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Balloon dilation of the sphenoid sinus ostium for recurrent sphenoid sinusitis

August 21, 2016  |  Ken Yanagisawa, MD, FACS; Dewey A. Christmas, MD; Joseph P. Mirante, MD, FACS; Eiji Yanagisawa, MD, FACS

The natural sphenoid sinus ostium is often amenable to balloon dilation, which can be performed in the office under local anesthesia or in the operating room under general anesthesia.

Endoscopic view of a unilateral nasal soft-tissue obstruction

February 24, 2016  |  Joseph P. Mirante, MD, MBA, FACS; Dewey A. Christmas, MD; Eiji Yanagisawa, MD, FACS

It is often impossible to classify the disease process on the basis of endoscopic findings alone, but tissue biopsy and culture will lead to the appropriate diagnosis.

Raeder syndrome: Paratrigeminal oculosympathetic syndrome presenting as a manifestation of chronic sinusitis

December 14, 2015  |  Cedric V. Pritchett, MD; Mark A. Zacharek, MD


Raeder syndrome (paratrigeminal oculosympathetic syndrome) is a rare clinical entity characterized by ipsilateral trigeminal sensory deficits, ptosis, and miosis, with an absence of anhidrosis secondary to interruption of the postganglionic oculosympathetic pathway. Going back...

Nasal obstruction and recurrent sinusitis caused by bilateral pneumatized ethmoid bullae

December 14, 2015  |  Meir Warman, MD; Seth Willen, MD; Peter J. Catalano, MD, FACS, FARS


The presentation of an enlarged pneumatized bulla ethmoidalis (BE) that obstructs the ethmoid infundibulum has not been previously reported. We report such a case in a 23-year-old woman who presented with recurrent acute rhinosinusitis and chronic rhinosinusitis. The...

A hyperpneumatized frontal sinus with middle meatal obstruction

October 31, 2015  |  Dewey A. Christmas, MD; Joseph P. Mirante, MD, FACS; Eiji Yanagisawa, MD, FACS

In this case, the narrowing of the middle meatus by the hypertrophic polypoid middle turbinate resulted in intermittent frontal sinusitis and headaches.

Large Haller cell mucocele leading to maxillary sinusitis

April 28, 2015  |  Jae-Hoon Lee, MD

Paranasal sinus mucoceles are epithelial-lined cystic lesions containing mucus or mucopurulent fluid. Symptoms vary depending on the location of the mucocele.

Group A beta streptococcal infections in children after oral or dental trauma: A case series of 5 patients

January 19, 2015  |  Brittany E. Goldberg, MD; Cecile G. Sulman, MD; Michael J. Chusid, MD


Group A streptococcus (GAS) produces a variety of disease processes in children. Severe invasive diseases such as necrotizing fasciitis can result. Traumatic dental injuries are common in the pediatric population, although the role of dental injuries in invasive GAS disease is...

An unusual case of acute periorbital swelling

October 18, 2014  |  Sara Torretta, MD; Alessandra Brevi, MD; Davide Pagani, MD; Lorenzo Pignataro, MD


Periorbital swelling is frequently encountered in ear, nose, and throat practices and, as it may be secondary to acute sinusitis, delayed diagnosis may lead to significant morbidity. We describe the case of a 24-year-old man with acute ethmoid-maxillary sinusitis and...

A study of adherence to the AAO-HNS "Clinical Practice Guideline: Adult Sinusitis"

August 28, 2014  |  Ilaaf Darrat, MD; Kathleen Yaremchuk, MD; Spencer Payne, MD; Michelle Nelson, MBA, CPC


A retrospective study was conducted to determine if physicians in otolaryngology practice adhered to the clinical practice guideline for adult sinusitis that had been issued by the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) 3 years earlier. We analyzed...

Fungal sinusitis with a nasal septal perforation

January 24, 2013  |  Jae Hoon Lee, MD; Ha Min Jeong, MD

Nasal septal perforations or defects have a variety of causes, including previous septal surgery, infection, collagen vascular disease, granulomatous disease, the use of irritant inhalants, and neoplasia; the most common of these is previous septal surgery.

Bilateral silent sinus syndrome

December 31, 2012  |  Jeffrey D. Suh, MD; Vijay Ramakrishnan, MD; Jennifer Y. Lee, MD; Alexander G. Chiu, MD


Silent sinus syndrome is a rare clinical entity associated with progressive enophthalmos, collapse of the maxillary sinus, and hypoglobus. We report a case of bilateral silent sinus syndrome in a 29-year-old man. Representative radiographic and intraoperative images are...

Sphenoethmoid sinusitis in a child resulting in a disastrous intracranial sequela

November 1, 2012  |  Aye Jane Sow, MS(ORL-HNS); Jeevanan Jahendran, MS(ORL-HNS); Charng Jeng Toh, MS(Neurosurg); Thean Yean Kew, FRCR


Localized sphenoethmoid sinusitis in children is a rare occurrence. It is usually overlooked because of the misconception that the sinuses are not developed. We describe a case of localized acute sphenoid and right posterior ethmoid sinusitis that presented as right frontobasal...


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