently in the supraglottic region with male predominance. 3In this study, we presented a rare case of poorly differentiated NEC (small cell) and described its clinicalopathological presentation. The presentation of this tumor with respiratory distress in a non smoker male patient with a small size mass in subglottic area is the interesting feature of this report.

IntroductionHowever, nasal reconstruction has always been challenging to the otolaryngologists, various nasal reconstruction methods have been introduced.These reconstruction techniques depend on various factors including defect etiology, size, location, and depth.1Recently, the forehead flap and the radial forearm free flap are recommended in nasal complex defects.2Our patient had a complex defect involving nasal tip, columella, septum, and a portion of upper lip after MOHS surgery for squamous cell carcinoma. Restoration of a nasal and lip function and contour are the main goals of reconstruction in this case.This report details a two stage approach to repairing such a defect using bilateral inferiorly based malar transposition flaps with auricular cartilage graft for more support and contour.

A rare case of sphenoid plasmacytoma in a 57-year old female who was presented with a frozen eye is reported. It was histopathologically confirmed based on transsphenoidal biopsy. Surgical removal of the tumor with complementary radiotherapy was performed as a treatment modality

Nasal schwannomas account for about 4% of head and neck schwannomas. We report a rare case of lateral nasal wall schwannoma presenting as a nasal mass in a 70-year-old man.