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Search Results: 1 - 10 of 1959 matches for " nasal obstruction "
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Nasal Schwannoma—A Case Report  [PDF]
A. Ravindran, A. Amirthagani, Prince Peterdhas, S. Nagarajan, P. Palanivel, Rekha Salini, A. S. Jagan
International Journal of Otolaryngology and Head & Neck Surgery (IJOHNS) , 2015, DOI: 10.4236/ijohns.2015.42017
Abstract: According to the literature, half of the schwannoma cases occur in the head and neck areas and only less than 4% occur in the sinonasal tract. In this case, a 50-year-old male patient, Mr. Jeyapal with a-year-long progressive left side nasal obstruction and purulent rhinorrhea, is presented [1]. The CT reveals a mass filling the left nasal cavity. During surgical intervention, the mass is found to originate from the medial side of the septum anteriorly and inferiorly. The pathological examination reveals capsulated tumor with palisading cellular arrangement and high cellular density [2]. The pathological findings and nervous origin of the tumor are discussed after an extensive review of the literature.
Failure Rate of Adenoidectomy and Reasons of Failure in the Short Term  [PDF]
Süay ?zmen, ?mer Afsin ?zmen
International Journal of Otolaryngology and Head & Neck Surgery (IJOHNS) , 2012, DOI: 10.4236/ijohns.2012.12003
Abstract: Objectives: The aim of the present study was to analyze the recovery rate of symptoms in patients with adenoid hypertrophy and investigate the role of nasal pathologies, allergy and gastroesophageal reflux (GER) as the reason of failure in patients with persistent symptoms. Patients and Methods: Patients undergoing adenoidectomy were enrolled in this study. There were 58 males and 42 females, aged between 1 - 13 years (mean ± SD: 4.9 ± 2.2 years). The parents of each child were questioned about the following symptoms; apnea, nasal obstruction, mouth breathing, snoring and nasal discharge. Presence or absence of nasal obstruction due to septal deviation and/or chonchal hypertrophy was noted. All children were evaluated for GER by upper gastrointestinal endoscopy or pH monitorization and for allergy by specific IgE analysis or skin prick test. Three months after the operation the children were re-examined and their parents were interviewed about persistent symptoms. Patients with persistent symptoms were re-evaluated with rigid endoscopy for residual adenoid vegetation. Results: Apnea was cleared in the entire group postoperatively. However, 9 patients complained of nasal obstruction, 16 patients had mouth breathing, 9 patients had snoring and 17 patients continued to have nasal discharge two months after the operation. Statistical assessment showed a significant difference for each symptom between the pre- and postoperative level (p < 0.001). In the re-examination of the patients with persistent symptoms, none of them were found to have adenoid vegetation greater than grade 1. However, 71% of these patients had nasal pathology, 50% had allergy and 50% had GER. Conclusions: Adenoidectomy alone is an effective treatment for nasal obstruction and obstructive sleep symptoms in children. Persistent obstructive symptoms are usually due to nasal pathology and allergy.
Pyogenic Granuloma of Nasal Septum: A Case Report and Review of Literature  [PDF]
Ramabhadraiah Anil Kumar, Myle Mahesh Babu, Palegar Rayadurga Venkatarajamma, Urvashi Mishra
International Journal of Otolaryngology and Head & Neck Surgery (IJOHNS) , 2014, DOI: 10.4236/ijohns.2014.34035
Abstract:

Pyogenic granuloma is a rapidly growing hyperplastic, vascular proliferation of the skin or mucous membrane. A benign lesion of unknown aetiology commonly associated with pregnancy, oral contraceptives and trauma. While lesions occur frequently in oral cavity, occurrence in the nasal septum is rarely reported. We report a case of 38-year-old male (known case of active pulmonary tuberculosis on anti-tubercular therapy) who presented with unilateral pyogenic granuloma of the anterior nasal septum with unilateral nasal obstruction. We emphasize that the rarely seen lobular capillary hemangioma (pyogenic granuloma) must be kept in mind in the differential diagnosis of a rapidly growing mass of the nasal cavity, even without history of epistaxis. Here we report an uncommon case and review current literature regarding aetiology, site and role of rifampicin in pyogenic granuloma.

