oalib
Search Results: 1 - 10 of 100 matches for " "
All listed articles are free for downloading (OA Articles)
Page 1 /100
Display every page Item
Rhinoscleroma  [cached]
Raymundo, Igor Teixeira,Pádua, Sharlene Castanheira,Pinheiro, Thaís Gon?alves,Azevedo, Ana Emília Borges de
International Archives of Otorhinolaryngology , 2011,
Abstract: Introduction: Rhinoscleroma is a chronic granulomatous infectious disease, caused by the bacterium Klebsiella rhinoscleromatis. Affects the respiratory tract mucosa, more frequent in the nose. Is considered endemic in certain regions like Africa and Central America, but is rare in Brazil. The nasal involvement occurs in 3 phases: catarrhal, granulomatous and sclerotic stage. In all its course the disease presents nonspecific symptoms, and because of that, the difficulty of being diagnosed. Its diagnosis is established by culture or by the meeting of Mikulicz cell or Russel corpuscles in the anatomopathological study. The treatment consists in a long-term antibiotic, associated or not to a surgery. Objective: This report aims ilustrate a case of rhinoscleroma in a female young patient complaining of bilateral nasal obstruction, long standing and headache. The intent is alert the otorhinolaringologists in diagnosing this rare disease, which presents itself with nonspecific symptoms as like numerous pathologies that affect the nasal region.
Nasolabial bilateral cyst as cause of the nasal obstruction: Case report and literature review  [cached]
Enoki, Alexandre Minoru,Pizarro, Gilberto Ulson,Morais, Marcelo de Sampaio,Fernandes, Danilo Pereira Pimentel
International Archives of Otorhinolaryngology , 2012,
Abstract: Introduction: The nasolabial cyst is a rare disease, usually unilateral, benign, of embryonic origin, located in soft parts from the nasolabial folds and nasal wings. The diagnosis is essentially clinic, take into consideration the cyst topography, that is usually asymptomatic. Objective: This article has as main goal the description of a unusual case of nasolabial bilateral cyst with nasal obstruction, its treatment, anatomic pathological and accompaniment, besides the literature review. Case Report: Female patient, brown, 24 years old, showing bulging in nasolabial region and nasal obstruction. Physical and complementary exams with nasolabial cyst. Indicate surgical treatment of excision of the lesion. Final Considerations: The nasolabial bilateral cyst, although is rare, is a possible cause for the nasal obstruction, with good response to surgical therapy.
Rhinoscleroma and nasal non-Hodgkin lymphoma  [cached]
Oliveira, Henrique Fernandes de,Carvalho, Ada Simone P. Alencar,Argollo, Núbia Cardoso Santana,Neves, Caio Athayde
International Archives of Otorhinolaryngology , 2009,
Abstract: Introduction: Rhinoscleroma, a rare nasal granulomatous disease, is caused by Klebsiella rhinoscleromatis. The nose is the primary occurrence region. Nasal non-Hodgkin lymphoma is a rare cancer, and could be of T or B type. The rhinoscleroma and the nasal non-Hodgkin lymphoma present with nasal obstruction as the main symptom, and are part of the nasal granulomatosis differential diagnosis. Objective: To report the association of rhinoscleroma and non-Hodgkin lymphoma in the same patient, by remarking the importance of the nasal granulomatosis' differential diagnosis. Case Report: A forty-nine year old female patient that appeared with a one-month progressive nasal obstruction. Rhinoscopy showed papillomatous feature lesion in left middle meatus. The immunohistochemical analysis confirmed rhinoscleroma. The patient was duly treated with total remission of the lesion. Ten months after, she returned with the same symptoms, but the histologic study confirmed non-Hodgkin lymphoma. Final Comments: Both pathologies may cause more severe nasal symptoms and complications. The early diagnostic enables the choice for the right treatment and contributes for the prognosis. The immunohistochemical study was essential for the diagnostic differentiation.
Rhinoscleroma Mimicking Malignancy: A case report
Deepak Abrol, M Maqbool, Fir Afroz, M Ashraf, N A Khan
JK Science : Journal of Medical Education & Research , 2008,
Abstract: Rhinoscleroma is an uncommon chronic granulomatous disease of the upper airways affecting nasalcavity, nasopharynx, larynx, trachea, and bronchi. The oral cavity, para nasal sinuses, and soft tissues ofthe lips and nose can be affected. In rare cases, rhinoscleroma spreads to the orbit. We present a case thatwas being evaluated for bilateral neck nodal mass, was confused with malignancy and subsequently, onthorough clinicopathological evaluation, was diagnosed as rhinoscleroma. This case underlines the importanceof thorough clinical evaluation and diagnostic workup before instituting any sort of treatment in oncology.
