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1.

Tell us about the different types of Langerhans Cell Histiocytosis including typical age affected and common presentations of each type. What are the head and neck manifestations? How are patients treated?

2.

Review symptoms, diagnosis, treatment of sarcoidosis.

3.

Contrast and compare head and neck manifestations and treatment of tuberculosis vs. nontuberculous mycobacterial infections. What is the appropriate evaluation and management of a pediatric patient with an atypical mycobacterial neck infection? Discuss the role of antibiotics and surgical interventions such as excision and curettage.

4.

Tell us about midline lethal granuloma and cocaine induced midline granulomas?

5.

What are the granulomatous diseases that are associated with animal exposure? (farm and otherwise).

6.

Osler once said, “If you know syphilis, you know medicine.” Tell us what you know about the stages of syphilis and head and neck manifestations. How is syphilis diagnosed and treated?

7.

Discuss fungal granulomatous diseases of the head and neck.

8.

What are the specific locations in the larynx where the different granulomatous diseases manifest. Discuss the management of laryngeal granulomatous diseases.

9.

Why are intubation granuloma, reparative granuloma, and pyogenic granuloma not granulomatous diseases? Tell us about each and their treatment.

10.

Describe the H&N manifestations of Granulomatosis with Polyangitis (Wegener’s Granulomatosis).

11.

Describe sinonasal disease in patients with sarcoidosis. Are there special concerns regarding surgical management of sinus disease in sarcoid patients? Should endoscopic sinus surgery be considered in the treatment armamentarium of chronic sinonasal sarcoidosis?

Reference(s):

Long, C. M., Smith, T. L., Loehrl, T. A., Komorowski, R.A., & Toohill R. J. (2001). Sinonasal disease in patients with sarcoidosis. Am J Rhinol, 15(3), 211-5.

Kay, D. J., & Har-El, G. (2001). The role of endoscopic sinus surgery in chronic sinonasal sarcoidosis. Am J Rhinol. 15(4), 249-54.

12.

You perform a biopsy of a neck mass. The pathology report shows noncaseating granulomas. What is your differential diagnosis?

13.

Review the laryngeal manifestations of rheumatoid arthritis.