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Endoscopic medialization middle turbinoplasty in endoscopic sinus surgery

December 10, 2018  |  Elie Rebeiz, MD, FACS; Mihaela Smith, PA


Recurrence of sinonasal disease can be caused by many factors, including lateralization of the middle turbinate as a complication of endoscopic sinus surgery (ESS). Different ESS procedures have been tried to prevent this complication. We conducted a prospective study to...

In-office sinonasal procedures in the elderly

December 10, 2018  |  Karen Kost, MD, FRCSC; Kourosh Parham, MD; Marc Tewfik, MD, MSc, FRCSC; Yazeed A. AlSuliman, MBBS, SB-ORL, KSUF

Office-based procedures in the elderly, particularly the frail and those at risk for cognitive decline, offer a potentially attractive alternative to surgery under general anesthesia.

Primary parapharyngeal leiomyosarcoma: A case report

November 8, 2018  |  Luca Giovanni Locatello, MD; Jano Maria De Cesare, MD; Cecilia Taverna, MD; Oreste Gallo, MD


Leiomyosarcoma is a rare malignant soft-tissue tumor whose cells resemble smooth-muscle tissue. It has been reported to arise in different areas of the head and neck region. Primary leiomyosarcoma of the parapharyngeal space, however, is extremely rare, as only 4 cases have...

Paraneoplastic syndrome or metastatic sinonasal neuroendocrine carcinoma? Clinical conundrum

November 8, 2018  |  Panagiotis Kerezoudis, MD; Patrick R. Maloney, MD; Brandon McCutcheon, MD, MPP; Jeffrey Janus, MD; Mark Jentoft, MD; Timothy Kaufmann, MD; Daniel Honore Lachance, MD; Jamie J. Van Gompel, MD; Mohamad Bydon, MD


We report a case of a middle-aged woman with a diffuse, nonenhancing, progressively atrophic T2-hyperintense lesion involving the left frontotemporal lobes and insula found to be synchronous high-grade sinonasal neuroendocrine carcinoma (SNEC) after initial endonasal resection...

Persistent local demucosalization after endoscopic sinus surgery: A report of 3 cases

November 8, 2018  |  Conner J. Massey, MD; Menka M. Sanghvi, MD; Thomas R. Troost, MD, PhD; Vijay K. Anand, MD; Ameet Singh, MD


Mucosal preservation is paramount to achieving successful outcomes after endoscopic sinus surgery (ESS). Despite best surgical practices and implementation of evidenced-based postoperative care, patients in rare cases might exhibit persistent demucosalization that is...

Endoscopic view of a posterior nasal and nasopharyngeal vascular plexus

November 8, 2018  |  Dewey A. Christmas, MD; Joseph P. Mirante, MD, MBA, FACS; Eiji Yanagisawa, MD, FACS

Woodruff described a predominantly venous plexus in the posterior nasal mucosa located in the posteroinferior meatus beneath and posterior to the inferior turbinate.

Long-term use of Le Fort I osteotomy for the management of nasopharyngeal rhinosporidiosis: A case series

November 8, 2018  |  Vikram Shetty, DNB; Akshaya Kulkarni, MDS; Suman Banerjee, MDS


Rhinosporidiosis is a rare, chronic, granulomatous infection of the mucous membranes that mainly involves the nose and nasopharynx; it occasionally involves the pharynx, conjunctiva, larynx, trachea and, rarely, the skin. The characteristic clinical features of this disease...

Invasive fungal rhinosinusitis: An Indian perspective

November 8, 2018  |  Swati Agrawal, MS, DNB; Sandeep Arora, MS, DNB; Nishi Sharma, MS, DNB


Invasive fungal rhinosinusitis (IFRS) is a fatal disease of the nose and paranasal sinuses that typically affects immunocompromised patients. Data on this disorder, which is rare and difficult to diagnose, are lacking in the literature. We collected comprehensive data from 9...

Mucocele development after endoscopic sinus surgery for nasal polyposis: A long-term analysis

September 27, 2018  |  Hakim Benkhatar, MD; Idir Khettab, MD; Philippe Sultanik, MD, PhD; Ollivier Laccourreye, MD; Pierre Bonfils, MD, PhD


The aim of the present study was to determine the prevalence of long-term mucocele development after functional endoscopic sinus surgery (FESS) for nasal polyposis, to search for a statistical relationship with preoperative variables and to analyze the management of this...

Endoscopic view of antrochoanal polyp with a dental implant

September 27, 2018  |  Hwang Chul Shin, MD; Jong Seung Kim, MD

The stability of sinus conditions should be dealt with at the time of dental implant surgery.

Button battery insertion in nose manifested as infraorbital cellulitis

September 27, 2018  |  Sheng-Yao Cheng, MD; Cheng-Ping Shih, MD

Infraorbital cellulitis developing from a nasal foreign body is relatively rare and should be considered when diagnosing a child with a presentation similar to the one described in this article.

Renal cell carcinoma metastatic to the sinonasal cavity: A review and report of 8 cases

September 27, 2018  |  Pierre-Louis Bastier, MD; Dorothee Dunion, MD; Guillaume de Bonnecaze, MD; Elie Serrano, MD, PhD; Ludovic de Gabory, MD, PhD


Renal cell carcinoma (RCC) metastatic in the sinonasal cavity is rare. In many cases, it represents the initial presentation of RCC. We conducted a retrospective chart review to report the clinical presentation, imaging, and treatment of RCC metastases in the sinonasal cavity...