Maxillary sinus

Cholesteatoma of the maxillary sinus

December 1, 2005     Enrique Palacios, MD, FACR; Hugh Robertson, MD, FACR
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Asymmetry of the middle turbinates and ethmoid sinuses

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

Recurrent polymorphous low-grade adenocarcinoma manifesting as a sinonasal mass: A case report

May 31, 2005     Daniel D. Charous, MD; Mary F. Cunnane, MD; Marc R. Rosen, MD; William M. Keane, MD
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Abstract
Polymorphous low-grade adenocarcinoma (PLGA) is a malignant neoplasm that tends to follow a benign clinical course. Recurrences are uncommon. We report a case of recurrent PLGA of the paranasal sinuses that manifested as a large mass that filled the entire nasal cavity and left maxillary sinus. To our knowledge, this is the first reported case of a recurrent PLGA of the paranasal sinuses.

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
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Unusual rhinosinusitis caused by Curvularia fungi

April 30, 2005     Pedram Parva, MD; Rafael Rojas, MD; Enrique Palacios, MD, FACR
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Sinonasal leiomyoma: Report of 2 cases

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.

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
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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 two adjacent unilateral inferior meatal nasoantral windows

December 1, 2004     Dewey A. Christmas, MD; Joseph P. Mirante, MD, FACS; Eiji Yanagisawa, MD, FACS
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Endoscopic view of an obstructing polyp of the maxillary sinus ostium viewed through an accessory ostium

November 1, 2004     Joseph P. Mirante, MD, FACS; Dewey A. Christmas, MD; Eiji Yanagisawa, MD, FACS
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What's in a fungus ball? Report of a case with submucosal invasion and tissue eosinophilia

September 30, 2004     Dogan Senocak, MD; Ahmet Kaur, MD
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Abstract
Fungus balls are tangled mats of hyphae that are often found in the maxillary sinus. In approximately half of affected patients, radiologic evaluation will reveal areas of hyperdensity within soft-tissue masses. Histopathologic examination will reveal no invasion of the mucosa and no granulomatous reactions. Surgical removal is sufficient because fungus balls are not known to recur. We describe an interesting case of a sinonasal fungus ball that resembled dental filling material on radiologic imaging because of its extraordinary radiopacity. Histopathologic examination detected eosinophilic infiltration, hyphae in the submucosal tissues, and tissue necrosis.

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
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