Nodular amyloidosis can be treated successfully with cold steel excision in combination with carbon dioxide laser. Close followup of these patients is warranted, as nodular amyloidosis may be the precursor to systemic amyloidosis.

Paralysis of the tongue due to isolated bilateral hypoglossal nerve palsy is a rare occurrence. Due to a trauma the cause in our case may have been a traction injury to both hypoglossal nerves at the base of skull. In some cases a contributing factor may be malformation of the skull base. Most cases have a good prognosis for recovery.

When treating a child with a palatal abnormalityfor otitis media ora nasal obstruction, otolaryngologists ofte nface the question ofwhether the benefit s ofadenoidectomy are worth the risk of the development of velopharyngea l insufficiency. Treatment options fo r these patients include a complete adenoidec tomy, a partial adenoidectomy, or no surgical intervention. In this retrospective study, we describe the outcomes of22 such patients who were treated with a superior adenoidectomy performed with a St. Clair adenoid forceps under indirect vision with a laryngeal mirror. All patie nts expe rienced a complete or near-complete resolution of their nasal obstruction, and none developed permanent velopharyngea l insufficiency. Only three patie nts expe rienced a recurrence of otitis media. Our experience suggests that superio r adenoidectomy is a safe and effective procedure.

Nodular amyloidosis can be treated successfully with cold steel excision in combination with carbon dioxide laser. Close followup of these patients is warranted, as nodular amyloidosis may be the precursor to systemic amyloidosis.