Ethmoid Sinus

Isolated cementoossifying fibroma of the ethmoid bulla: A case report

April 30, 2006     Ismail Yilmaz, MD; Nebil Bal, MD; Levent N. Ozluoglu, MD
article
Abstract
Cementoossifying fibroma is a rare nonodontogenic tumor of the periodontal membrane that arises from the mesodermal germ layer. This nonneoplastic, locally destructive tumor has occurred as an osseous lesion in the mandible, the maxilla, the zygoma, all the paranasal sinuses, and the orbital and petromastoid regions. It has occurred as an extraosseous lesion in the gingiva and the auricle. The diagnosis requires correlating a variety of clinical, radiologic, and histologic factors. The recurrence rate is high, particularly for lesions in the paranasal sinuses. Surgical management via a local excision as wide as possible is suggested. We describe the case of a 32-year-old woman with an isolated cementoossifying fibroma of the right ethmoid bulla, and we review the diagnosis, differential diagnosis, and management of this tumor.

Sinonasal lymphoma: A case report

April 30, 2006     M. Panduranga Kamath, MS; Gurudath Kamath, MS; Kiran Bhojwani, MS; Mukhta Pai, MD; Ahamed Shameem, MBBS; Salil Agarwal, MBBS
article
Abstract
Sinonasal lymphomas are uncommon malignancies. They are difficult to differentiate from carcinomas, and immunohistochemistry is needed to make the diagnosis. We describe an unusual case of a T cell lymphoma that involved only the paranasal sinuses in a middle-aged man. The patient presented with a complete loss of vision in one eye and lateral rectus muscle palsy, but no nasal symptoms.

Ossifying fibroma of the ethmoid sinus

February 1, 2006     Enrique Palacios, MD, FACR
article

Endoscopic view of an obstructing polyp of the uncinate fold

February 1, 2006     Joseph P. Mirante, MD; Dewey A. Christmas, MD; Eiji Yanagisawa, MD
article

Transseptal suture to secure middle meatal spacers

January 1, 2006     Neil G. Hockstein, MD; Christina B. Bales, MD; James N. Palmer, MD
article
Abstract
Middle meatal spacers are used by many sinus surgeons to aid postoperative care. Aspiration of a spacer is a concern. We demonstrate a novel method of securing spacers with a transseptal suture to prevent aspiration. We fashion each spacer from a powder-free, nonlatex glove finger that is packed with a Merocel sponge. The open end of the finger is closed with 2-0 Prolene sutures. For a bilateral procedure, the needle is left attached to one of the spacers. A spacer is placed in each ethmoid cavity, the attached needle is passed through the anterior cartilaginous septum, and the suture is tied to the suture on the opposite spacer. For unilateral procedures, the suture on the single spacer is passed to the contralateral side and tied on itself. One week later, the transseptal suture is cut and the spacers are removed. We performed this procedure on 78 patients who had undergone total ethmoidectomy. None of the spacers migrated during the 1 week they were in place. One patient complained of pain during removal of a spacer. During follow-up of 2 to 10 months, we found no evidence of injury to the septum at the site of the transseptal suture. We conclude that the transseptal suture is a safe and cosmetically superior method of securing middle meatal spacers.

Ethmoid fibrous dysplasia with anterior skull base and intraorbital extension

September 30, 2005     Edwin K. Chan, MD
article

Total necrosis of the intranasal structures and soft palate as a result of nasal inhalation of crushed OxyContin

July 31, 2005     David Greene, MD, FACS
article
Abstract
Nasal inhalation of substances such as cocaine has long been linked to septal necrosis and more recently to palatal perforation. This report describes the case of a 37-year-old man who was addicted to crushed OxyContin (sustained-release oxycodone HCl) tablets and who presented with total necrosis of the septum, sinuses, and soft palate. To the best of the author's knowledge, this is the first reported case of nasal and palatal necrosis linked to nasal inhalation of crushed OxyContin, which is a relatively new form of drug abuse. The pathophysiology of drug-induced sinonasal disease and a review of the literature are also presented.

Asymmetry of the middle turbinates and ethmoid sinuses

July 31, 2005     Joseph P. Mirante, MD, FACS; Dewey A. Christmas, MD; Eiji Yanagisawa, MD, FACS
article

Endoscopic view of the powered removal of middle meatal adhesions

May 31, 2005     Dewey A. Christmas, MD; Joseph P. Mirante, MD, FACS; Eiji Yanagisawa, MD, FACS
article

Sinonasal leiomyoma: Report of 2 cases

April 1, 2005     A.K. Agarwal, MS; Ramanuj Bansal, MS; Deepti Singhal, MS
article
Abstract

Leiomyomas are benign smooth-muscle tumors that are common in the alimentary tract, uterus, skin, and subcutaneous tissue. They are very uncommon in the upper respiratory tract and rare in the nasal cavity and paranasal sinuses. To the best of our knowledge, only 23 such cases have heretofore been published in the literature. We report 2 new cases of sinonasal leiomyoma that originated at different sites in the nasal cavity. We also discuss the various investigative and therapeutic modalities available.

Bilateral asymmetric mucoceles of the paranasal sinuses: A first case report

December 1, 2004     Lalee Varghese, MBBS, DLO; Mary John, MBBS, DLO; Mary Kurien, MBBS, DLO, MS
article
Abstract
Bilateral paranasal sinus mucoceles are rare. To date, only 5 cases have been reported in the English-language literature. All were bilaterally symmetrical. We present a patient with bilateral asymmetric mucoceles. This patient had a symptomatic mucocele of the right ethmoid sinus with orbital extension and an asymptomatic mucocele involving the left maxillary sinus with retroorbital extension. The latter was an incidental finding on radiologic evaluation. This is the first case report of bilateral mucoceles with asymmetric involvement of the paranasal sinuses.

Endoscopic view of an esthesioneuroblastoma that resembles a benign polyp

September 30, 2004     Dewey A. Christmas, MD; Joseph P. Mirante, MD, FACS; Eiji Yanagisawa, MD, FACS
article
PreviousPage
of 6Next