Turbinate

Cavernous hemangioma of the middle turbinate: A case report

June 30, 2008     Fatma Çaylakli, MD, Alper Can Çağici, MD, Cem Hürcan, MD, Nebil Bal, MD, Osman Kizilkiliç, MD, and Fikret Kiroglu, MD
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Abstract

Most cavernous hemangiomas present at birth or soon after. Cavernous hemangiomas of the nasal cavity, which are rare, usually do not present until adulthood; their incidence peaks in the fourth decade of life. Most affected patients experience epistaxis or hemoptysis and an enlarging lesion in the nose. Histologically, cavernous hemangiomas appear as closely packed, dilated vascular channels lined with a layer of flattened endothelial cells. We describe the case of a 32-year-old man who was admitted to our clinic with the complaint of a nasal obstruction. On anterior rhinoscopy, he was found to have a hypervascularized and hypertrophied left middle turbinate and septal deviation. Computed tomography and magnetic resonance imaging of the paranasal sinuses demonstrated a well-defined cystic lesion that had arisen within the bony left middle turbinate and caused deviation of the septum to the right. The lesion was excised via endoscopic surgery with general anesthesia. No complications occurred during the postoperative period. Histologic examination identified the tumor as a cavernous hemangioma. To the best of our knowledge, this is the first case reported in the English-language literature of a cavernous hemangioma appearing as a cystic mass in the middle turbinate.

Office CO2 laser turbinoplasty

June 30, 2008     Gordon J. Siegel, MD, Kristin A. Seiberling, MD, Kenneth G. Haines, MD, Kenneth G. Haines, MD, and Allison S. Aguado, MD
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Abstract

We conducted a prospective study of office carbon dioxide (CO2) laser turbinoplasty as a treatment for symptoms related to turbinate dysfunction in 58 patients. All patients completed surveys before and 1 month after treatment, and 23 patients completed longer-term follow-up surveys 8 to 24 months postoperatively. The 1-month postoperative assessments demonstrated a trend toward symptom improvement, as many patients reported a decrease in their use of pretreatment medications. Long-term benefit was achieved in 70% of patients. Ten patients underwent pre- and post-treatment biopsies, and histologic evaluation demonstrated minimal tissue alteration following treatment, alleviating concerns of physiological and functional compromise. We conclude that office-based CO2 laser turbinoplasty is a useful tool for the treatment of disorders related to turbinate dysfunction. We describe one clinician's method of performing office CO2 laser turbinoplasty, and we report his experience and findings.

Endoscopic view of a septated concha bullosa

February 1, 2008     Eiji Yanagisawa, MD, FACS, Joseph P. Mirante, MD, FACS, and Dewey A. Christmas, MD
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Unilateral inferior turbinate hypoplasia caused by a longstanding (approximately 35 yr) nasal foreign body

January 1, 2008     Fiorenza Derosas, MD, Gino Marioni, MD, Brescia Giuseppe, MD, Alessandra Florio, MD, Claudia Staffieri, MD, and Alberto Staffieri, MD
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Abstract

We report the unusual case of a 44-year-old man who presented with a plastic foreign body that had been lodged in his right nasal cavity for approximately 35 years. Initial attempts to remove the object were unsuccessful; only after it was broken into several parts was removal achieved. Rigid nasal endoscopy and computed tomography revealed hypoplasia of the ipsilateral inferior turbinate.

Unilateral inferior turbinate agenesis: A case report

January 1, 2008     Fatma Çaylakli, MD, Ismail Yilmaz, MD, Cem Hürcan, MD, Cem Özer, MD, and Levent Özlüoĝlu, MD
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Abstract

Many common anatomic variations in the nasal cavity have been observed, including paradoxical turbinates and pneumatization of the inferior, middle, and superior turbinates. We describe a case of a rare anomaly—unilateral inferior turbinate agenesis—in a 65-year-old man who had presented with epistaxis. During evaluation, anterior rhinoscopic examination revealed the absence of the right inferior turbinate; this finding was confirmed on computed tomography. The patient had never undergone nasal or sinus surgery, and he denied ever having expelled anything of significance from his nasal cavity. This case merits attention because of the rarity of reports on turbinate agenesis.

Endoscopic view of a hyperpneumatized agger nasi cell resembling a nasal turbinate

December 1, 2007     Eiji Yanagisawa, MD, FACS, Joseph P. Mirante, MD, FACS, and Dewey A. Christmas, MD
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Endoscopic view of sinonasal cancer 6 years post-treatment

October 31, 2007     Dewey A. Christmas Jr., MD, Joseph P. Mirante, MD, FACS, and Eiji Yanagisawa, MD, FACS
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Dislocation of the turbinate: A rare complication of middle turbinate surgery

May 31, 2007     Hisham S. Khalil, MD, FRCS (ORL-HNS); Arash H. Naraghi, MRCS; Desmond A. Nunez, MD, FRCS (ORL)
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Endoscopic view of a powered partial resection of a concha bullosa

March 1, 2007     Dewey A. Christmas, Jr., MD; Joseph P. Mirante, MD, FACS, MBA; Eiji Yanagisawa, MD, FACS
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Epistaxis caused by hemangioma of the inferior turbinate

September 30, 2006     Joseph P. Mirante, MD; Dewey A. Christmas, MD; Eiji Yanagisawa, MD
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Endoscopic view of the ethmoid strut

June 30, 2006     Dewey A. Christmas, MD; Joseph P. Mirante, MD; Eiji Yanagisawa, MD
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Partial middle turbinectomy by nasotracheal intubation

May 31, 2006     Shalini Patiar, MRCS; Eu Chin Ho, MRCS; Rory C.D. Herdman, FRCS
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Abstract
Partial middle turbinate avulsion is a rare complication of nasotracheal intubation. Patients usually experience a brisk hemorrhage at the time of injury. Postoperatively, some patients develop a unilateral nasal obstruction, while others are asymptomatic. We present an unusual case in which a patient became symptomatic many years after the incident. We hope to raise awareness that a traumatic disruption of the turbinates secondary to nasotracheal intubation might lead to the development of an abnormal nasopharyngeal mass.
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