H&N
Rhinoceros
Scary Lary
Ear Stuff
Celebrity Otolaryngology
100
A salivary gland tumor with the following pathology is removed from a 25-year-old female. This grading system is used.
Mucoepidermoid carcinoma (MEC) is graded into low, intermediate, and high-grade based on histological features (cystic components, cell types, mitosis, invasion) which guide prognosis and treatment. The Armed Forces Institute of Pathology (AFIP) system is common, scoring 0-4 (low), 5-6 (intermediate), or 7 (high) based on factors like necrosis and neural invasion.
100
These bones, fused in rhinocerotidae, support the weight of the keratinous horn, rather than comprising it.
What are the nasal bones?
They also feature a tuberosity which serves as an attachment point for fibers of the keratinous horn.
100
Name the Mallampati score for this patient:
Tongue protrusion, no phonation
Mallampati IV
100
This structure represents the lateral border of which space.
What is Prussak's space?
100
Our resident research day guest speaker in 2025.
Who is Dr. Larry Meyers?
200
The following diagram includes various incisions used for this surgery.
What are incisions for a selective neck dissection of levels I through III. (A) Modified apron incision. (B) Apron incision. (C) Boomerang incision. (D) Bilateral boomerang incision. (E) Unilateral or bilateral transverse natural skin crease incision
200
Asterisks in this image demonstrate enlargement of this muscle, common in this condition (must name both for full points, all or nothing):
Medial rectus muscle, Grave's orbitopathy
200
These botanically named structures are characteristic of Rheumatoid Arthritis of the larynx
What are bamboo nodules? Can also occur in patients with SLE and Sjogrens
200
This lepidopterological graft technique is best for repair of small to medium-sized central or posterior perforations.
What is a butterfly graft?
200
In 2022, Justin Bieber developed transient hemifacial paralysis due to this virus
What is Ramsay-Hunt syndrome due to varicella-zoster virus?
300
This is the most common benign minor salivary gland neoplasm
What is pleomorphic adenoma?
300
Cobblestoning of the nasal septum and lateral nasal wall is characteristic of this systemic 
GPA is a complex, multiorgan disease that demonstrates granulomatous inflammation of both the upper and lower airways. Nasal manifestations may include purulent infections and involvement of both the septum and lateral nasal wall, with destruction of the nasal septum and adjacent palate frequently seen.
300
Instead of vocal folds, parrots produce a voice using this specialized structure at the inferior aspect of the trachea.
What is the syrinx?
The parrot syrinx is a specialized, Y-shaped vocal organ located deep in the chest at the base of the trachea, where it splits into two bronchi, allowing birds to produce complex sounds and mimicry. Unlike the human larynx, it uses internal membranes and surrounding muscles to manipulate airflow from the lungs, enabling birds to produce multiple, independent, or simultaneous tones.
300
Name the area of the tympanic membrane demonstrated by #3, which inserts on the Notch of Rivinus
Notch of Rivinus (or Rivinus' incisure) is a small, superior, V-shaped deficiency or gap in the bony tympanic annulus of the ear. Located in the upper bony ear canal, it serves as the attachment point for the flaccid part of the tympanic membrane (pars flaccida) and the mallear folds, acting as a crucial boundary in the middle ear.
300
Jennifer Aniston had a rhinoplasty to correct this anatomic abnormality.
What is a septal deviation?
400
Complication resulting from right radical neck dissection.
What is right phrenic nerve paresis?
Preserving the fascial layer over the nerve and anterior scalene muscle is the primary method for prevention of injury. This is particularly important when dissecting the contents of level IV from lateral to medial over the IJV. Proper identification of the floor of the neck is critical to avoid injuring the nerve deep to the fascia.
400
Overly aggressive resection of the middle turbinate during FESS in this patient resulted in damage to this structure (arrow) and CSF leak.
What is the lateral lamella?
400
Name and grade of this disease.
What is polypoid corditis (Reinke's edema)?
- Grade 1: Minimal polypoid degeneration, typically involving up to 25% of the glottic airway.
- Grade 2: Expanded polypoid lesion occupying 25% to 50% of the glottic airway.
- Grade 3: Expanded polypoid lesion occupying 50% to 75% of the glottic airway.
- Grade 4: Severe obstruction, involving more than 75% of the glottic airway.
Grade 3
400
The structures indicated by the arrows below facilitate spread of tumor from the parotid to the EAC
What are the fissures of Santorini?
400
Miley's husky voice is attributed to this progressive condition of the vocal folds related to cigarette smoking
What is polypoid corditis (Reinke's edema)?
500
Late metastasis from this head and neck malignancy is visualized in this axial CT chest
Adenoid cystic carcinoma
Pulmonary metastasis occurs in 30-60% of patients with adenoid cystic carcinoma (ACC), making the lung the most common site of distant spread.
500
The following sagittal CT below demonstrates a rare complication of frontal sinusitis most commonly seen in adolescents as a result of this bacterium.
What is sinusitis caused by streptococcus species?
Also staphylococcus aureus and fusobacterium
500
Refractory recurrent respiratory papillomatosis can be treated with bevacizumab or this novel drug?
What is papzimeos?
MOA: non-replicating adenoviral vector-based immunotherapy
500
Atrophy of this named structure may contribute to fatuous Eustachian tube dysfunction after weight loss
What is the Ostmann fat pad?
500
This aggressive skin cancer was the cause of death of which legendary island escapist soft rock singer in 2023.
Who is Jimmy Buffett?