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Clinical management of a patient with advanced mucosal malignant melanoma in the sinonasal area

January 21, 2014  |  Marco Fusetti, MD; Alberto Eibenstein, MD; Ettore Lupi, MD; Enzo Iacomino, MD; Tiziana Pieramici, MD; Alessandra Fioretti, MD, PhD


We describe a case of mucosal malignant melanoma in the sinonasal area of a 65-year-old woman. She presented with a history of nasal obstruction and epistaxis with subsequent tenderness, facial anesthesia involving cranial nerve V2, red eye, proptosis, diplopia, and...

Solitary extramedullary plasmacytoma of the nasal tract: An unusual cause of epistaxis

June 12, 2013  |  Kushaljit Singh Sodhi, MD, MAMS, FICR; Niranjan Khandelwal, MD, DipNB, FICR; Vivek Virmani, MD, DipNB, FRCR; Ashim Das, MD; and Naresh Panda, MS


Solitary extramedullary plasmacytoma is a rare hematologic malignancy with nonspecific clinical symptoms and imaging findings. We present a case of this entity that arose in the nasal tract of a 50-year-old man. The tumor was removed surgically, and the patient showed no...

A case of glomangiopericytoma involving the orbital wall

April 18, 2013  |  Eun Sun Jung, MD, PhD; Suk-Woo Yang, MD, PhD; Ji-Hong Kim, MD; Soo Whan Kim, MD, PhD


Sinonasal type hemangiopericytomas are very rare tumors, and are often called glomangiopericytoma. They are believed to be derived from perivascular modified smooth muscle cells. Their origin is similar to glomus tumors but some distinct differences exist. Glomangiopericytomas...

Oncocytoma of the nasal cavity: A case report

March 25, 2013  |  Mark E. Fons, DO; David Poetker, MD; Paul E. Wakely Jr., MD


Oncocytomas arising in the nasal cavity are quite rare. These entities more commonly occur in the major salivary glands, minor salivary glands, respiratory seromucinous glands, and endocrine organs. Very few cases of oncocytoma in the nasal cavity have been reported, with only...

Endoscopic view of an "empty nose"

February 25, 2013  |  Dewey A. Christmas, MD; Joseph P. Mirante, MD, FACS; Eiji Yanagisawa, MD, FACS

The empty nose syndrome usually is defined by excessive loss of normal nasal tissue and loss of anatomic landmarks, which results in a widely patent airway with excessive crusting (ozena) and easy nasal bleeding and dryness of the nasal mucosa. Functional endoscopic sinus surgery for chronic...

Sinonasal teratocarcinosarcoma with intracranial extension: Case report and literature review

December 31, 2012  |  Shafik N. Wassef, MD; Payal Kapur, MBBS, MD; Samuel L. Barnett, MD; Larry L. Myers, MD, FACS


Sinonasal teratocarcinosarcoma (SNTCS) is an extremely rare malignancy of the paranasal sinuses that possesses the histopathologic features of both teratomas and carcinosarcomas. We report the case of a 58-year-old white man who presented with a 1-year history of a...

Ectopic intranasal tooth: An unusual cause of epistaxis in a child

June 4, 2012  |  Roshan K. Verma, MS, DNB, MNAMS; Jaimanti Bakshi, MS, DNB; Naresh K. Panda, MS, MNAMS, FRCS


Nasal bleeding is a common disorder in children that is frequently caused by irritation in the Kiesselbach plexus (also known as Little’s area). Other common underlying causes include local inflammatory diseases of the nose, infections, vascular malformations, and...

Sphenopalatine artery pseudoaneurysm after endoscopic sinus surgery: A case report and literature review

February 18, 2012  |  Raewyn G. Campbell, BMed(Hons), BApplSci(Physio)


Previously reported cases of iatrogenic sphenopalatine artery (SPA) pseudoaneurysm have occurred only after trans-sphenoidal surgery for pituitary tumors or maxillofacial surgery. In this article, the author presents what to the best of her knowledge is the first reported case...

Outcomes of endoscopic sphenopalatine artery ligation for epistaxis: A five-year series from a single institution

February 18, 2012  |  David J. Howe, FRCS ORL-HNS, SpR ENT; Umar Wazir, MBBS, MRCS, MSc; Derek W. Skinner, FRCS Eng(Otol)


Epistaxis is a common emergency seen by the otolaryngologist. A minority of cases require surgical intervention. Multiple surgical procedures have been tried in the past, including endoscopic ligation of the sphenopalatine artery (ELSPA), which is considered an effective...

The blood-sucking leech: A rare cause of unilateral epistaxis

January 25, 2012  |  Salina Husain, MBBS, MSurg ORL-HNS and S.H. Primurharsa, MD, MSurg ORL-HNS

Arteriovenous hemangioma formation following radiofrequency ablation for inferior turbinate reduction

October 27, 2011  |  Senol Polat, MD, Hasan Murat Tanyeri, MD, and Selcuk Bilgi, MD


Inferior turbinate reduction by radiofrequency ablation (RFA) has been recommended as an easy and safe option for the treatment of patients with inferior turbinate hypertrophy. Complications of this type of excision are generally acceptable. We describe a case of RFA turbinate...

Effectiveness of a nasal saline gel in the treatment of recurrent anterior epistaxis in anticoagulated patients

September 21, 2011  |  Doug Massick, MD and Agnes Hurtuk, MD


We believe that the use of cauterization in patients with anterior epistaxis in the absence of acute bleeding should be discouraged because it does not address the underlying cause and because it may even worsen the condition by extending the degree of mucosal disruption. This...


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