Ashok K Gupta
ABSTRACT Endoscopic sinus surgery plays an integral role in the management of CRS. There are welldocumented benefits in both symptoms and quality of life. The local complications such as synechiae formation, middle turbinate lateralization, and mucosal edema can impede postoperative healing and ultimately compromise long-term surgical outcomes are reported to be less than 5%. Hobson et al evaluated the utility of middle meatal packing in reducing the risk of scarring.
Shrinath D Kamath Patla, Pretty Rathnakar, Vadisha S Bhat, Jayaramesh
ABSTRACT Aim: (a) To study the variations in the superior attachment of uncinate process. (b) Incidence of pneumatization of uncinate process was also studied. Materials and methods: A total 200 sides of 100 CT scans of paranasal sinuses coronal section were studied for variations in the superior insertion of uncinate process using Landsberg and Friedman classification. Incidence of pneumatization of uncinate process was also studied. Results: In our study out of 200 sides, type 6 attachment was commonest (41%) followed by types 1 and 2. Pneumatization of the uncinate was seen in very small percentage of cases. Conclusion: Lateral insertion of uncinate (lamina papyracea + aggar nassi) is the commonest variant followed by the insertion into the skulbase. Pneumatization of uncinate is rare. Clinical significance: Though the inferior attachment of the uncinate is almost constant the superior attachment has several variations, the knowledge of which is very important for the endoscopic surgeon to avoid intraoperative complications. Keywords: Aggar nasi, Cribriform plate, Lamina papyracea, Middle turbinate, Pneumatization, Uncinate process. How to cite this article: Patla SDK, Rathnakar P, Bhat VS, Jayaramesh. A Radiological Study of Anatomical Variations of Uncinate Process. Clin Rhinol An Int J 2016;9(2):59-61. Source of support: Nil Conflict of interest: None
Vinit K Sharma, Rohit Sharma, Ashish Mehrotra, Zafar Iqbal, Kunal Nigam
ABSTRACT Erosion of bone with or without extension of disease into adjacent anatomic spaces is observed among some patients with fungal rhinosinusitis (FRS). Preoperative computed tomographies is very important to determine the sites of bony erosion. Patients with bony erosions are classified based on the involved subsite and the extent of erosion. Bony erosions was seen in 37.5% cases. Six patients were having bone erosions on CT scan. 40 % erosions were present in patients belonging to younger age group. Erosion of sinus boundaries were more common in male patients (60%). The ethmoid sinus complex was most commonly involved (46.6%). This was followed in frequency of involvement by the maxillary sinus (26.6%), the sphenoid sinus (20%) and the frontal sinus (6.6%). The most common site of erosion was the lamina papyracea (33.3%), followed by the medial maxillary wall(20%). Bony erosions due to FRS were mainly due to long-term mechanical compression by the fungal mass. A case of chronic rhinosinusitis with bony erosions in CT scan may indicate a fungal etiology. Keywords: Bony erosions, Fungal rhinosinusitis, Fungal rhinosinusitis. How to cite this article: Sharma VK, Sharma R, Mehrotra A, Iqbal Z, Nigam K. A Retrospective Study of Bony Erosion Patterns in Cases of Fungal Rhinosinusitis. Clin Rhinol An Int J 2016;9(2):62-64. Source of support: Nil Conflict of interest: None
Shilpam Sharma, Abhinav Srivastava, Chander Mohan Sharma
ABSTRACT Introduction: The correlation between middle ear pathology due to Eustachian tube dysfunction and nasal allergy has been a topic of debate since long. Studies of the pathogenesis of otitis media have identified interactions among infection, allergic reactions and Eustachian tube dysfunction. AIMS- The aim of this study was to evaluate the relationship between Eustachian tube dysfunction and nasal allergy and to evaluate the efficacy of oral steroids and intranasal steroidal spray on Eustachian tube dysfunction. Materials and methods: The patients were diagnosed according to the diagnostic criteria of allergic rhinitis. A total of 50 patients having moderate/severe symptoms who had not taken any treatment for allergic rhinitis in the past 6 weeks with deranged middle ear function were included in the study. Group I patients were given Prednisolone, 30 mg once daily for 10 days in tapering dose along with intranasal steroid