• Selective fine needle aspiration of parotid masses. FNA should be performed in all patients older than 60 years.

      Kieran, S M; McKusker, M; Keogh, I; Timon, C; Department of Otolaryngology, Head and Neck Surgery, Royal Victoria Eye and Ear, Hospital, Dublin, Ireland. skieran@rcsi.ie (2012-02-01)
      OBJECTIVES: The exact role of fine needle aspiration in the pre-operative assessment of patients presenting with parotid masses is controversial. Some surgeons propose that fine needle aspiration be performed only selectively in those patients with likely malignant disease, whilst others recommend it for all patients presenting with such a mass. Intuitively, one would expect older patients to be more likely to suffer from primary malignant parotid tumours and secondary deposits of malignant skin tumours. Therefore, we hypothesised that older patients with a parotid mass should undergo fine needle aspiration regardless of their medical history. DESIGN: We retrospectively reviewed 197 consecutive parotidectomies to test this hypothesis. RESULTS: One hundred and twenty-one patients (61.4 per cent) were diagnosed with benign disease, whilst 76 (38.6 per cent) were diagnosed with malignant disease. Eighty-three per cent of patients aged 60 years or younger had benign disease, as opposed to 35.6 per cent of patients aged more than 60 years. Malignant disease occurred more commonly in patients older than 60 years (odds ratio 8.962, 95 per cent confidence interval 4.607-17.434). CONCLUSION: In patients with a parotid mass, fine needle aspiration should be performed on all those aged 60 years or older.
    • Systematic review and meta-analysis of wound drains after thyroid surgery.

      Woods, R S R; Woods, J F C; Duignan, E S; Timon, C; Department of Otolaryngology, Royal Victoria Eye and Ear Hospital, Dublin, Ireland. (2014-04)
      Drainage after routine thyroid and parathyroid surgery remains controversial. However, there is increasing evidence from a number of randomized clinical trials (RCTs) suggesting no benefit from the use of drains.
    • "Tarantula keratitis": a case report.

      McAnena, L; Murphy, C; O'Connor, J; Royal Victoria Eye and Ear Hospital (RVEEH), Adelaide Road, Dublin 2, Ireland. lmcanena@yahoo.co.uk (2013-09)
      A case of an 11-year-old boy presenting with a two-week history of a red, irritated right eye after handling a Chilean Rose Tarantula at an exotic pet exhibition. Examination revealed innumerable microscopic hairs embedded at all levels of the cornea. He was commenced on steroid drops with subjective and objective improvement at follow up.
    • Temporomandibular joint osteochondromatosis: an unusual cause of preauricular swelling.

      Phelan, Eimear; Griffin, John; Timon, Conn; Department of Otolaryngology, Royal Victoria Eye and Ear Hospital, Dublin,, Ireland. (2012-02-01)
      We report an unusual and rare cause of preauricular swelling and review the most recent literature concerning synovial osteochondromatosis of the temporomandibular joint. We report the clinical and radiologic findings of a case of synovial osteochondromatosis of the temporomandibular joint that presented as preauricular swelling in a female patient. This disease typically affects large joints; fewer than 100 cases reported in the literature affect the temporomandibular joint. This case illustrates that disorders of the temporomandibular joint should also be included in the differential diagnosis of patients who present with a preauricular mass.
    • Tinnitus as an unusual presentation of Schneiderian papillomatosis.

      Ali, R B; Amin, M; Hone, S; Department of Otolaryngology and Head and Neck Surgery, Royal Victoria Eye and, Ear Hospital, Dublin, Ireland. rohana.oconnell@gmail.com (2012-02-01)
      INTRODUCTION: Primary Schneiderian papillomatosis of the middle ear and mastoid cavity is extremely rare. It is frequently associated with intermittent unilateral otorrhoea and mass in the middle ear and mastoid cavity. METHODS: Case presentation, symptoms, diagnostic criteria, management and literature review are discussed. CONCLUSION: Schneiderian papillomatosis is an important differential diagnosis of mass in the middle ear and mastoid cavity, and tinnitus as a presenting symptom has not been reported before. Primary radical treatment is essential in preventing tumour recurrence.
    • Triple manifestation of extramedullary plasmacytoma in the upper airway: an unusual clinical entity.

      Morariu, I; Burns, P; Roche, P; Hone, S; Department of Otolaryngology, Royal Victoria Eye and Ear Hospital, Dublin,, Ireland. iulianam2002@yahoo.com (2012-02-01)
      OBJECTIVE: We report an extremely rare case of extramedullary plasmacytoma. METHOD: Case report and review of the English-literature concerning extramedullary plasmacytoma and multiple myeloma. RESULT: We present an unusual case of multiple extramedullary plasmacytomas, which, over a protracted course of 30 years, presented on different occasions at three separate sites in the head and neck. The patient was managed surgically on all occasions, and was disease-free at the time of writing. CONCLUSION: Following review of the literature, we believe this to be the only case with this extremely unusual presentation. This case is noteworthy, not only because of the rarity of extramedullary plasmacytoma, but also because it highlights a number of important clinical issues. The diagnosis and management of extramedullary plasmacytoma require close cooperation between multiple disciplines.
    • Update on immunosuppressive therapy for corneal transplantation.

      O'Doherty, Maeve; Murphy, Conor C; Royal Victoria Eye and Ear Hospital, Adelaide Road, Dublin 2, Ireland. (2012-02-01)