Tumor Misdiagnosed As Cancer of the Sphenoid Sinus: Case Report and Literature Review  [PDF]
El Fatemi Hinde, Bennani Amal, Souaf Ihsane, Zaki Zouhir, Alami Noureddine, Amarti Afaf
International Journal of Otolaryngology and Head & Neck Surgery (IJOHNS) , 2012, DOI: 10.4236/ijohns.2012.12010
Abstract: Respiratory epithelial adenomatoid hamartoma (REAH) is an uncommon lesion of the upper aerodigestive tract first described by Wenig and Heffner in 1995 as prominent glandular proliferations lined by ciliated respiratory epithelium originating from the surface epithelium. Case Report: We report a case of 48-year-old women with nasal polyposis history, which consults for nasal obstruction, with suspicion of malignancy on CT. Surgical resection showed a respiratory epithelial adenomatoid hamartoma (REAH) of the nasal cavity. Conclusion: REAH is a recently described pathologic entity that can present rhinorrhea, epistaxis, hyposmia, and headaches. It is a rare lesion of nasal and paranasal sinuses, but should be considered in the differential diagnosis because it is a benign lesion and complete surgical resection is curative.
Nasal Valve Surgery: How I do it?  [PDF]
Abdul Rahman Al Ghareeb, Jitendra Nagarbhai Patel, Mostafa Bakry
International Journal of Otolaryngology and Head & Neck Surgery (IJOHNS) , 2013, DOI: 10.4236/ijohns.2013.21001
Abstract: One of the reasons for patients attending ENT clinic with a persistent feeling of Nasal obstruction is the presence of a narrow nasal valve. Currently, there are many surgical methods for widening narrow nasal valves. Yet, most of these methods are difficult to perform and with unpredictable results. The main purpose of this study is to describe and evalu- ate our technique of minimally invasive nasal valve surgery. Thirty three patients, who attended our clinic complaining from of nasal obstruction, were evaluated for indication for nasal valve surgery, complications, and postoperative re- sults. Thirty one out of the 33 patients (94%) who underwent the surgery reported subjective improvement. Visual ana- logue score (VAS score) was used to estimate the degree of pre and postoperative nasal obstruction, the mean preopera- tive score was 8.891 and the mean postoperative was 3.241 and the improvement was statistically significant (P < 0.002), (R = 3.174). In conclusion, it can be said that the technique of Minimal Invasive Nasal Valve Surgery was found to be safe and extremely effective for most patients having narrow nasal valve.
Fibrolipoma of the nasal septum; report of the first case
Murat Ozturk, Kadri Ila, Ahmet Kara, Mete Iseri
Journal of Otolaryngology - Head and Neck Surgery , 2013, DOI: 10.1186/1916-0216-42-11
Abstract: Case report.This report includes a patient who had a nasal septal fibrolipoma and an accompanying corpus callosum lipoma.To our knowledge, this is the first reported nasal septal fibrolipoma case in the literature. The diagnostic and surgical features of this case and the unity of septal fibrolipoma and intracranial lipomas are discussed.Lipomas are benign, slowly growing neoplasms composed of mature fat cells grouped in lobules by connective tissue septa. These tumors are very rare in the sinonasal tract [1]. Fibrolipomas are a very rare subtype of the lipomas, composing %1,6 of the facial lipomas [2]. In the literature; there are cases reported as fibrolipomas in the esophagus, pharynx, colon, trachea, larynx and oral cavity [3]. This article presents a patient with nasal septal fibrolipoma, and to the knowledge of the researchers, it is the first reported nasal septal case in the literature.An 18-year-old male patient presented with a two year history of nasal obstruction to the otorhinolaryngology department with no additional complaints. His medical family history had revealed nothing abnormal. An endoscopic examination revealed a soft, painless, well circumscribed 2.5x1.5 cm sized mass coated with normal mucosa in the left nasal cavity, localized from the anterior portion of the nasal septum to the posterior (Figure 1). The right nasal cavity was deemed narrowed due to the compression effect of the mass. The computed tomography (CT) showed a 25x12 mm sized low density mass in the septum (Figure 2A). Magnetic resonance imaging (MRI) presented a 22x12 mm lesion with high signal intensity in both T1 and T2 weighted images (Figure 2B). The image revealed a suppression pattern on the fat-suppressed MRI. The same investigation also revealed a 18 mm thick, 51 mm long lipoma at the falx cerebri that pushed the corpus callosum and anteroposteriorly reached the cingulate gyrus (Figure 2C). An incisional biopsy was performed on the mass under local anesthesia, and the sp
Bilateral bubble-like inferior turbinate
Neves, Caio Athayde,Oliveira, Henrique Fernandes de,Dossi, Mario Orlando,Seronni, Giovanni Paolo
International Archives of Otorhinolaryngology , 2009,
Abstract: Case Report: We present one case of bilateral pneumatization of the inferior turbinates, a very rare condition, clinically manifested by obstruction. The surgical approach was carefully planned and carried out, due to a wide communication between the maxillary sinuses and the bobble-like inferior turbinates.
