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Rhinology

A twin-center study of nasal tip numbness following septorhinoplasty or rhinoplasty

February 24, 2016  |  Marie-Claire Jaberoo, MRCS; Neil De Zoysa, MRCS; Nishchay Mehta, MRCS; Vyas Prasad, FRCS(ORL-HNS); Rebecca Heywood, MRCS; Hesham Saleh, FRCS(ORL-HNS); Joe Marais, FRCS(ORL-HNS)

Abstract

Nasal tip numbness is a recognized postoperative complication after septorhinoplasty and rhinoplasty. We performed a twin-center retrospective study to determine the incidence of short- and long-term (>6 mo) nasal tip numbness after these procedures, and we studied several...

Management of a cocaine-induced palatal perforation with a nasal septal button

January 22, 2016  |  Matteo Trimarchi, MD; Vittoria Sykopetrites, MD; Mario Bussi, MD

Abstract

A cocaine-induced midline destructive lesion (CIMDL) is a rare consequence of cocaine insufflation that involves the nose, sinuses, and occasionally the palate. Palatal perforations compromise swallowing, mastication, and speech. An obturator prosthesis can be used to overcome...

Pneumatization of all three nasal turbinates

January 22, 2016  |  Jae Hoon Lee, MD

Clinically, it is difficult to distinguish pneumatization of the inferior turbinate from hypertrophy of the inferior turbinate without a CT scan.

Management of sinonasal undifferentiated carcinoma with intracerebral invasion: Clinical experience at a single institution and review of the literature

January 22, 2016  |  Valerie Zielinski, MD; Simon Laban, MD; Silke Tribius, MD; Phillipe Schafhausen, MD; Simon Veldhoen, MD; Rainald Knecht, PhD; Till Clauditz, MD; Adrian Muenscher, MD

Abstract

Sinonasal undifferentiated carcinoma (SNUC) represents less than 1% of all malignancies. Most of the tumors are diagnosed at an advanced stage, when they have already invaded neighboring tissue structures. We describe the cases of 2 patients with a substantial intracerebral...

Raeder syndrome: Paratrigeminal oculosympathetic syndrome presenting as a manifestation of chronic sinusitis

December 14, 2015  |  Cedric V. Pritchett, MD; Mark A. Zacharek, MD

Abstract

Raeder syndrome (paratrigeminal oculosympathetic syndrome) is a rare clinical entity characterized by ipsilateral trigeminal sensory deficits, ptosis, and miosis, with an absence of anhidrosis secondary to interruption of the postganglionic oculosympathetic pathway. Going back...

Nasal obstruction and recurrent sinusitis caused by bilateral pneumatized ethmoid bullae

December 14, 2015  |  Meir Warman, MD; Seth Willen, MD; Peter J. Catalano, MD, FACS, FARS

Abstract

The presentation of an enlarged pneumatized bulla ethmoidalis (BE) that obstructs the ethmoid infundibulum has not been previously reported. We report such a case in a 23-year-old woman who presented with recurrent acute rhinosinusitis and chronic rhinosinusitis. The...

Endoscopic view of an osteoma of the maxillary sinus

December 14, 2015  |  Joseph P. Mirante, MD, FACS; Robert A. Merrell, MD; Dewey A. Christmas, MD; Eiji Yanagisawa, MD, FACS

Surgical removal of osteomas is generally indicated when they grow and cause symptoms or threaten structures.

Button battery injuries in the pediatric aerodigestive tract

December 14, 2015  |  Abhinav R. Ettyreddy, BS; Matthew W. Georg, BS; David H. Chi, MD; Barbara A. Gaines, MD; Jeffrey P. Simons, MD

Abstract

Children with a button battery impaction present with nonspecific symptoms that may account for a delay in medical care. We conducted a retrospective study of the clinical presentation, management, and complications associated with button battery ingestion in the pediatric...

Pleomorphic adenoma of the frontal sinus masquerading as a mucocele

December 14, 2015  |  Yok Kuan Chew, MBBS; Sushil Brito-Mutunayagam, MS; Aun Wee Chong, MS; Narayanan Prepageran, FRCS; Patricia Ann Chandran, MPath; Baharudin Khairuzzana, MS; Omkara Rubini Lingham, MS

Abstract

Pleomorphic adenoma is the most common type of benign salivary gland tumor. It can also be found in the larynx, ear, neck, and nasal septum. It is rarely found in the maxillary sinus, and it has never been reported in the frontal sinus. We report a case of pleomorphic adenoma...

Severe necrosis of the palate and nasal septum resulting from intranasal abuse of acetaminophen

October 31, 2015  |  Scott A. Hardison, MD; Kristin K. Marcum, MD; Catherine Rees Lintzenich, MD

Abstract

Intranasal drug abuse frequently leads to sinonasal complications, particularly sinus, nasal, and palatal necrosis. Classically, this type of necrosis has been linked to cocaine use, but the intranasal abuse of prescription narcotics and other pain medications can also lead to...

Inferior turbinate augmentation with auricular cartilage for the treatment of empty nose syndrome

October 31, 2015  |  Angela A. Chang, MD; Deborah Watson, MD

Abstract

Empty nose syndrome (ENS) is a potential complication of excessive resection of turbinate tissue. Patients with ENS complain of nasal obstruction despite a widely patent nasal cavity. Various implants, including autologous bone and biomaterials, have been used to reduce the...

A hyperpneumatized frontal sinus with middle meatal obstruction

October 31, 2015  |  Dewey A. Christmas, MD; Joseph P. Mirante, MD, FACS; Eiji Yanagisawa, MD, FACS

In this case, the narrowing of the middle meatus by the hypertrophic polypoid middle turbinate resulted in intermittent frontal sinusitis and headaches.

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