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Pneumocephalus after insertion of an inflatable nasal tampon for the management of epistaxis

April 30, 2016  |  Adam J. Kimple, MD, PhD; Michael O. Ferguson, MD


While the fundamental principles of epistaxis management have not changed over the decades, the methods by which tamponade is achieved have been evolving. Inflatable nasal tampons are being used and seen with increasing frequency in our ENT clinic. They are usually placed by...

Protection from blood aerosol contamination when managing epistaxis: A study of the effectiveness of a patient mouth mask

September 21, 2015  |  Salman Baig, FRCSI; Tahir Rashid, FCPS, FEB(ORL-HNS); Muhammad Saleem, FRCS


The danger to healthcare personnel of acquiring a blood-borne infection accidentally transmitted by a patient is well known. Such an infection can have serious and career-altering implications. Epistaxis, which is the most common emergency seen in ENT practice, poses a great...

Radiographic findings of a well-differentiated sinonasal neuroendocrine neoplasm: Case report and review of the literature

July 21, 2015  |  Cui Ping Mao, PhD; Ming Zhang, MD; Chen Niu, PhD; Min Li, MD; Yuan Wang, MD


Typical carcinoid is a rare tumor among other neuroendocrine neoplasms that occur in the nasal cavity. Only a few cases of typical carcinoids in the nasal cavity have been reported. We report a case of typical carcinoid of the nasal cavity in a 61-year-old man who had a history...

Sinonasal undifferentiated carcinoma as a third primary neoplasm: A case report and review of the literature

April 28, 2015  |  John J. Chi, MD; Michael D. Feldman, MD; James N. Palmer, MD


A 71-year-old man with a history of a pituitary prolactinoma and metastatic pancreatic carcinoma presented with epistaxis, visual changes, bilateral ophthalmoplegia, involuntary closure of the left eye, and ptosis of the right eye. The patient was found to have a soft-tissue...

Pedunculated cavernous hemangioma originating in the olfactory cleft

September 18, 2014  |  Kaiming Su, MD, PhD; Weitian Zhang, MD, PhD; Haibo Shi, MD, PhD; Shankai Yin, MD, PhD


Sinonasal cavernous hemangioma is a rare condition that usually affects the lateral wall of the nasal cavity. We report the case of a 77-year-old man who presented with severe epistaxis, nasal congestion, and olfactory dysfunction. Endoscopic examination of the nasal cavity...

Two cases of pyogenic granuloma in pregnancy

August 28, 2014  |  Alex Fernandez, MS; Jason Hamilton, MD, FACS; Raphael Nach, MD

Management and treatment of rhinologic issues in pregnant patients can be complex because of the limited availability of safety data.

Nasal vestibule schwannoma: Report of a rare case

June 9, 2014  |  Ismail Fadzilah, MSurg(ORL-HNS); Husain Salina, MSurg(ORL-HNS); Baharudin Khairuzzana, MSurg(ORL-HNS); Omar Rahmat, MSurg(ORL-HNS); SHA Primuharsa Putra, MSurg(ORL-HNS)


Schwannomas of the nasal cavity and paranasal sinuses are quite rare, especially in the nasal vestibule. We report the case of a 61-year-old woman who presented with a 2-month history of progressively worsening right-sided epistaxis and nasal blockage. Rigid nasoendoscopy...

Clinical management of a patient with advanced mucosal malignant melanoma in the sinonasal area

January 21, 2014  |  Marco Fusetti, MD; Alberto Eibenstein, MD; Ettore Lupi, MD; Enzo Iacomino, MD; Tiziana Pieramici, MD; Alessandra Fioretti, MD, PhD


We describe a case of mucosal malignant melanoma in the sinonasal area of a 65-year-old woman. She presented with a history of nasal obstruction and epistaxis with subsequent tenderness, facial anesthesia involving cranial nerve V2, red eye, proptosis, diplopia, and...

Solitary extramedullary plasmacytoma of the nasal tract: An unusual cause of epistaxis

June 12, 2013  |  Kushaljit Singh Sodhi, MD, MAMS, FICR; Niranjan Khandelwal, MD, DipNB, FICR; Vivek Virmani, MD, DipNB, FRCR; Ashim Das, MD; and Naresh Panda, MS


Solitary extramedullary plasmacytoma is a rare hematologic malignancy with nonspecific clinical symptoms and imaging findings. We present a case of this entity that arose in the nasal tract of a 50-year-old man. The tumor was removed surgically, and the patient showed no...

A case of glomangiopericytoma involving the orbital wall

April 18, 2013  |  Eun Sun Jung, MD, PhD; Suk-Woo Yang, MD, PhD; Ji-Hong Kim, MD; Soo Whan Kim, MD, PhD


Sinonasal type hemangiopericytomas are very rare tumors, and are often called glomangiopericytoma. They are believed to be derived from perivascular modified smooth muscle cells. Their origin is similar to glomus tumors but some distinct differences exist. Glomangiopericytomas...

Oncocytoma of the nasal cavity: A case report

March 25, 2013  |  Mark E. Fons, DO; David Poetker, MD; Paul E. Wakely Jr., MD


Oncocytomas arising in the nasal cavity are quite rare. These entities more commonly occur in the major salivary glands, minor salivary glands, respiratory seromucinous glands, and endocrine organs. Very few cases of oncocytoma in the nasal cavity have been reported, with only...

Endoscopic view of an "empty nose"

February 25, 2013  |  Dewey A. Christmas, MD; Joseph P. Mirante, MD, FACS; Eiji Yanagisawa, MD, FACS

The empty nose syndrome usually is defined by excessive loss of normal nasal tissue and loss of anatomic landmarks, which results in a widely patent airway with excessive crusting (ozena) and easy nasal bleeding and dryness of the nasal mucosa. Functional endoscopic sinus surgery for chronic...


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