spray for 6 weeks. Group II patients were given only intranasal steroid spray for 6 weeks. Impedance audiometry was repeated at the end of 6 weeks and results were statistically analyzed. Result: This study demonstrated the outcome of systemic steroids and intranasal steroidal spray in the treatment of middle ear dysfunction. In our study impedance audiometry was done at the start of study and showed type B tympanogram in 36% ears in group I and 21% in group II and type C tympanogram in 60% in group I and 50% in group II. Impedance audiometry was repeated at 10 days of treatment and showed reversal to type A curve in 26% of ears in group I and 14% of ears in group II. Impedance audiometry at the end of treatment demonstrated reversal to type A tympanogram in 64% of ears in group I and 48 % of ears in group II. Keywords: Allergic rhinitis, Intranasal steroidal spray, Middle ear dysfunction, Oral steroids. How to cite this article: Sharma S, Srivastava A, Sharma CM. Middle Ear Dysfunction: Connection to Allergic Rhinitis. Clin Rhinol An Int J 2016;9(2):65-67. Source of support: Nil Conflict of interest: None
Hemanth Vamanshankar, Satish C Kumar, AP Preetham, Musarrat Feshan
ABSTRACT Introduction: This study compares the nasal mucociliary clearance time of patients with chronic sinusitis (pre- and postoperatively) and smokers, with controls, attending the ear, nose, and throat outpatient department at Southern Railway Headquarters Hospital, Perambur, Chennai. Materials and methods: Saccharin granule was used to study mucociliary clearance as it is safe, easy, fast, and reliable. A total of 32 patients in each group were studied. In chronic rhinosinusitis patients, the test was done preoperatively and 4 weeks postoperatively. Results: The average mucociliary clearance time pre- and postoperatively in chronic rhinosinusitis patients was 29.54 ± 28.68 and 12.17 ± 5.84 respectively. Cigarette smokers had a longer mucociliary clearance time (27.63 ± 21.11) compared with beedi smokers (24.04 ± 24.93). Controls had the fastest mucociliary clearance rate of 9.67 ± 4.62 among the study subjects. Conclusion: Surgery for chronic rhinosinusitis improves both the overall symptoms of chronic rhinosinusitis and the protective functions of the nose and paranasal sinuses. Smokers had an impaired clearance rate compared with normals. As age advances, the mucociliary clearance rate becomes slower. Keywords: Chronic rhinosinusitis, Mucociliary clearance, Sacchain, Smokers. How to cite this article: Vamanshankar H, Kumar SC, Preetham AP, Feshan M. Mucociliary Function: Its Variations with Disease. Clin Rhinol An Int J 2016;9(2):68-73. Source of support: Nil Conflict of interest: None
Vinish K Agarwal, Mamta Goyal, Sampan S Bist
ABSTRACT Introduction: Allergic rhinitis (AR) is a global health problem that significantly alters patients’ social life and affects learning at school and work productivity. Materials and methods: A total of 150 patients suggestive of a history of AR were included in this study. The patients underwent a thorough history, clinical examination, diagnostic nasal endoscopic evaluation, and radiological imaging. Results: Out of 150 patients, 65% were male, whereas 35% were female ranging from age 14 to 70 years; 30% of both male and female were between 21 and 25 years; and 85% belonged to urban area, whereas 15% were rural inhabitants. The most significant complaints of patients were mainly paroxysmal sneezing, nasal obstruction, and watery nasal discharge. In the present study, 21% of patients had first-degree relatives with a complaint of AR; 72% of male patients and 75% of female patients had swollen turbinate; 59% of male patients and 62% of female patients had pale edematous nasal mucosa; 68% of male patients and 56% of female patients had granular pharyngitis; and 25% of male patients and 40% of female patients had complications of AR. Conclusion: Allergic rhinitis is a disease of youth that affects mostly people in the age group of 21 to 25 years, and it is paroxysmal sneezing that concerns most of the patients and brings them to hospital. About 60% of the patients have a history of contact with the AR patients. Clinical significance: Allergic rhinitis involves nearly 600 million people all over the world. Our study suggests three cardinal signs of AR, viz., swollen turbinate, pale and edematous nasal mucosa, and granular pharyngitis. This study also signifies female preponderance for complications of AR. Keywords: Allergic rhinitis, Complication, First-degree relatives, Paroxysmal sneezing, Swollen turbinate. How to cite this article: Agarwal VK, Goyal M, Bist SS. Study of Predisposing Factor, Clinical Profile, and Complications of Allergic Rhinitis. Clin Rhinol An Int J 2016;9(2):74-76. Source of support: Nil Conflict of interest: None
