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Rhinology

Balloon catheter dilation of a septated frontal sinus

April 30, 2018  |  Joseph P. Mirante, MD, MBA, FACS; Dewey A. Christmas, MD; Eiji Yanagisawa, MD, FACS

Balloon catheter dilation has been associated with symptomatic relief comparable to that associated with traditional endoscopic sinus surgery, but with less tissue destruction.

Esthesioneuroblastoma with widespread distant metastasis: Case report and literature review

April 30, 2018  |  Manraj Khosla, MD; Cristina Pecci, DO; Annie Do, MD; Lee McGhan, MD; Mahesh Seetharam, MD; Richard Sue, MD

Abstract

Esthesioneuroblastoma (ENB) is an uncommon sinonasal tract tumor, and it is even more uncommon among all neoplasms. Literature regarding the incidence and spread of the disease is limited. The prognosis of metastatic disease is poor. In this report, we present a case of...

An absence of cilia outer microtubules, an etiology not previously recognized in bilateral mucocele

April 30, 2018  |  Javier E. Spinola-Hernandez, MD; Andres E. Castell-Rodriguez, MD; Hector M. Prado-Calleros, MD; Gerardo A. Bravo-Escobar, MD; Andres Sadek-Gonzalez, MD

Abstract

Most paranasal sinus mucoceles are unilateral and affect one or at most two contiguous sinuses. We describe the case of a 44-year-old woman with bilateral maxillary sinus mucoceles who presented clinically with left malar pain, right-sided swelling, and proptosis of the right...

Powered irrigation with suction evacuation for chronic rhinosinusitis in the office setting: A pilot study

April 30, 2018  |  Margherita Bruni, MD; Lindsey E. Ryan, MD; Mark H. Tabor, MD

Abstract

Bacterial infections in the form of adherent biofilms are frequently implicated in the pathogenesis and recalcitrance of chronic rhinosinusitis. The Hydrodebrider, a disposable powered irrigation and suction device, has been developed specifically to remove biofilm from the...

Post-turbinectomy nasal packing with Merocel versus glove finger Merocel: A prospective, randomized, controlled trial

March 14, 2018  |  Rani Abu, MD; Ephraim Eviatar, MD; Jacob Pitaro, MD; Haim Gavriel, MD

Abstract

Nasal packs are widely used after septoplasty and turbinectomy. We conducted a prospective, randomized, controlled clinical trial including 100 patients who underwent septoplasty with/or without turbinectomy randomized into two groups. In the first group (the Merocel group), a...

Endoscopic findings of bilateral fungal balls

March 14, 2018  |  Jong Seung Kim, MD; Sam Hyun Kwon, MD, PhD

Fungal balls are usually removed via surgery, using a straight and curved curette, cup forceps, and saline irrigation.

The utility of enlarging symptomatic nasal septal perforations

March 14, 2018  |  Philip G. Chen, MD; Stephen Floreani, MBBS; Peter-John Wormald, MD

Abstract

Nasal septal perforations cause a subset of patients to suffer with significant impairments in quality of life. While smaller perforations can often be surgically repaired, perforations exceeding 2 cm are challenging to close. These repairs are highly technical, and there is a...

Bilateral pyriform sinus parathyroid adenomas

March 14, 2018  |  Thomas Muelleman, MD; Sreeya Yalamanchali, MD; Yelizaveta Shnayder, MD

Abstract

Parathyroid glands undergo a variable descent during embryologic development and can be found anywhere in the neck from the level of the mandible to the mediastinum. To the best of our knowledge, we present the first report of a patient who was found to have bilateral...

Alternative therapies for chronic rhinosinusitis: A review

March 14, 2018  |  Aaron S. Griffin, MBBS, BSci; Peter Cabot, PhD, BSci; Ben Wallwork, PhD, MBBS, FRACS; Ben Panizza, MBA, MBBS, FRACS

Abstract

The use of alternative medicine in chronic rhinosinusitis (CRS) continues to increase in popularity, for the most part without meeting the burden of being based on sound clinical evidence. New and emerging treatments, both natural and developed, are numerous, and it remains a...

A case of squamous cell carcinoma of the nasal cavity in a patient with granulomatosis with polyangiitis (Wegener granulomatosis)

January 14, 2018  |  Edward C. Kuan, MD, MBA; Kevin A. Peng, MD; Lyndon O. Gonzalez, MD; Joel A. Sercarz, MD

Abstract

We report a rare case of squamous cell carcinoma (SCC) of the nasal cavity arising in a patient with granulomatosis with polyangiitis (GPA). The patient was a 35-year-old man who had been diagnosed 15 years earlier with GPA and treated medically for sinonasal, pulmonary, and...

The effects of mometasone furoate and strontium chloride in a rat model of allergic rhinitis

January 14, 2018  |  Emine Elif Altuntas, MD; Omer Tamer Dogan, MD; Bulent Sarac, MD; Nergiz Hacer Turgut, PhD; Kasim Durmus, MD; Melih Akyol, MD

Abstract

Neurogenic inflammation plays a role in the pathophysiology of allergic rhinitis. Highly effective in reducing the sensory irritation caused by some substances, strontium salts directly affect C-type nerve fibers. The aim of this study was to compare the efficacy of mometasone...

Contact allergy to benzalkonium chloride in patients using a steroid nasal spray: A report of 3 cases

January 14, 2018  |  Jerome Rene Lechien, MD, PhD, MS; Pedro Costa de Araujo, MD; Lisa G. De Marrez, BSc; Jean-Luc Halloy, MD; Mohamad Khalife, MD; Sven Saussez, MD, PhD

Abstract

Benzalkonium chloride (BAC) is a bactericidal preservative excipient commonly found in steroid nasal sprays used to treat allergic rhinitis and nasal polyposis. In rare cases, BAC can be responsible for type I and type IV hypersensitivity reactions that can manifest as...

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