Bilateral Endoscopic Medial Maxillectomy for Bilateral Inverted Papilloma  [PDF]
Satoru Kodama,Toshiaki Kawano,Masashi Suzuki
Case Reports in Otolaryngology , 2012, DOI: 10.1155/2012/215847
Abstract: Inverted papilloma (IP) is a benign tumor of the nasal cavity and paranasal sinuses that is unilateral in most cases. Bilateral IP, involving both sides of the nasal cavity and sinuses, is extremely rare. This paper describes a large IP that filled in both sides of the nasal cavity and sinuses, mimicking association with malignancy. The tumor was successfully treated by bilateral endoscopic medial maxillectomy (EMM). The patient is without evidence of the disease 24 months after surgery. If preoperative diagnosis does not confirm the association with malignancy in IP, endoscopic sinus surgery (ESS) should be selected, and ESS, including EMM, is a good first choice of the treatment for IP. 1. Introduction Inverted papilloma (IP) is a common benign tumor of the nasal cavity and paranasal sinuses. IP is confined to one sides of the nasal cavity in most cases, and bilateral IP is extremely rare with only a few cases reported in the English literature [1, 2]. Herein, we describe a large IP that involved both side of the nasal cavity and extended into the orbita, mimicking association with malignancy. The tumor was successfully treated by bilateral endoscopic medial maxillectomy (EMM). 2. Case Presentation A 55-year-old man presented with bilateral nasal tumor that caused progressive bilateral nasal obstruction. He could not breathe through the nose. Anterior rhinoscopy revealed a pinkish mass that filled both nasal cavities (Figure 1). The tumor could be also observed orally, in the pharynx. Enhanced computed tomography (CT) showed a homogeneously enhancing mass that filled the bilateral nasal cavities and maxillary, ethmoid, and sphenoid sinuses. The tumor extended into the right orbita causing bone destruction. No bone damage was observed at the skull base. Osteogenesis was observed in the right ethmoid sinus (Figure 2). The frontal sinuses were poorly pneumatized. The base of the tumor was considered to be at the right ethmoid sinus. Biopsy revealed IP; however, association with malignancy could not be ruled out because of local aggressiveness. No neurological or visual defects were observed. Endoscopic sinus surgery (ESS) was then performed under general anesthesia. The anterior portion of the tumor, protruding from the nose, was cut using the harmonic scalpel (HS). The tumor was removed piece by piece with the HS to avoid bleeding. Intraoperative frozen section examinations were repeated suspecting a malignancy; however, the results showed all IP without malignancy. Since the tumor was widely spread in the maxillary sinus in both sides, the medial
Septal rhinoscleroma  [cached]
Shoeib Mohamed
Indian Journal of Plastic Surgery , 2010,
Abstract: Rhinoscleroma is a chronic granulomatous condition of the nose and other structures of the upper respiratory tract. Infection by the bacterium Klebsiella rhinoscleromatis is said to be the cause. A female patient aged 45 years, presented with a past history of trauma to the nose and swelling on her nose since last 1 year. There was nasal asymmetry and internal nasal examination showed a septal swelling protruding to the right nasal cavity with hypertrophied nasal mucosa and inferior turbinate. Open tip rhinoplasty approach was used to excise the mass, which examined pathologically revealing a rhinoscleroma, fibrotic infiltrative stage.
Rinoescleroma Rhinoscleroma  [cached]
John Segura-Vílchez,Paulina González-Rojas,Lissette Retana-Moreira
Acta Médica Costarricense , 2013,
Abstract: Paciente masculino de 19 a os de edad, proveniente de zona rural, con cuadro clínico de 3 a os de oclusión nasal, episodios de inflamación facial, epistaxis, rinorrea fétida, hipoacusia derecha, adenopatías faciales múltiples y axilares bilaterales; fue referido al Hospital México por una lesión granulomatosa obstructiva del tabique nasal. Una biopsia inicial reveló la presencia de tejido con infiltrado inflamatorio crónico, con predominio de macrófagos de aspecto espumoso. Una segunda biopsia fue positiva por Klebsiella pneumoniae subsp. rhinoscleromatis, y por anatomía patológica se describió una hiperplasia pseudoepiteliomatosa y en lámina propia denso infiltrado inflamatorio con base en linfocitos, células plasmáticas, cuerpos de Russell y macrófagos con citoplasma vacuolado, con presencia de microorganismos y detritos. El paciente recibió terapia con ciprofloxacina vía oral por siete meses, con lo cual resolvió desde el punto de vista etiológico. The case of a 19-year-old male patient from a rural area is presented. He had a 3-year history of nasal obstruction, episodes of facial inflammation, epistaxis, fetid rhinorrhea, hearing loss in the right ear, bilateral axillary and multiple facial bilateral lymphadenopathies. He was referred for consultation to the Mexico Hospital due to an obstructive granulomatous lesion of the nasal septum. The first biopsy revealed the presence of chronic inflammatory infiltrate, with predominance of macrophages with foamy appearance. A second biopsy was positive for Klebsiella pneumoniae subsp. rhinoscleromatis, described histologically as a pseudoepitheliomatouse hyperplasia with dense inflammatory infiltrate and the analysis of lamina propria showed dense inflammatory infiltrate with lymphocytes, plasmatic cells, Russell bodies and macrophages with vacuolated cytoplasm, with microorganisms and debris. The patient was treated with oral ciprofloxacin therapy for seven months, after which the patient was considered cured from the etiological point of view.
