Ethmoid Sinus

Ecthyma gangrenosum mimicking acute invasive fungal sinusitis in an immunocompromised patient

May 31, 2010     Adrianna M. Hekiert, MD, Michael B. Cohen, MD, Kathleen T. Montone, MD, James N. Palmer, MD, and Satish Govindaraj, MD
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Abstract

Ecthyma gangrenosum is a rare necrotizing cutaneous infection usually caused by Pseudomonas aeruginosa. We report a case of ecthyma gangrenosum presenting as a sinonasal eschar and mimicking acute invasive fungal sinusitis in an immunocompromised 39-year-old man with a hematologic malignancy. To the best of our knowledge, this represents the first case of ecthyma gangrenosum affecting the sinonasal mucosa to be reported in the literature.

Endoscopic view of ossification of the middle turbinate and ethmoid sinus

March 31, 2010     Dewey A. Christmas, MD, Joseph P. Mirante, MD, FACS, and Eiji Yanagisawa, MD, FACS
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Sinonasal teratocarcinosarcoma: MRI and F18-FDG-PET/CT imaging

March 1, 2010     Ba D. Nguyen, MD
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One-year results: Transantral balloon dilation of the ethmoid infundibulum

February 1, 2010     James Stankiewicz, MD, FACS, Theodore Truitt, MD, and James Atkins Jr., MD
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Abstract

A prospective, multicenter research study is under way to demonstrate long-term improvement in chronic rhinosinusitis symptoms after transantral balloon dilation of the ethmoid infundibulum. Trial results from an interim analysis of symptomatic status using the Sino-Nasal Outcome Test 20 survey demonstrate significant and sustained improvement through post-procedure 1-year follow-up. Additionally, these data provide evidence that the symptomatic improvements following balloon expansion within the ostiomeatal unit to treat medically refractory inflammation of the maxillary sinuses, either alone or with concomitant anterior ethmoid disease, are similar.

Endoscopic views of bilateral dacryocystorhinostomies

February 1, 2010     Joseph P. Mirante, MD, FACS, Dewey A. Christmas, MD, and Eiji Yanagisawa, MD, FACS
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Endoscopic view of a trans-middle turbinate ethmoidectomy

May 31, 2009     Dewey A. Christmas, MD, Joseph P. Mirante, MD, FACS, and Eiji Yanagisawa, MD, FACS
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Prostatic carcinoma metastatic to the paranasal sinuses: A case report

August 31, 2008     Borlingegowda Viswanatha, MS, DLO
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Abstract

In the paranasal sinuses, metastatic carcinoma is far less common than primary carcinoma. Metastasis of prostate cancer to the paranasal sinuses is very rare. The author describes a case of prostatic adenocarcinoma that metastasized to the frontal and ethmoid sinuses in a 68-year-old man. The patient was treated with radiotherapy but was lost to follow-up after 3 months.

Endoscopic view of a posterior ostium of the ethmoid bulla

July 31, 2008     Eiji Yanagisawa, MD, FACS, Joseph P. Mirante, MD, FACS, and Dewey A. Christmas, MD
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An unusual cause of unilateral nasal obstruction: A mucocele of the maxillary sinus

March 31, 2008     Dewey A. Christmas, MD, Joseph P. Mirante, MD, FACS, and Eiji Yanagisawa, MD, FACS
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Tension pneumocephalus after endoscopic sinus surgery: Case report of repair and management in absence of obvious skull base defect

February 1, 2008     Robert G. Whitmore, BA, Gabrielle Bonhomme, MD, Laura J. Balcer, MD, MSCE, and James N. Palmer, MD
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Abstract

Tension pneumocephalus is a rare complication of functional endoscopic sinus surgery that may lead to rapid neurologic deterioration. Patients typically display symptoms within hours after the operation, and computed tomography reveals the presence of a skull base defect. We report a unique case of subacute tension pneumocephalus with no obvious skull base defect, which was associated with a pupil-involving third-nerve palsy. We discuss management of this complication and preventive measures for avoiding pneumocephalus after functional endoscopic sinus surgery.

Endoscopic view of a septated concha bullosa

February 1, 2008     Eiji Yanagisawa, MD, FACS, Joseph P. Mirante, MD, FACS, and Dewey A. Christmas, MD
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The use of a telescope in sinus balloon dilation

August 31, 2007     Dewey A. Christmas Jr., MD; Joseph P. Mirante, MD, FACS; Eiji Yanagisawa, MD, FACS
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Balloon catheter dilation is being used to help improve paranasal sinus ventilation.1,2 Those who teach the technique emphasize the use of the C-arm fluoroscope and the tactile introduction of a sinus guidewire. This is followed by the insertion of the sinus balloon catheter over the sinus guidewire. The balloon is inflated, deflated, and withdrawn. All of this can usually be accomplished without the use of a sinus telescope. However, we have found that the use of a telescope in addition to fluoroscopy is quite helpful.

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