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Primary sinonasal tuberculosis in a Nigerian woman presenting with epistaxis and proptosis: A case report

September 1, 2009  |  B. Sulyman Alabi, FWACS, Enoch A.O. Afolayan, FMCPath, A. Abdulakeem Aluko, FWACS, O. Abdulraman Afolabi, MBBS, and F. Grace Adepoju, FWACS


Tuberculosis is the second leading cause of death worldwide after human immunodeficiency virus/AIDS and is especially prevalent in developing countries. We report a case of primary sinonasal tuberculosis without pulmonary involvement, which is rare, in a 27-year old female...

Transport of a patient with massive traumatic epistaxis using a cricket helmet and posterior nasal packing

June 1, 2009  |  Philip V. Alexander, MS and Alka Walters, MS


In developing countries, when patients with traumatic epistaxis cannot be adequately treated at their local medical facility and require further treatment at a distant tertiary care center, it is important that bleeding be controlled before their transport. We describe a...

Nasal packing after septoplasty: A randomized comparison of packing versus no packing in 88 patients

November 1, 2008  |  Mohammad Sohail Awan, FCPS and Moghira Iqbal, MBBS


The once-common practice of packing the nose after septoplasty was based on a desire to prevent postoperative complications such as bleeding, septal hematoma, and adhesion formation. However, it was since found that not only is nasal packing ineffective in this regard, it can...

Epistaxis and its relationship to handedness with use of intranasal steroid spray

August 1, 2008  |  Michael S. Benninger, MD


Topical intranasal steroid spray is often used to treat allergic and nonallergic rhinitis, and epistaxis is a common side effect. The prospective, observational study described was designed to determine the incidence of epistaxis and the relationship between the side of...

Sinonasal neuroendocrine carcinoma: A case report

May 1, 2008  |  Dulani Mendis, MRCS, DOHNS and Nasser Malik, FRCS(Edin.), DLO


Neuroendocrine carcinoma (NEC) is rare. We report a case of probable sinonasal NEC in a 73-year-old man who had presented with a history of right nasal obstruction, nasal discharge, and recurrent epistaxis. On examination, a red, friable, gelatinous, polypoid mass with a...

Management of recurrent epistaxis in an anticoagulated patient by temporarily closing the nares with sutures

April 1, 2008  |  Chee-Yean Eng, MBChB, MRCS, Teck-Aun Yew, MBChB, Wai-Siene Ng, MBChB, and Amged S. El-Hawrani, FRCS(ORL-HNS)


We describe an unusual case of recurrent, refractory anterior epistaxis in an 86-year-old man with two mechanical heart valves who was on permanent warfarin therapy. His numerous episodes of epistaxis were incited by chronic nose-picking and strong nose-blowing, practices that...

Paranasal sinus melanoma masquerading as chronic sinusitis and nasal polyposis

September 1, 2007  |  Brian Kung, MD; Geoffrey R. Deschenes, BA; William Keane, MD; Mary Cunnane, MD; Marie-Paule Jacob-Ampuero, MD; Marc Rosen, MD
Malignant melanoma of the nose and paranasal sinuses can be a devastating disease, typically presenting at an...

Multifocal tuberculosis of the nose and lymph nodes without pulmonary involvement: A case report

May 1, 2007  |  M. Panduranga Kamath, MS; Kiran M. Bhojwani, MS; Shivananda Prabhu, MS; Ramdas Naik, MD; Geo P. Ninan, MBBS; Yeshwanth Chakravarthy, MBBS

Epistaxis caused by hemangioma of the inferior turbinate

October 1, 2006  |  Joseph P. Mirante, MD; Dewey A. Christmas, MD; Eiji Yanagisawa, MD

An alternative to a postnasal pack for the arrest of perioperative hemorrhage following curettage adenoidectomy

December 1, 2005  |  Julian Savage, MRCS; Albert Pace-Balzan, FRCS
Controlling bleeding with standard postnasal packing following curettage adenoidectomy is only occasionally...

Brown tumor of the facial bones: Case report and literature review

July 1, 2005  |  Marcus M. Lessa, PhD; Flavio A. Sakae, PhD; Robinson K. Tsuji, PhD; Bernardo C. Araújo Filho, PhD; Richard L. Voegels, MD; Ossamu Butugan, MD
Brown tumor, an uncommon focal giant-cell lesion, arises as a direct result of the effect of parathyroid hormone...

Endoscopic ligation of the sphenopalatine artery as a primary management of severe posterior epistaxis in patients with coagulopathy

May 1, 2005  |  Anand G. Shah, MD; Robert J. Stachler, MD; John H. Krouse, MD, PhD

We describe our experience with endoscopic ligation of the sphenopalatine artery in the treatment of severe...


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