Santosh B Mane, Kalpana S Dasgupta
ABSTRACT Objective/hypothesis: Nasal and paranasal sinus disease can cause Eustachian tube (ET) dysfunction leading to middle ear (ME) hypoventilation. Persistent ME hypoventilation can result in ME conditions like retraction of tympanic membrane, otitis media with effusion, and chronic ME disease. Aim: Aim of this study was to evaluate the ET function in cases of sinonasal polyposis. Evaluation was done by doing tympanometry. Materials and methods: This was a hospital-based prospective study consisting of 42 patients (84 ears) of nasal polyposis, of which 27 patients had antrochoanal (AC) polyp and 15 patients had ethmoidal polypi. After thorough history and detail clinical examination, tympanometry was done in all patients 1 day prior to surgery and 4 to 6 weeks after surgery. Results: Preoperatively in 30 ears (15 patients) of ethmoidal polypi had normal tympanogram (A type) in 40% ears and abnormal tympanogram (B and C) in 60% ears. Postoperatively 80% had A tympanograms and 20% had abnormal tympanogram. There was significant improvement on removal of polypi (p = 0.004). Preoperatively 54 ears (27 patients) of AC polyp had normal tympanogram (type A) in 55.56% ears and abnormal tympanogram (B and C) in 44.44% ears. Postoperatively normal tympanogram was seen in 81.48% and abnormal tympanogram in 18.52% ears, so there was significant improvement after functional endoscopic sinus surgery (p = 0.007). Conclusion: Eustachian tube dysfunction was present preoperatively in 60 and 44.44% in ethmoidal and AC polypi respectively, while in postoperative period dysfunction was 20 and 18.52%. So function improves on removal of polyp. Keywords: Eustachian tube, Nasal polyp, Otitis media with effusion, Tympanogram, Tympanometry. How to cite this article: Mane SB, Dasgupta KS. Sinonasal Polyposis and Its Effect on Eustachian Tube Function. Clin Rhinol An Int J 2016;9(2):77-80. Source of support: Nil Conflict of interest: None
Pankaj Gupta, Suruchi Gupta, Amit Poredi, Zoramthara Zadeng
ABSTRACT Background: Hyaluronidase belongs to a family of enzymes that degrades hyaluronic acid, which is a constituent of the extracellular matrix. The property of hyaluronidase to help relieve tissue adhesions has found implications in epidural neuroplasty, failed back surgery syndrome, abdominal adhesions, and in prevention of formation of adhesions postoperatively in laparoscopic ventral hernia repair. There is no previous study supporting the role of hyaluronidase in relieving the adhesions around the orbital masses and aiding in their delivery. This article intends to discuss the utility of hyaluronidase in orbital mass excision by relieving adhesions around the mass. Aim: The purpose of this article is to describe the successful use of hyaluronidase intraoperatively for excision of orbital cavernous hemangioma. This patient had an orbital cavernous hemangioma of 8 years’ duration. Materials and methods: This report describes a patient who presented with unilateral proptosis of long-standing duration and visual diminution of 6 months’ duration. Radiological imaging showed presence of intraconal cavernous hemangioma in the right orbit. The patient underwent transconjunctival orbitotomy for orbital mass excision. Intraoperatively, 5 mL of injection hyaluronidase 300 IU/mL diluted in balanced salt solution was injected around the mass for adhesiolysis using a 25-gauge cannula. Conclusion: The intraoperative use of hyaluronidase helped in relieving the adhesions around the mass and helped in its easy delivery without undue manipulation. Clinical significance: Hyaluronidase is helpful in adhesiolysis around the orbital masses and promotes their easy delivery. This helps in early recovery and decreased postoperative tissue edema. This is first such report implicating the role of hyaluronidase in orbital mass excision. Keywords: Hyaluronidase, Orbital mass, Orbitotomy. How to cite this article: Gupta P, Gupta S, Poredi A, Zadeng Z. Role of Hyaluronidase in Orbital Mass Excision. Clin Rhinol An Int J 2016;9(2):81-83. Source of support: Nil Conflict of interest: None
