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Chronic invasive fungal sinusitis causing a pathologic Le Fort I fracture in an immunocompetent patient

September 19, 2016  |  Amy L. Richter, MD; K. Kelly Gallagher, MD


We describe the case of a 77-year-old immunocompetent woman with a history of chronic rhinosinusitis who presented with a pathologic Le Fort I fracture after a forceful sneeze. Imaging revealed diffuse sinus opacification and a Le Fort type I complex fracture involving the...

Mulberry hypertrophy and accompanying sinonasal pathologies: A review of 68 cases

August 21, 2016  |  Davut Akduman, MD; Mehmet Haksever, MD; Muhammed Yanilmaz, MD; Fevzi Solmaz, MD


Mulberry hypertrophy occasionally coexists with sinonasal pathologies. There are very few reports in the literature on this clinical entity. We conducted a retrospective study to draw attention to this condition in the context of accompanying sinonasal pathologies. Our study...

Thrombophlebitis of the temporal vein as an extracranial complication of acute bacterial rhinosinusitis

August 27, 2015  |  Markus E. Huth, MD; Marco D. Caversaccio, MD, PhD


A 39-year-old white man presented with a swollen left upper eyelid secondary to progressive acute bacterial rhinosinusitis (ABRS). Physical examination found a 40% reduction in vision in the left eye and right-sided erythematous temporal swelling with tenderness to palpation....

Effects of nasal saline lavage on pediatric sinusitis symptoms and disease-specific quality of life: A case series of 10 patients

February 2, 2015  |  Sandra Y. Lin, MD; Katherine M. Baugher, DO; David J. Brown, MD; Stacey L. Ishman, MD


We conducted a prospective study to assess (1) the effects of daily nasal irrigation in children with chronic sinonasal symptoms and (2) the impact that treatment had on disease-specific quality of life as assessed by a validated instrument, the five-item Sinus and Nasal...

An uncommon cause of allergic fungal sinusitis: Rhizopus oryzae

January 19, 2015  |  Marie Devars du Mayne, MD; Maxime Gratacap, MD; David Malinvaud, MD, PhD; Frederic Grenouillet, PhD; Pierre Bonfils, MD, PhD


We report what we believe is the first case of allergic fungal rhinosinusitis (AFRS) caused by the fungus Rhizopus oryzae. Our patient was a 32-year-old woman who presented with unilateral nasal polyps and chronic nasal dysfunction. Computed tomography of the sinuses...

Chronic rhinosinusitis in patients requiring surgical repair of a midface fracture

September 18, 2014  |  Joshua C. Yelverton, MD; Peter Jackson, MD; Robert S. Schmidt, MD


Midface fractures commonly occur following trauma to the face and may cause changes in the normal sinus outflow system. To the best of our knowledge, no study has examined the incidence of rhinosinusitis following midface fractures. We report the incidence of chronic...

Balloon sinus dilation in the office setting

August 28, 2014  |  Joseph P. Mirante, MD, FACS; Michael A. Munier, MD, FACS; Dewey A. Christmas Jr., MD; Eiji Yanagisawa, MD, FACS

The ability to complete operative procedures in the office setting avoids the time and cost of working in a hospital or outpatient surgical center operating room.

Rhinotopic therapy for refractory chronic rhinosinusitis: A study of 20 cases

May 8, 2014  |  Alan H. Shikani, MD, FACS; Karim A. Chahine, MD; Mohannad A. Alqudah, MD


The management of refractory chronic rhinosinusitis (CRS) after endoscopic sinus surgery is complex and challenging. We conducted a prospective clinical pilot study to evaluate the effectiveness of a rhinotopic protocol for the treatment of refractory CRS. Our study population...

Extensive pneumatization of the ethmoid sinus in a case of velocardiofacial syndrome

December 20, 2013  |  Dewey A. Christmas, MD; Joseph P. Mirante, MD, FACS; Eiji Yanagisawa, MD, FACS

Endoscopic view of the sphenoid sinus seen through the posterior ethmoid sinus

October 24, 2013  |  Joseph P. Mirante, MD, FACS; Dewey A. Christmas, MD; Eiji Yanagisawa, MD, FACS

Care must be taken when entering the sphenoid sinus, to dissect inferiorly and medially to avoid injury to the vital structures of the lateral wall of the sphenoid sinus.

How closely related are allergic rhinitis, asthma, and chronic sinusitis?

September 19, 2013  |  Mahmoud Ghaderi, DO, FAOCO

Various triggers may have different presentations and thus create a clinically known diverse group of diseases that we have classically grouped as chronic rhinosinusitis.

Endoscopic view of the drainage pathway of a pneumatized uncinate process

August 22, 2013  |  Dewey A. Christmas, MD; Joseph P. Mirante, MD, FACS; and Eiji Yanagisawa, MD, FACS

Pneumatized structures of the nose and sinuses have a mucosal lining whose mucociliary clearance will be associated with a drainage pathway into the nose.


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