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Rhinology

Endoscopic view of a unilateral nasal soft-tissue obstruction

February 24, 2016  |  Joseph P. Mirante, MD, MBA, FACS; Dewey A. Christmas, MD; Eiji Yanagisawa, MD, FACS

It is often impossible to classify the disease process on the basis of endoscopic findings alone, but tissue biopsy and culture will lead to the appropriate diagnosis.

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...

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...

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...

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...

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.

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...

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...

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...

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...

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