ABSTRACT Sinonasal inverted papilloma is a benign neoplasm of epithelial origin, which represents 0.5 to 4% of all sinonasal tumors. Despite the histological benign nature of this type of tumor, it has a high rate of recurrence after surgical resection and significant malignant potential. Sinonasal inverted papilloma is treated as a locally aggressive tumor. The aggressive surgical approaches, such as en bloc resection via external excision or extensive mucosal stripping of the ipsilateral sinuses are replaced by less invasive intranasal endoscopic approaches. This creates a need for a very accurate preoperative assessment of the location of the tumor on computed tomography (CT) scan and identifies the location of the primary changes. Determination of the primary location of inverted papilloma is especially important for a radical resection of the tumor, because the tumor recurs mostly in the same location as the primary lesion. The aim of this study was to determine the relationship between changes in the preoperative CT scan of the paranasal sinuses and the location of papilloma by histological examination of surgical material. In this study, we evaluated the changes in the preoperative CT scans in the form of focal hyperostosis and erosion of the walls of the paranasal sinuses. Examined groups consisted of 12 people diagnosed with inverted papilloma and 15 peoples diagnosed with preinverted papilloma. Focal hyperostosis occurred in 83% of cases of inverted papilloma. Their location corresponded to 90% of the primal attachment of the tumor. Among the preinverted papillomas, focal hyperostosis occurred in less than 7% of the cases and did not correspond to the location of papilloma inverted. The analysis of remodeling and erosion of bone walls of the sinuses showed their presence in 67% of cases of inverted papilloma and 40% of cases of preinverted papilloma. However, their overlap with the location of the tumor was 50% for the inverted papilloma and 33% for the preinverted papilloma. Erosion and sinus bone destruction do not coincide closely with the primary location of the papilloma, because it is more the result of bone compression by the growing mass than bone invasion. The sites of focal hyperostosis closely coincide with the place of origin of the inverted papilloma, but the pathophysiological mechanism of this phenomenon is not fully understood. The relationship between the sites of focal hyperostosis and the location of the primary tumor can be used when planning surgery for accurate resection. Keywords: Computed tomography, Inverted papilloma, Site of attachment. How to cite this article: Salwa A. Sinonasal Inverted Papilloma: Evaluating the Effectiveness of Prediction of the Site of Attachment based on Computed Tomography Scans. Clin Rhinol An Int J 2016;9(2):84-86. Source of support: Nil Conflict of interest: None
Arvind Soni, Anchal Duggal
ABSTRACT A cerebrospinal fluid (CSF) leak is an escape of the fluid that surrounds the brain and spinal cord. Any tear or hole in the membrane that surrounds the brain and spinal cord (dura) can allow the fluid that surrounds those organs to leak. Most commonly, the leak is known to occur from the nose (CSF rhinorrhea) or through the ears (CSF otorrhea). Also, etiology is posttraumatic in majority. However, idiopathic CSF leakage from the eyes is extremely uncommon. Keywords: Cerebrospinal fluid oculorrhea, Cerebrospinal fluid rhinorrhea, Lamina papyracea. How to cite this article: Soni A, Duggal A. Idiopathic Cerebrospinal Fluid Oculorrhea: An Unusual Case Report. Clin Rhinol An Int J 2016;9(2):87-89. Source of support: Nil Conflict of interest: None
Tamoghna Jana, Moushumi Sengupta, Saumik Das, Asok K Saha, Subhasis Saha
ABSTRACT Retinoblastoma is the most common intraocular tumor during childhood. These tumors though respond to treatment are prone to develop second malignancy, recurrence and metastasis which may present as sinonasal mass. We are presenting a rare case of metastatic retinoblastoma of sinonasal region in a 3-year-old male child. The mode of presentation and management of the case is presented along with a review of the literature. Keywords: Metastatic, Retinoblastoma, Sinonasal. How to cite this article: Jana T, Sengupta M, Das S, Saha AK, Saha S. An Unusual ENT Presentation of Retinoblastoma: A Diagnostic Dilemma. Clin Rhinol An Int J 2016;9(2):90-93. Source of support: Nil Conflict of interest: None
