1/57. Otorhinolaryngological aspects of xeroderma pigmentosum.OBJECTIVE: to evaluate the probable presence of otorhinolaryngological pathology accompanied by head and neck region skin findings in patients with xeroderma pigmentosum. methods: a total of 19 patients with xeroderma pigmentosum were investigated for otorhinolaryngological findings. The patients gave their anamnesis and underwent physical examination, audiological tests and endoscopic examination. RESULTS: various malignancies developed in 14 patients on the sun-exposed areas of the head and neck region. Multiple malignancies were found in six of them. There was no other pathological condition secondary to this rare clinical entity. CONCLUSION: xeroderma pigmentosum causes skin lesions. Some otolaryngological findings such as rhinitis, sinusitis etc. were thought to be coincidental.- - - - - - - - - - ranking = 1keywords = sinus (Clic here for more details about this article) |
2/57. Persistent rhinosinusitis in children after endoscopic sinus surgery.The efficacy of endoscopic sinus surgery (ESS) in children is insufficiently addressed in the medical literature. We report a cohort of 14 children (mean age 7.7 years, median age 5.1 years) seen at our multidisciplinary clinic for refractory rhinosinusitis during a 30-month period who continued to have rhinosinusitis despite previous ESS. Prior ESS procedures were performed by 11 surgeons in 3 states. The first ESS was performed when the children were a mean age of 4.6 years, and in 10 of 14, it was performed when they were younger than 4.8 years. This cohort required a disproportionately high rate of subsequent surgical intervention, 50%, versus a 9% surgical rate in the remaining clinic population (P = 0.0002). Osteomeatal scarring was the single most difficult surgical complication. Significant morbidity, in the form of persistent disease, is encountered after ESS in young children. Although chronic rhinosinusitis after ESS, to a certain degree, can still be managed by medical therapy, judicial use of ESS, especially in the very young, is recommended.- - - - - - - - - - ranking = 12keywords = sinus (Clic here for more details about this article) |
3/57. 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.- - - - - - - - - - ranking = 2keywords = sinus (Clic here for more details about this article) |
4/57. Chronic invasive fungal rhinosinusitis.Chronic invasive fungal rhinosinusitis is an increasingly recognized, but inadequately characterized, disease entity which is separate and distinct from acute fulminant invasive fungal sinusitis and allergic fungal sinusitis. Chronic invasive fungal rhinosinusitis is divided into granulomatous and nongranulomatous subtypes based on histopathology, but the clinical distinction between the two subtypes is not clear. Current management includes varying degrees of surgical debridement and a prolonged course of antifungal agents. A protracted clinical course with recurrence after treatment is common.- - - - - - - - - - ranking = 8keywords = sinus (Clic here for more details about this article) |
5/57. acanthamoeba rhinosinusitis: characterization, diagnosis, and treatment.Nasal and paranasal sinus manifestations are among the most common presentations of the acquired immunodeficiency syndrome (AIDS). Several studies cite that as many as 70% of patients with this disease have symptoms referable to the head and neck, including a 30% prevalence of sinusitis. Although the bacteriology of sinusitis in this population is largely considered comparable to that of immunocompetent patients, several opportunistic pathogens have been identified, particularly when T-cell counts are low. This report identifies acanthamoeba as a potentially fatal cause of rhinosinusitis in immunosuppressed patients. The pathogenesis, diagnosis, and treatment of this rare entity will be discussed and the literature reviewed.- - - - - - - - - - ranking = 32.912245063246keywords = paranasal sinus, paranasal, sinus (Clic here for more details about this article) |
6/57. Ectopic eruption of maxillary molar tooth--an unusual cause of recurrent sinusitis.A 17-year-old male presented with a 3-month history of cough associated with right-sided purulent rhinorrhoea and right facial pain. Nasal endoscopy confirmed the presence of mucopus from the right middle meatus. Plain sinus X-ray assessment showed the presence of an ectopic molar in the right anterosuperior aspect of the maxillary sinus entrapped in soft tissue. Surgical removal of the tooth and the diseased antral tissue was undertaken via a Caldwell-Luc procedure with resolution of symptoms.- - - - - - - - - - ranking = 6keywords = sinus (Clic here for more details about this article) |
7/57. Granulocyte transfusion in the management of fulminant invasive fungal rhinosinusitis.Usually, fulminant, invasive fungal rhinosinusitis is observed in the immunocompromised patient and is associated with significant morbidty, and mortality. A high index of suspicion and early diagnosis is imperative for optimizing outcome. Mainstays of treatment include antifungal agents and radical resection of necrotic tissue. Reversal of the underlying medical condition, when possible, is a critical part of the management. In the neutropenic population, granulocyte transfusion may represent an adjunct to current therapy. We provide the first report of a case of invasive fungal rhinosinusitis in which this intervention was used.- - - - - - - - - - ranking = 6keywords = sinus (Clic here for more details about this article) |
8/57. Lacrimal gland abscess: an unusual complication of rhinosinusitis.We report the case of a 72-year-old female suffering from mild myelodysplasia who initially presented with a peri-orbital cellulitis secondary to rhinosinusitis. The pre-septal infection failed to completely resolve despite intensive antibiotic therapy and endoscopic drainage of the sinuses. Computerised tomography revealed a complicating suppuration of the lacrimal gland. Incision and drainage of the lacrimal gland abscess led to a complete resolution of the pre-septal cellulitis. suppuration of the lacrimal gland is, as far as we are aware, a previously unreported complication of rhinosinusitis. Its presence could be borne in mind when evaluating computerised tomography scans of patients presenting with orbital complications of sinusitis, particularly in the immunocompromised.- - - - - - - - - - ranking = 8keywords = sinus (Clic here for more details about this article) |
9/57. pyoderma gangrenosum of the eyelid and acute rhinosinusitis.pyoderma gangrenosum (PG) is a destructive, necrotizing, noninfective ulceration of the skin. Periorbital PG is extremely rare, and may progress, with eventual loss of the eye. We report a 47-year-old woman who presented with a right periorbital swelling of 8 days duration and concurrent acute rhinosinusitis. A clinical diagnosis of right periorbital PG was made, and treatment instituted with intravenous methylprednisolone and antibiotics, resulting in rapid resolution of the condition. The clinical features in this case, together with the past history of histologically confirmed PG, enabled a rapid diagnosis to be made, with early administration of treatment resulting in minimal scarring. The clinical picture could easily be confused with periorbital cellulitis, and this case demonstrates the importance of considering the differential diagnoses of periorbital swelling.- - - - - - - - - - ranking = 5keywords = sinus (Clic here for more details about this article) |
10/57. Peri-orbital surgical emphysema following functional endoscopic sinus surgery, during extubation.We present a case of peri-orbital surgical emphysema following functional endoscopic sinus surgery (FESS), due to extubation with simultaneous manual inhalation with a closed expiratory valve. This complication has not been previously reported in association with general anaesthetic and FESS. patients undergoing FESS are advised against nose blowing. However, we recommend that the anaesthetist working with a surgeon who performs FESS should also be warned not to use manual inhalation with a closed expiratory valve while extubating, as this can cause peri-orbital surgical emphysema.- - - - - - - - - - ranking = 5keywords = sinus (Clic here for more details about this article) |
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