April 30, 2007 Thomas P. Nowlin IV, MD; Daniel J. Hall, MD; Eric B. Purdom, DO; Michael R. Holtel, MD
September 30, 2006 John M. Hempel, MD; Petros D. Karkos, MPhil, AFRCSI; Wolfgang J. Issing, MD
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Abstract
Fibrous dysplasia typically occurs in patients between the ages of 5 and 15 years. We report the case of a middle-aged woman with longstanding monostotic fibrous dysplasia who responded well to conservative treatment. She had presented with a very long (15 yr) history of frontal headache and pressure over the frontal sinus. On examination, a protuberance was noted in the region of the right frontal sinus. No other symptoms were evident, and findings on the ENT examination were normal. Computed tomography (CT) detected a widening of the frontal bone with osteolytic changes of the cancellous bone of the diploë. Partial multiphase skeletal scintigraphy and single-photon emission CT of the cranium showed increased bone metabolism in the area of the right frontal bone. No other hot spots were seen. In view of the absence of any complications, no tissue biopsy was performed. The patient was prescribed bisphosphonates for symptom relief. Follow-up CT 1 year later revealed no progression of the lesion. Overtreatment of fibrous dysplasia should be avoided because most patients respond to conservative management. In those cases that are refractory to medical treatment, surgery-in experienced hands-can result in a good functional and cosmetic outcome.
April 30, 2006 M. Panduranga Kamath, MS; Gurudath Kamath, MS; Kiran Bhojwani, MS; Mukhta Pai, MD; Ahamed Shameem, MBBS; Salil Agarwal, MBBS
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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.
December 1, 2005 Giacomo De Riu, MD; Alessandro Bay, MD; Antonio Tullio, MD
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Abstract
Deformity of the forehead is usually the first clinical presentation of the abnormally large frontal sinus caused by pneumosinus dilatans. We report the diagnosis and surgical treatment of a case. The type of osteotomy we describe is recommended as a method of surgical treatment for this condition when the aesthetic problem is the major complaint.
November 1, 2005 Dewey A. Christmas, MD; Joseph P. Mirante, MD; Eiji Yanagisawa, MD
July 31, 2005 David Greene, MD, FACS
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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.
April 1, 2005 A.K. Agarwal, MS; Ramanuj Bansal, MS; Deepti Singhal, MS
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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.
January 1, 2005 Maura C. Neves, MD; Marcus M. Lessa, MD, PhD; Richard L. Voegels, MD, PhD; Ossamu Butugan, MD, PhD
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Abstract
Non-Hodgkin's lymphoma of the sinonasal tract is an uncommon lesion, representing 1.5 to 15% of all lymphomas. Most cases of primary non-Hodgkin's lymphoma of the sinonasal tract occur in the maxillary sinus, ethmoid sinus, and nasal cavity; its occurrence in the frontal sinus is extremely rare. We report a case of primary type B non-Hodgkin's lymphoma of the frontal sinus in a 43-year-old man. The patient complained of frontal headaches that had not improved with analgesic drugs, and he presented with a frontal bulge that involved the left upper eyelid; the bulge had progressively enlarged over a 3-month period. A biopsy of the mass identified the type B non-Hodgkin's lymphoma. Immunohistochemical study not only confirmed the histologic type of the tumor, it also provided some important information about the primary tumor site. Advances in immunohistochemistry have shown that type B non-Hodgkin's lymphoma is more common in North American and European patients, whereas subtype T is more common in Asians and in some Latin Americans. The treatment of this condition is still controversial, but the combination of radiotherapy and chemotherapy has yielded the best results in all stages of the disease.
September 30, 2004 Dewey A. Christmas, MD; Joseph P. Mirante, MD, FACS; Eiji Yanagisawa, MD, FACS
June 30, 2004 Eiji Yanagisawa, MD, FACS; Ken Yanagisawa, MD, FACS; Dewey A. Christmas, MD; Ray Yanagisawa, BA
April 1, 2004 Enrique Palacios, MD, FACR; Rafael Rojas, MD; Guadalupe Ramirez, MD
