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Rhinology

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...

Extramedullary plasmacytoma associated with an ectopic tooth in the nasal cavity

October 31, 2015  |  Yi Zhang, MD; Yong Xu, MD; Yu Xu, MD; Zezhang Tao, MD

Abstract

Extramedullary plasmacytoma and tooth eruption into the nasal cavity are both rare events. We report a case of plasmacytoma associated with an ectopic tooth. To the best of our knowledge, such a case has not been previously reported in the literature. A 63-year-old woman...

Endoscopic view of a total ethmoidectomy prior to the FESS era

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

Before the development of functional endoscopic sinus surgery (FESS), total intranasal ethmoidectomy was performed without the aid of telescopes.

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.

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...

Primary sinonasal meningioma in a child

September 21, 2015  |  Dodul Mondal, MBBS; Manisha Jana, MD; Prabir Kumar Sur, MD; Ebnam Murshed Khan, MD

Abstract

Meningiomas are common intracranial extra-axial masses. They are rarely encountered in extracranial locations; when they are, the most common head and neck locations are the paranasal sinuses and the temporal bone. Meningiomas in children are very rare, especially in the...

Endoscopic resection of a mucocele of the crista galli

September 21, 2015  |  Mani Shidanshid, BSc, MBBS; Ali S. Taghi, MBBS, MD, FRCS(ORL-HNS); Romana Kuchai, FRCS; Hesham A. Saleh, FRCS

Abstract

Mucoceles expand by the process of bone resorption and new bone formation, which leads to local destruction and displacement of adjacent structures. We present the case of a 47-year-old woman who presented with recurrent headaches, nausea, and vomiting, all of which were...

A radiologic view of migration of a foreign body in the maxillary sinus by mucociliary movement

September 21, 2015  |  Jae Hoon Lee, MD

Displaced foreign objects should be removed from the antrum to prevent the development of maxillary sinusitis.

Protection from blood aerosol contamination when managing epistaxis: A study of the effectiveness of a patient mouth mask

September 21, 2015  |  Salman Baig, FRCSI; Tahir Rashid, FCPS, FEB(ORL-HNS); Muhammad Saleem, FRCS

Abstract

The danger to healthcare personnel of acquiring a blood-borne infection accidentally transmitted by a patient is well known. Such an infection can have serious and career-altering implications. Epistaxis, which is the most common emergency seen in ENT practice, poses a great...

IgG4-related plasma cell granuloma of the maxillary sinus: A report of 2 cases

September 21, 2015  |  Masaru Kojima, MD, PhD; Yoshimasa Nakazato, MD, PhD; Kaoru Hirabayashi, MD, PhD; Nobuhide Masawa, MD, PhD; Naoya Nakamura, MD, PhD

Abstract

We report 2 rare cases of IgG4-related plasma cell granuloma of the maxillary sinus. Histologically, both lesions were characterized by severe lymphoplasmacytic infiltration. In 1 case, fibrous sclerosis and obliterative arteritis were observed. Immunohistochemical study...

Rhinolith from a long-ago insertion of a bead into the nasal cavity

September 21, 2015  |  Hung-Che Lin, MD; Chih-Hung Wang, MD, PhD; Hsin-Chien Chen, MD, PhD

CT may be used to assess the calcification deposits and the number and size of rhinoliths.

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