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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.

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


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...

Bilateral pyriform sinus parathyroid adenomas

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


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...

The utility of enlarging symptomatic nasal septal perforations

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


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...

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


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 view of a mucocele obstructing a middle meatal antrostomy

January 14, 2018  |  Eiji Yanagisawa, MD, FACS; Dewey A. Christmas, MD; Joseph P. Mirante, MD, MBA, FACS

Mucoceles can occur naturally as mucus retention cysts or after sinus surgery, by ostial obstruction and formation of a lesion lined by low columnar epithelium.

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


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...

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


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


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...

Inferior turbinate reduction: Diode laser or conventional partial turbinectomy?

January 14, 2018  |  Venkatesh Doreyawar, MS; Raveendra P. Gadag, MS; Dandi Narasaiah Manjunath, MS; Shivalingappa B. Javali, MPhil, PhD; Nagaraj Maradi, MBBS; Deekshit Shetty, MBBS


Hypertrophy of the inferior nasal turbinate is one of the most common causes of nasal obstruction. The diode laser has proven to be as effective as other lasers for this indication. Our objective was to study various outcomes associated with the use of the diode laser, such as...

Endoscopic finding of two osteomas in the frontal sinus

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

Most osteomas are asymptomatic, so these tumors are often detected incidentally on paranasal CT scans.

The sensitivity and specificity of touch preparation for rapid diagnosis of invasive fungal sinusitis: A pilot study

January 14, 2018  |  Theodore A. Schuman, MD; Josephine H. Nguyen, MD; Joshua C. Yelverton, MD; Jorge A. Almenara, PhD; Celeste N. Powers, MD, PhD


Invasive fungal sinusitis is a morbid pathology that typically affects immunocompromised patients and may quickly progress to fulminant disease. The purpose of this study was to measure the sensitivity and specificity of touch preparation of nasal debridement specimens as a...