Ethmoid Sinus

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

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 The balloon is inflated, deflated, and withdrawn.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.

Post-traumatic ethmoid mucocele following penetrating craniofacial injury

July 31, 2007     Jason S. Hamilton, MD; Sofia Avitia, MD; Ryan F. Osborne, MD

A 52-year-old woman presented with an 8-month history of progressive right-sided facial pain and headache. Her medical history was significant for a gunshot wound to the face approximately 10 years earlier.

An aggressive psammomatoid ossifying fibroma of the sinonasal tract: Report of a case

June 30, 2007     Bijan Khademi, MD; Nika Niknejad, MD; Jalal Mahmoudi, MD
Aggressive psammomatoid ossifying fibromas (APOFs) represent a subgroup of related fibro-osseous lesions that appears to be unique to the nasal cavity, paranasal sinuses, and orbit. These rare lesions are characterized by distinctive histomorphologic features and a tendency to affect younger patients. Histologically they are benign, but clinically they are locally aggressive. We report the case of a 15-year-old boy who had a large APOF in the left ethmoid and sphenoid sinuses. The location of this tumor made this case unusual.

Malignant melanoma of the sinonasal mucosa: Two case reports and a review

April 30, 2007     Alicia R. Sanderson, MD; Brendan Gaylis, MD

Endoscopic view of cystic fibrosis with nasal polyposis

April 30, 2007     Dewey A. Christmas Jr., MD; Joseph P. Mirante, MD, FACS; Eiji Yanagisawa, MD, FACS

Chronic sinonasal aspergillosis with associated mucormycosis

January 1, 2007     Ramandeep S. Virk, MS; Pankaj Arora, MS

Olfactory neuroblastoma

August 31, 2006     Lester D.R. Thompson, MD, FASCP

Endoscopic view of the ethmoid strut

June 30, 2006     Dewey A. Christmas, MD; Joseph P. Mirante, MD; Eiji Yanagisawa, MD

Isolated cementoossifying fibroma of the ethmoid bulla: A case report

April 30, 2006     Ismail Yilmaz, MD; Nebil Bal, MD; Levent N. Ozluoglu, MD
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
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.

Endoscopic view of an obstructing polyp of the uncinate fold

February 1, 2006     Joseph P. Mirante, MD; Dewey A. Christmas, MD; Eiji Yanagisawa, MD
of 6Next