Cases reported "Nasal Obstruction"

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1/73. craniopharyngioma invading the nasal and paranasal spaces, and presenting as nasal obstruction.

    A case of craniopharyngioma invading the nasal and paranasal sinuses and presenting as nasal obstruction is reported. Imaging showed a destructive mass of the skull base with involvement of the nose and paranasal sinuses. In the excised mass mitoses were frequent and the proliferation index was high. Invasion of the nasopharynx and presentation as a nasopharyngeal mass is uncommon for a craniopharyngioma.
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keywords = nose
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2/73. Concha bullosa pyocele--undiagnosed for 3 years.

    We report a rare case of post-traumatic concha bullosa pyocele in a diabetic teenager that has gone undiagnosed for 3 years. The clinical findings, radiological features and management are discussed. The literature is reviewed.
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keywords = nose
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3/73. Acquired immune deficiency syndrome (AIDS) presenting as a nasal septal perforation.

    patients infected with the Human Immunodeficiency Virus (hiv) and those with AIDS may present with many head and neck manifestations. We report a case of an undiagnosed hiv positive male who presented with symptoms due to a nasal septal perforation, and rapidly developed AIDS. The histopathology of the perforation margins revealed active chronic inflammation with no evidence of neoplasia or granuloma. No viral or fungal infection was demonstrable on immunological testing and fungal stain. This is the first reported case of a patient developing AIDS presenting with a nasal septal perforation.
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4/73. CT of intranasal pleomorphic adenoma.

    Intranasal pleomorphic adenoma is rare. We report the CT features this tumor in a 41-year-old woman who presented to us with right nasal obstruction and a 2-day history of epistaxis.
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keywords = epistaxis
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5/73. Case report of a mass that mimicked an antrochoanal polyp.

    We describe the case of a patient who was originally diagnosed with an antrochoanal polyp. During avulsion of the mass by endoscopic polypectomy, it was discovered that the stalk of the polyp actually arose from the mucosa of the right superior turbinate rather than from the mucosa of the maxillary antrum. A diagnosis of choanal polyp was made.
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keywords = nose
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6/73. Inferior concha bullosa--a radiological and clinical rarity.

    Two cases of inferior concha bullosa (ICB) are reported. The condition was bilateral in one patient and unilateral in the other. Unilateral ICB was associated with marked septal deviation. The diagnosis was made in patients being investigated for chronic rhinosinusitis. ICB is diagnosed by computed tomography (CT) of the sinuses in the coronal plane. It may also be seen in axial views.
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7/73. A rare case of upper airway obstruction in an infant caused by basal encephalocele complicating facial midline deformity.

    A four-month-old male infant with basal encephalocele of the transsphenoidal type presented with upper airway obstruction and facial midline deformity, including cleft lip, cleft palate, hypertelorism and exophthalmos. Basal encephalocele is a rare disease, and usually not detectable from the outside. In this case, initially the cause of an upper airway obstruction was considered to be posterior rhinostenosis, and posterior rhinoplasty with inferior nasal conchectomy was scheduled. However, in preoperative examination, computed tomography (CT) and magnetic resonance imaging (MRI) revealed a bony defect in the sphenoidal bone and a cystic mass in communication with cerebrospinal fluid, herniating into the nasal cavity through the bony defect. The mass was diagnosed as a transsphenoidal encephalocele, the scheduled operation cancelled, and tracheostomy performed for airway management. The possibility of basal encephalocele should be considered in the case of upper airway obstruction with facial midline deformity.
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8/73. Antrochoanal polyps in children: CT findings and differential diagnosis.

    Antrochoanal polyp (Killian polyp) is an infrequent, usually solitary, benign, slowly growing lesion that arises from the maxillary antrum and reaches the choana. These polyps have a discrete male predominance and are diagnosed usually between the third and the fifth decades of life. This report is based on three cases of antrochoanal polyp, occurring in the pediatric group, and the objective is to demonstrate their different CT characteristics, principal differential diagnoses, and potential complications. We emphasize that in all three cases of our series the growth of the polyp to the choana is through the accessory ostium.
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keywords = nose
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9/73. Eosinophilic angiocentric fibrosis.

    Eosinophilic angiocentric fibrosis (EAF) is a rare inflammatory fibrosing condition of unknown aetiology that involves the nose or larynx producing mucosal thickening and severe obstructive symptoms. We report the first case affecting a male. He presented with nasal obstruction requiring septoplasty. The clinical and histopathological features of the condition are discussed and a comparison is made with the seven previous reported cases.
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10/73. Malignant lymphoma of the maxillary sinus masquerading as an odontogenic infection: report of a case.

    The dental surgeon can play an important role in the early referral of malignancy of the maxillary sinus, and should be familiar with the signs and symptoms of disease of the paranasal sinuses. Here we report a case of a 71-year-old male patient diagnosed with high-grade B-cell lymphoma of the maxillary sinus that was initially thought to be an odontogenic infection. We discuss the signs and symptoms of lymphomas and malignancy of the maxillary sinus.
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