For alar modification, removing tissue from inside the nostril to decrease width or from the lateral aspect of the ala to decrease flare works well in many patients, but these techniques may produce an unnatural result.
Patients with multiple symmetric lipomatosis commonly also suffer from various neuropathies, especially paresthesias and autonomic neuropathy.
A 56-year-old African-American man presented to the emergency department with dyspnea and dysphagia with drooling. On his initial evaluation, disproportionate obesity of the face, neck and shoulders was noted. The patient's history was significant for obstructive sleep apnea, end-stage renal disease, alcoholic liver disease, pulmonary...
Most polyps in the nasal cavity develop from the mucosa of the anterior ethmoid sinus, the contact areas of the uncinate process, and the middle turbinate so that they are observed in the middle meatus.
A 17-year-old man with a 2-year history of slowly progressive, left-sided nasal obstruction and intermittent mucopurulent rhinorrhea in both nasal cavities was referred to our hospital. He denied any history of underlying systemic disease, trauma, or nasal surgery. Nasal endoscopy showed a polypoid nasal mass obstructing the left inferior meatus...
Schwannomas of the nasal cavity are rare benign tumors, and those that arise from the nasal septum are even rarer. When they do occur, they usually become symptomatic early because of the close confines of the nasal cavity. We describe a case of nasal septal schwannoma that was noteworthy in that the patient-a 28-year-old woman-waited 8 months after the onset of symptoms to seek medical care. Her symptoms included complete right-sided nasal obstruction, occasional epistaxis, and hemifacial pain. The tumor was completely removed via an endoscopic approach. We discuss the clinical presentation, differential diagnosis, and treatment of this rarely encountered neoplasm.
Schwannomas are rare benign tumors that can arise from the nerve sheath of any myelinated nerve. About 25% of all schwannomas are seen in the head and neck; of these, less than 4% are located in the sinonasal tract.1 In this location, they have been reported in patients between the ages of 6 and 78 years; there is no predilection for...
Descending necrotizing mediastinitis (DNM) is a now-rare complication of dental and pharyngeal infections. Reports in the literature have emphasized the need for early, aggressive surgical intervention. We present a case of DNM with bilateral empyemas that arose secondary to a perforated pharyngeal abscess. The patient was successfully managed conservatively with intravenous antibiotics and intercostal drainage. We conclude that conservative management with antibiotics and image-guided percutaneous pleural drainage may be initially appropriate for the stable patient.
Descending necrotizing mediastinitis (DNM) is a rare complication of oral and pharyngeal infections in the postantibiotic era. When it does occur, the prognosis is poor, with a reported mortality rate of about 40%.1-4