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Editors Picks

Ketamine-snorting-induced nasal septum perforation

July 18, 2016  |  Keng-Kuang Tsai, MD; Chih-Hung Wang, MD, PhD

Ketamine causes vasoconstriction, and long-term abuse leads to mucosal ischemia, atrophy and, ultimately, necrosis, followed by underlying cartilage or bone destruction.

The inferior turbinate, an unusual site for a choanal polyp: Two case reports and a review of the literature

July 18, 2016  |  Maya Adhami, MD; Andre Coste, MD; Virginie Escabasse, MD; Frederique Chalumeau, MD

Abstract

Choanal polyps are unilateral sinonasal lesions that are classified according to their site of origin. The aim of this report is to highlight an unusual form of choanal polyp and to present a thorough literature review. To the best of our knowledge, only 6 cases of a choanal...

Virtual reality in rhinology-a new dimension of clinical experience

July 18, 2016  |  Ivica Klapan, PhD, MD; Pero Raos, PhD, MEng; Tomislav Galeta, PhD, MEng; Goranka Kubat, MD

Abstract

There is often a need to more precisely identify the extent of pathology and the fine elements of intracranial anatomic features during the diagnostic process and during many operations in the nose, sinus, orbit, and skull base region. In two case reports, we describe the...

Antibacterial effects of the povidone-iodine vacuum impregnation technique in expanded polytetrafluoroethylene augmentation rhinoplasty

June 14, 2016  |  Jung Min Lee; Joong Seob Lee, MD; Dong-Kyu Kim, MD, PhD; Jun Ho Lee, MD, PhD; Hae Sang Park, MD, PhD; Ho Jun Lee, MD; Sung Hee Bae, MD; Ji Su Jang, MD; Jae Jun Lee, MD; Chan Hum Park, MD, PhD

Abstract

Expanded polytetrafluoroethylene (e-PTFE) is a popular graft material for augmentation rhinoplasty. Gore-Tex and Surgiform are two types of e-PTFE; Surgiform has thicker fibrils and is more compact than Gore-Tex. We conducted an ex vivo study to evaluate the ability of povidone...

Cholesteatoma and coexisting findings diagnosed incidentally on MRI

June 14, 2016  |  Gahl Greenberg, MD; Ana Eyal, MD; Arkadi Yakirevitch, MD; Michael Wolf, MD; Lela Migirov, MD

Abstract

The explosive growth in the use of diffusion-weighted magnetic resonance imaging (MRI) in the pre- and postoperative evaluations of patients with cholesteatoma has led to a concomitant increase in the number of incidental findings in this population. We describe our...

Investigation of diagnosis and surgical treatment of mucosal contact point headache

June 14, 2016  |  Jia Wang, MD; Jin-Shu Yin, MD; Hong Peng, MD

Abstract

We aimed to investigate the differences in incidence of nasal anatomic abnormalities between patients with and without headache and the outcome of surgical treatment for the headache patients with mucosal contact points. We conducted the observational study and recruited 107...

Twenty-four years of powered endoscopic nasal polypectomy

June 14, 2016  |  Dewey A. Christmas, MD; Joseph P. Mirante, MD, FACS; Eiji Yanagisawa, MD, FACS

Powered endoscopic nasal polypectomy with a microdebrider can be performed with either local or general anesthesia.

Endoscopic identification and powered removal of the uncinate process

April 30, 2016  |  Dewey A. Christmas, MD; Joseph P. Mirante, MD, MBA, FACS; Eiji Yanagisawa, MD, FACS

The identification and complete removal of the uncinate process results in a widened middle meatus and access to the ethmoid bulla, the frontal recess, and the outflow tract of the maxillary sinus.

Is unenhanced 18F-FDG-PET/CT better than enhanced CT in the detection of retropharyngeal lymph node metastasis in nasopharyngeal carcinoma?

April 30, 2016  |  Iuan-Sheng Wu, MD; Guang-Uei Hung, MD; Bo-Ling Chang, MD; Chi-Kuang Liu, MD; Tung-Hao Chang, MD; Hong-Shen Lee, PhD; Mu-Kuan Chen, MD, MS, PhD

Abstract

Positron-emission tomography/computed tomography (PET/CT) has been proposed as a means to enhance the pretreatment evaluation of cervical lymph node status in patients with nasopharyngeal carcinoma (NPC). We conducted a prospective study to compare PET/CT and enhanced CT for...

Pneumocephalus after insertion of an inflatable nasal tampon for the management of epistaxis

April 30, 2016  |  Adam J. Kimple, MD, PhD; Michael O. Ferguson, MD

Abstract

While the fundamental principles of epistaxis management have not changed over the decades, the methods by which tamponade is achieved have been evolving. Inflatable nasal tampons are being used and seen with increasing frequency in our ENT clinic. They are usually placed by...

Nasal polyp with osseous metaplasia

April 30, 2016  |  Jacky Wai-Kei Lam, MBBS(HK), FHKCORL, FHKAM(ORL); Leah Lai Lau, MBBS(HK)

The differential diagnosis of sinonasal pathologies with highly radiodense materials includes rhinolith, mycetoma, inverted papilloma with calcifications, chondrosarcoma, osteosarcoma, and fibro-osseous lesions.

Simultaneous occurrence of maxillary and sphenoid sinus fungus ball

March 16, 2016  |  Jae-Hoon Lee, MD; Ha-Min Jeong, MD

The maxillary sinus is the site most commonly affected by the fungus ball, followed by the ethmoid and sphenoid sinuses.