Compara??o entre turbinoplastia e turbinectomia endoscópicas: eficácia e parametros clínicos
Rodrigues, Marcos Marques;Dibbern, Ralph Silveira;Oliveira, Luis Francisco de;Marques, Melania Dirce Oliveira;Bella, Marcelo Fernando;Paula Junior, Fausto Antonio de;Araújo, Fernando Cesar Fran?a;
Arquivos Internacionais de Otorrinolaringologia , 2011, DOI: 10.1590/S1809-48722011000400004
Abstract: introduction: nasal obstruction is a common symptom and affects 25% of the population. the inferior turbinate hypertrophy is the main cause of nasal obstruction. in the failure of clinical control, a surgical procedure to reduce the size of the inferior turbinate is indicated. objective: compare the improvement of life quality in late postoperative of turbinectomy and turbinoplasty. method: study of a retrospective case series. 24 patients were submitted to a nasal surgery of turbinectomy or turbinoplasty in 2007. the patients were invited to an interview in august of 2008. the patients were evaluated in the following items: postoperative nose scale, morbidity in postoperative, bleeding and quantity of crusts in postoperative. results: 24 patients attended for the evaluation. the main variable analyzed was the difference between nose scales in late pre and post operative. there was no statistically significant by the test in the variables studied. discussion: in the evaluation of the various types of surgical treatment of the inferior turbinate, literature shows similar results to our study, finding similar results between many surgical techniques in the improvement of the nasal obstruction and in mucociliary activity. conclusion: there are no evidence in the literature and in our sample of the superiority of a technique of surgical treatment in the inferior turbinate under other treatments.
Comparison between turbinoplasty and endoscopic turbinectomy: Efficacy and clinical parameters
Rodrigues, Marcos Marques,Dibbern, Ralph Silveira,Oliveira, Luis Francisco de,Marques, Melania Dirce Oliveira
International Archives of Otorhinolaryngology , 2011,
Abstract: Introduction: Nasal Obstruction is a common symptom and affects 25% of the population. The inferior turbinate hypertrophy is the main cause of nasal obstruction. In the failure of clinical control, a surgical procedure to reduce the size of the inferior turbinate is indicated. Objective: Compare the improvement of life quality in late postoperative of Turbinectomy and turbinoplasty. Method: Study of a retrospective case series. 24 patients were submitted to a nasal surgery of turbinectomy or turbinoplasty in 2007. The patients were invited to an interview in august of 2008. The patients were evaluated in the following items: Postoperative NOSE scale, morbidity in postoperative, bleeding and quantity of crusts in postoperative. Results: 24 patients attended for the evaluation. The main variable analyzed was the difference between NOSE scales in late pre and post operative. There was no statistically significant by the test in the variables studied. Discussion: In the evaluation of the various types of surgical treatment of the inferior turbinate, literature shows similar results to our study, finding similar results between many surgical techniques in the improvement of the nasal obstruction and in mucociliary activity. Conclusion: There are no evidence in the literature and in our sample of the superiority of a technique of surgical treatment in the inferior turbinate under other treatments.
Correla??o entre peak flow nasal inspiratório e escala visual analógica pré e pós uso de vasoconstrictor nasal
Teixeira, Rodrigo Ubiratan Franco;Zappelini, Carlos Eduardo Monteiro;Oliveira, Luana Gon?alves;Basile, Luciana Campoy Giro;Costa, Everardo Andrade da;
Arquivos Internacionais de Otorrinolaringologia , 2011, DOI: 10.1590/S1809-48722011000200006
Abstract: introduction: the measure of inspiratory nasal flux apex (infa) is obtained in a simple and quick way, but not much diffused in brazil. the analogic visual scale(avs) for nasal obstruction is asubjetive measure that can also be used. objective: to evaluatethe correlation between infa and avs for nasal obstruction, before and after a nasal potency change, provided by topic vasoconstriction. study draw: experimental and clinic study not randomized. methods: 60 volunteers included patients, doctors, nurses and administrative auxiliaries from the instituition were submitted to infa and avsexams before and after the nasal vasoconstriction with oxymetazoline hydrochloride 0,05%. results: the medical value found for avs pre vasoconstriction was 4,1 and 2 after vasoconstriction. this represents avariation of 44% among the measures. concerning the infa values, the media found in pre vasoconstriction mensuratiion was 151 l/mim and 178l/mim after vasoconstriction, presenting an addition of 20%. in the pre vasoconstriction moment, the increase of one point in middle value of avs, correspondes to decrese of 3,8% in middle value of infa. in pos each increase of a point in avs middle value correspondes of 4,5% in infa middle value. conclusion: there was an important correlation between thenasal obstruction objective measure through the infa with subjective mensuration provided by avs before the nasal vasoconstrictor usage.
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