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Sinonasal teratocarcinosarcoma with intracranial extension: Case report and literature review

December 31, 2012  |  Shafik N. Wassef, MD; Payal Kapur, MBBS, MD; Samuel L. Barnett, MD; Larry L. Myers, MD, FACS


Sinonasal teratocarcinosarcoma (SNTCS) is an extremely rare malignancy of the paranasal sinuses that possesses the histopathologic features of both teratomas and carcinosarcomas. We report the case of a 58-year-old white man who presented with a 1-year history of a...

Ectopic intranasal tooth: An unusual cause of epistaxis in a child

June 4, 2012  |  Roshan K. Verma, MS, DNB, MNAMS; Jaimanti Bakshi, MS, DNB; Naresh K. Panda, MS, MNAMS, FRCS


Nasal bleeding is a common disorder in children that is frequently caused by irritation in the Kiesselbach plexus (also known as Little’s area). Other common underlying causes include local inflammatory diseases of the nose, infections, vascular malformations, and...

Outcomes of endoscopic sphenopalatine artery ligation for epistaxis: A five-year series from a single institution

February 18, 2012  |  David J. Howe, FRCS ORL-HNS, SpR ENT; Umar Wazir, MBBS, MRCS, MSc; Derek W. Skinner, FRCS Eng(Otol)


Epistaxis is a common emergency seen by the otolaryngologist. A minority of cases require surgical intervention. Multiple surgical procedures have been tried in the past, including endoscopic ligation of the sphenopalatine artery (ELSPA), which is considered an effective...

Sphenopalatine artery pseudoaneurysm after endoscopic sinus surgery: A case report and literature review

February 18, 2012  |  Raewyn G. Campbell, BMed(Hons), BApplSci(Physio)


Previously reported cases of iatrogenic sphenopalatine artery (SPA) pseudoaneurysm have occurred only after trans-sphenoidal surgery for pituitary tumors or maxillofacial surgery. In this article, the author presents what to the best of her knowledge is the first reported case...

The blood-sucking leech: A rare cause of unilateral epistaxis

January 25, 2012  |  Salina Husain, MBBS, MSurg ORL-HNS and S.H. Primurharsa, MD, MSurg ORL-HNS

Arteriovenous hemangioma formation following radiofrequency ablation for inferior turbinate reduction

October 27, 2011  |  Senol Polat, MD, Hasan Murat Tanyeri, MD, and Selcuk Bilgi, MD


Inferior turbinate reduction by radiofrequency ablation (RFA) has been recommended as an easy and safe option for the treatment of patients with inferior turbinate hypertrophy. Complications of this type of excision are generally acceptable. We describe a case of RFA turbinate...

Effectiveness of a nasal saline gel in the treatment of recurrent anterior epistaxis in anticoagulated patients

September 21, 2011  |  Doug Massick, MD and Agnes Hurtuk, MD


We believe that the use of cauterization in patients with anterior epistaxis in the absence of acute bleeding should be discouraged because it does not address the underlying cause and because it may even worsen the condition by extending the degree of mucosal disruption. This...

Primary nasal tuberculosis-a rare clinical entity

July 14, 2011  |  Sandeep Lerra, MS (ENT), Tanvir Nazir, MS (ENT), Sajjad Mir Qadri, MS (ENT), and Masod Kirmani, MS (ENT)


Primary tuberculosis of the nose is very rare. We report a case of a 35-year-old woman who presented with bilateral nasal obstruction and epistaxis of 3 months' duration but who was otherwise healthy. She was diagnosed with primary nasal septal tuberculosis and was treated with...

A report of CSF leak as a complication of nasal packing for epistaxis

March 1, 2010  |  Nicole L. Bryan, MD and Melissa A.M. Hertler, MD


While nasal packs are effective in controlling epistaxis, some potential complications are associated with this procedure that physicians should be aware of and take measures to avoid. We report the case of an 80-year-old man who developed cerebrospinal fluid rhinorrhea several...

Primary sinonasal tuberculosis in a Nigerian woman presenting with epistaxis and proptosis: A case report

September 1, 2009  |  B. Sulyman Alabi, FWACS, Enoch A.O. Afolayan, FMCPath, A. Abdulakeem Aluko, FWACS, O. Abdulraman Afolabi, MBBS, and F. Grace Adepoju, FWACS


Tuberculosis is the second leading cause of death worldwide after human immunodeficiency virus/AIDS and is especially prevalent in developing countries. We report a case of primary sinonasal tuberculosis without pulmonary involvement, which is rare, in a 27-year old female...

Transport of a patient with massive traumatic epistaxis using a cricket helmet and posterior nasal packing

June 1, 2009  |  Philip V. Alexander, MS and Alka Walters, MS


In developing countries, when patients with traumatic epistaxis cannot be adequately treated at their local medical facility and require further treatment at a distant tertiary care center, it is important that bleeding be controlled before their transport. We describe a...

Nasal packing after septoplasty: A randomized comparison of packing versus no packing in 88 patients

November 1, 2008  |  Mohammad Sohail Awan, FCPS and Moghira Iqbal, MBBS


The once-common practice of packing the nose after septoplasty was based on a desire to prevent postoperative complications such as bleeding, septal hematoma, and adhesion formation. However, it was since found that not only is nasal packing ineffective in this regard, it can...


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