Septum

Correction of caudal deflections of the nasal septum with a modified Goldman septoplasty technique: How we do it

September 30, 2007     William Lawson, MD, DDS; Richard Westreich, MD
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Abstract

Correcting deviations of the caudal septum can be challenging because of cartilage memory, the need to provide adequate nasal tip and dorsal septal support, and the long-term effects of healing. The authors describe a minimally invasive, endonasal approach to the correction of caudal septal deviations. The procedure involves a hemitransfixion incision, unilateral flap elevation, and cartilage repositioning by limited dissection and excision.

Nasal cavernous hemangioma

May 31, 2007     Enrique Palacios, MD, FACR; Philip J. Daroca Jr., MD
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A new method for closure of small to medium-size nasoseptal perforations

March 31, 2007     Ward S. De Witt, MD, FACS
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Correction of caudal septal deviation: Use of a caudal septal extension graft

March 1, 2007     Annette M. Pham, MD; Travis T. Tollefson, MD, FACS
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Nasal septal perforation secondary to rhinitis medicamentosa

May 31, 2006     Harold F. Keyserling, MD; John D. Grimme, MD; Daniel L.A. Camacho, MD; Mauricio Castillo, MD
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Abstract
Nasal septal perforation is a rarely reported complication of rhinitis medicamentosa. We describe such a complication in a 54-year-old man, and we discuss the clinical, pathologic, and imaging aspects of this case.

Endoscopic view of a nasal septal polyp

April 30, 2006     Dewey A. Christmas, MD; Joseph P. Mirante, MD; Eiji Yanagisawa, MD
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Maxillary sinusitis caused by nasoseptal obstruction

March 1, 2006     Dewey A. Christmas, MD; Joseph P. Mirante, MD; Eiji Yanagisawa, MD
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Extramedullary plasmacytoma arising from the nasal septum

November 1, 2005     Byoung J. Baek, MD; Seong W. Kim, MD; Hoon Park, MD; Jin K. Park, MD; Kyung Y. Han, MD; Cheon H. Oh, MD
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Abstract
We report a rare case of extramedullary plasmacytoma of the nasal septum in a 65-year-old woman. She presented with a 2-month history of left-sided nasal obstruction and intermittent blood-tinged nasal crusting. Nasal endoscopy revealed that a dark-red mass had arisen from the nasal septum; no evidence of invasion to adjacent tissues was seen. A biopsy specimen was diagnosed as a plasmacytoma (kappa light chain'type). Serum and urine electrophoresis failed to detect any myeloma component or Bence Jones protein. All other screening tests to rule out multiple myeloma were negative. These findings confirmed the diagnosis of extramedullary plasmacytoma. The mass was completely removed via an endoscopic approach. No recurrence was noted at the 2-year follow-up.

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.

The vomeronasal (Jacobson's) organ

June 30, 2005     Daniel H. Coelho, MD; Eiji Yanagisawa, MD, FACS
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Septal perforation caused by nasal magnetic foreign bodies

April 30, 2005     David A. Lehman, MD; Soham Roy, MD
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Primary columellar angiosarcoma: A case report

January 1, 2005     Pedro Oliveira, MD; Ricardo Correia, MD; EugĂ©nia Castro, MD; Rosete Almeida, MD; Agostinho Silva, MD
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Abstract
Angiosarcoma of the head and neck, a rare malignancy, is associated with a high degree of invasiveness and poor survival. A high level of suspicion followed by histopathologic and immunohistochemical studies is warranted in order to arrive at a well-timed and accurate diagnosis. We report the case of a 56-year-old man who developed an unusually small neoplasm in the nasal columella. Rapid diagnosis allowed for simple treatment with surgical excision, a rare circumstance because most of these tumors require extensive surgery. Close long-term follow-up of patients with angiosarcoma of the head and neck is vitally important.
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