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Editors Picks

Endoscopic view of a polyp in a concha bullosa

September 19, 2016  |  Nurdoğan Ata, MD; Fatih Güzelkara, MD

Polyps originating within a concha bullosa are uncommon, with only 5 cases reported in the English literature.

An unusual cause of tinnitus

September 19, 2016  |  Po-Jun Chen, MD; Hsin-Chien Chen, MD, PhD

Live insects found in the outer ear canal should be immobilized or killed before removal.

Impact of nasal septal perforations of varying sizes and locations on the warming function of the nasal cavity: A computational fluid-dynamics analysis of 5 cases

September 19, 2016  |  Lifeng Li, MD; Demin Han, MD, PhD; Luo Zhang, MD, PhD; Yunchuan Li, MD, PhD; Hongrui Zang, MD, PhD; Tong Wang, MD, PhD; Yingxi Liu, PhD


Patients with a nasal septal perforation often exhibit symptoms associated with disturbed airflow, which can have an adverse effect on the warming function of the nasal cavity. The impact of this effect is not fully understood. The warming function is an important factor in the...

Chronic invasive fungal sinusitis causing a pathologic Le Fort I fracture in an immunocompetent patient

September 19, 2016  |  Amy L. Richter, MD; K. Kelly Gallagher, MD


We describe the case of a 77-year-old immunocompetent woman with a history of chronic rhinosinusitis who presented with a pathologic Le Fort I fracture after a forceful sneeze. Imaging revealed diffuse sinus opacification and a Le Fort type I complex fracture involving the...

Onodi cell mucocele: Case report and review of the literature

September 19, 2016  |  John M. Lee, MSc, MD; Michael Au, MD


Onodi cell mucoceles are rare entities that can cause devastating ocular complications if not treated promptly. Delays in the diagnosis are possible because of the wide range of differential diagnoses of unilateral retrobulbar optic neuropathy. We describe a new case of Onodi...

Idiopathic nasal bone osteitis: A preliminary report on a recently recognized entity

August 21, 2016  |  Yotam Shkedy, MD; Ohad Ronen, MD; Sarah Gips, MD; Avi Front†; Tal Marshak, MD; Nechama Uri, MD


Osteitis of the nasal bones is a rare disease; when it occurs, it usually has a known etiology. To the best of our knowledge, idiopathic nasal bone osteitis (NBO) has not been described before. We conducted a study to analyze the behavior of idiopathic NBO and its outcome and...

Mulberry hypertrophy and accompanying sinonasal pathologies: A review of 68 cases

August 21, 2016  |  Davut Akduman, MD; Mehmet Haksever, MD; Muhammed Yanilmaz, MD; Fevzi Solmaz, MD


Mulberry hypertrophy occasionally coexists with sinonasal pathologies. There are very few reports in the literature on this clinical entity. We conducted a retrospective study to draw attention to this condition in the context of accompanying sinonasal pathologies. Our study...

Functional and psychological impact of nasal bone fractures sustained during sports activities: A survey of 87 patients

August 21, 2016  |  Paul Lennon, FRCS(ORL-HNS); Sam Jaber, MRCS; John E. Fenton, FRCSI, FRCS(ORL)


Nasal bone fractures that require reduction are a common sequela of sports injuries. We conducted a survey to ascertain the outcomes of patients who had experienced a nasal bone fracture and who subsequently underwent manipulation under anesthesia. We reviewed data on 217 nasal...

Subjective and objective parameters in the evaluation of radiofrequency ablation of the inferior turbinate do not correlate: A pilot study

August 21, 2016  |  Peter Valentin Tomazic, MD; Claus Gerstenberger, MSc; Bettina Rant, MD; Ulrike Nemetz, MD; Christiana Brezjak-Kahlert, MD; Axel Wolf, MD; Kurt Freudenschuss, MD; Gerald Wolf, MD


Inferior turbinate hypertrophy is a common cause of nasal obstruction. We conducted a prospective study to correlate subjective and objective parameters in assessing the effectiveness of radiofrequency ablation (RFA). Our initial study population was made up of 10 patients who...

Balloon dilation of the sphenoid sinus ostium for recurrent sphenoid sinusitis

August 21, 2016  |  Ken Yanagisawa, MD, FACS; Dewey A. Christmas, MD; Joseph P. Mirante, MD, FACS; Eiji Yanagisawa, MD, FACS

The natural sphenoid sinus ostium is often amenable to balloon dilation, which can be performed in the office under local anesthesia or in the operating room under general anesthesia.

A case of radiation-induced mucosal melanoma in an immunohistochemically S-100-negative patient

August 21, 2016  |  Michael Rodriguez, DO; Yash Patil, MD; Arun Gupta, DO, MPH


We report a case of radiation-induced mucosal melanoma in a 41-year-old woman with a history of childhood rhabdomyosarcoma of the nasal cavity that had been treated with radiotherapy. During the workup for the melanoma, the patient was found to be negative for S-100 protein on...

Blastomycosis of the nose: A case report

August 21, 2016  |  Thomas M. Jetmore, MD; Jennifer Phan, MD; Abideen O. Yekinni, MD, FACS


Blastomyces dermatitidis is a thermally dimorphic fungus endemic to the North American soil near the Mississippi, Ohio, and St. Lawrence river valleys, as well as the Great Lakes Basin. It is responsible for blastomycosis, a systemic pyogranulomatous disease. Blastomycosis of...