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20 Cards in this Set

  • Front
  • Back

Pleomorphic adenomas are also known as?

Benign mixed tumours

Most common sites of extracranial H&N dermoids?

1. Superolateral orbit (zygomaticofrontal suture)

2. Oral cavity

Most common pharynageal mucosal space cancers to present with nodes?

1. SCC (90%)
2. Lymphoma (50%)

Phthisis bulbi

* end-stage eye disease
* atrophic, scarred, disorganised +/- Ca2+
* causes varied - infection, trauma, inflammatory, XRT, tumour, etc

Cholesterol granuloma of the petrous apex

* benign
* contains blood products, T1 high signal
* no ehancement
* smooth bone erosion
* aetiology: recurrent bleeding of small vessels due to negative pressure of an obstructed petrous apex
* look for: paranasal / mastoid opacification

DDx of thyroglossal duct cyst

* lingual or sublingual duct cyst
* dermoid or epidermoid
* abscess

What structure can be used as a marker for the intraparotid facial nerve?

Retromandibular vein, which lies just medially

Inverted papillomas: general features

* arise from the lateral wall
* macroscopically similar to nasal polyps
* frond-like projections
* benign, possibility of malignant transformation
* avid post contrast enhancement
* can demonstrate bony destruction

Scwhannoma: MRI features

* CT: isodense to brain parenchyma; C+; contain cystic components
* MRI: T1 iso; T2 high; C+

Keratosis obturans

Bilateral inflammatory ear masses associated with chronic sinusitis and bronchiectasis

Pattern of uptake on NM technetium scans in Graves disease?

Diffuse avid uptake in a uniform pattern

Waveforms of ICA vs. ECA

ICA: low resistance


ECA: high resistance with every diastolic flow reversal

Primary malignant uveal melanoma

* most common orbital tumour in adults
* arise from the ciliary body or choroid'
* mets: liver > lung > bone > kidney > brain

Pleomorphic adenoma: MR features

*

T1: low


*

T2: high with low T2 rim


*

C+: homogeneous enhancement

Pleomoprhic adenoma: CT features

* smooth or lobulated masses
* prominent enhancement
* +/- Ca2+
* larges ones can be heterogeneous due to necrosis

Warthin tumour: CT features

* bilateral, parotid tail
* cystic lesion with focal nodule
* no Ca2+

Warthin tumour: MRI features

* T1: low/iso w/ high foci (Ca2+)
* T2: heterogeneous
* C+: usually nil

Le Fort type 1


"Floating palate"



* horizontal maxillary fracture, separating the teeth from the upper face

* fracture line passes through the alveolar ridge, lateral nose and inferior wall of maxillary sinus

Le Fort type 2


"Floating maxilla"



* pyramidal fracture, with the teeth at the pyramid base, and nasofrontal suture at its apex

* fracture arch passes through posterior alveolar ridge, lateral walls of maxillary sinuses, inferior orbital rim and nasal bones

Le Fort type 3


"Floating face"



* craniofacial disjunction
* fracture line passes through nasofrontal suture, maxillo-frontal suture, orbital wall and zygomatic arch