Cisto nasolabial bilateral como causa de obstru??o nasal: relato de caso e revis?o de literatura
Enoki, Alexandre Minoru;Pizarro, Gilberto Ulson;Morais, Marcelo de Sampaio;Fernandes, Danilo Pereira Pimentel;Oliveira, Paulo Roberto Grimaldi;
Arquivos Internacionais de Otorrinolaringologia , 2012, DOI: 10.7162/S1809-48722012000100018
Abstract: introduction: the nasolabial cyst is a rare disease, usually unilateral, benign, of embryonic origin, located in soft parts from the nasolabial folds and nasal wings. the diagnosis is essentially clinic, take into consideration the cyst topography, that is usually asymptomatic. objective: this article has as main goal the description of a unusual case of nasolabial bilateral cyst with nasal obstruction, its treatment, anatomic pathological and accompaniment, besides the literature review. case report: female patient, brown, 24 years old, showing bulging in nasolabial region and nasal obstruction. physical and complementary exams with nasolabial cyst. indicate surgical treatment of excision of the lesion. final considerations: the nasolabial bilateral cyst, although is rare, is a possible cause for the nasal obstruction, with good response to surgical therapy.
Rinoscleroma
Raymundo, Igor Teixeira;Pádua, Sharlene Castanheira;Pinheiro, Thaís Gon?alves;Azevedo, Ana Emília Borges de;Nakanishi, Márcio;Oliveira, Carlos Augusto Costa Pires de;
Arquivos Internacionais de Otorrinolaringologia , 2011, DOI: 10.1590/S1809-48722011000400019
Abstract: introduction: rhinoscleroma is a chronic granulomatous infectious disease, caused by the bacterium klebsiella rhinoscleromatis. affects the respiratory tract mucosa, more frequent in the nose. is considered endemic in certain regions like africa and central america, but is rare in brazil. the nasal involvement occurs in 3 phases: catarrhal, granulomatous and sclerotic stage. in all its course the disease presents nonspecific symptoms, and because of that, the difficulty of being diagnosed. its diagnosis is established by culture or by the meeting of mikulicz cell or russel corpuscles in the anatomopathological study. the treatment consists in a long-term antibiotic, associated or not to a surgery. objective: this report aims ilustrate a case of rhinoscleroma in a female young patient complaining of bilateral nasal obstruction, long standing and headache. the intent is alert the otorhinolaringologists in diagnosing this rare disease, which presents itself with nonspecific symptoms as like numerous pathologies that affect the nasal region.
Nasal obstruction of the newborn: a differential diagnosis  [cached]
Manica, Denise,Smith, Mariana Magnus,Schweiger, Claúdia,Silva, Daniela Brunelli e
International Archives of Otorhinolaryngology , 2009,
Abstract: Introduction: The nasal obstruction is potentially severe when affecting newborns, preferential nasal breathers. The newborns with nasal obstruction may present from an asymptomatic affection up to a severe situation of airway obstruction, with cyclical cyanosis. The cyanosis worsens with feeding and improves with crying. Despite the most common cause of obstruction in the newborn is mucosa edema secondary to viral rhinitis or idiopathic rhinitis of the child, it is important to be attentive to the diagnosis of the nasal anatomic alterations. Although not much frequent, they represent affections in which the early diagnosis and management are basic to prevent airway obstruction and feeding difficulties with recurrent aspiration. Objective: The objective of this case report is to describe the three most common causes of anatomic nasal obstruction in newborns: the choanal atresia, dacryocystocele and anterior piriform opening stenosis. Final Comments: The clinical characteristics, diagnostic investigation and treatment of these three pathologies are presented. Therefore, we seek to alert as to the importance that the nasal probe passage be part of the physical exam of every newborn, specially when it has breathing disorder upon birth and/or cyanosis when breastfeeding.
Page 1 /100
Display every page Item


Home
Copyright © 2008-2017 Open Access Library. All rights reserved.