Shruti Bansal, Arpit Sharma, JP Dabholkar
ABSTRACT Introduction: Maffucci syndrome is a congenital nonhereditary disorder in which patients develop multiple enchondromas and cutaneous, visceral, or soft tissue hemangiomas. Less than 200 cases of Maffucci syndrome have been published in the English literature. These lesions most commonly occur in the limb bones, especially in the hands and feet. Rarely, patients of Maffucci syndrome may present with mesodermal dysplasia involving head and neck region with nasal septum enchondromas reported only in two cases till now. Aim: To report a rare case of nasal enchondroma in a patient of Maffucci syndrome. Case description: A 15-year-old girl diagnosed with Maffucci syndrome 2 years back was referred to our ENT department with symptoms of left-sided nasal obstruction and epiphora. On thorough clinical examination and proper investigation, she was diagnosed to have nasal enchondroma. She successfully underwent endonasal endoscopic resection of nasal enchondroma. Conclusion: Maffucci syndrome is a rare entity characterized by multiple enchondromas and hemangiomas, especially in the extremities. A manifestation in the head and neck region is rare and cartilaginous tumors of nasal septum are even rarer; however, differential of nasal cartilaginous tumors should be borne in mind in patients with underlying mesodermal dysplastic disorders like Maffucci syndrome. Clinical significance: Patients of Maffucci syndrome with enchondromas are at high risk of undergoing malignant transformation, especially chondrosarcomas. These patients need vigilant and close follow-up. Despite their rarity, chondromas should be taken into consideration in the differential diagnosis of nasal tumors, especially those arising from the nasal septum. Keywords: Maffucci syndrome, Mesodermal dysplasia, Nasal enchondromas. How to cite this article: Bansal S, Sharma A, Dabholkar JP. Maffucci Syndrome with Nasal Enchondroma: A Rare Entity. Clin Rhinol An Int J 2016;9(2):94-97. Source of support: Nil Conflict of interest: None
Rijuneeta Gupta, Varun Nabh, Uma Nahar, Ashok K Gupta
ABSTRACT Mucormycosis is an opportunistic fulminant fungal infection usually noted in immunocompromised individuals like diabetic and AIDS patients, patients receiving systemic corticosteroid therapy, cancer chemotherapy, and organ transplant patients. The disease is very rare to affect healthy individuals. Here we report a case of a 21-year-old immunocompetent young male presented with cheek swelling and hard palate ulcer. Clinically, radiologically, and histologically, the diagnosis of maxillary mucormycosis was made. Keywords: Diabetic, Fungi, Immunocompetent, Mucormycosis, Necrosis. How to cite this article: Gupta R, Nabh V, Nahar U, Gupta AK. Mucormycosis Maxilla: Behavior of Disease in an Immunocompetent Young Male Patient. Clin Rhinol An Int J 2016;9(2):98-101. Source of support: Nil Conflict of interest: None
Saurabh Varshney, Manu Malhotra, Navjot Kaur, Priyanka Gairola
ABSTRACT We report a case of a 15-year-old girl presenting with left lacrimal abscess with chronic osteomyelitis of frontal bone, a rare sequelae, that of lacrimal adenitis. If lacrimal adenitis is left untreated, abscess formation can occur and can also lead to osteomyelitis. If lacrimal adenitis/abscess is diagnosed early in the disease process by understanding typical signs, conservative management can accomplish resolution without the complications and need for surgical exploration and the cosmetic implications of facial surgery. Keywords: Frontal bone, Lacrimal abscess, Osteomyelitis. How to cite this article: Varshney S, Malhotra M, Kaur N, Gairola P. Lacrimal Gland Abscess leading to Frontal Bone Chronic Osteomyelitis: A Rare Case Report. Clin Rhinol An Int J 2016;9(2):102-104. Source of support: Nil Conflict of interest: None
Damandeep K Mundi, Sanjeev Bhagat, Manjit Singh, Kushaldeep Gill
ABSTRACT Fibrous dysplasia (FD) is a benign skeletal disorder in which abnormally overgrowing bony lesion replaces the normal bone. It can affect one bone (monostotic form) or multiple bones (polyostotic form). The craniofacial bones are involved in about 10% of subjects with monostotic FD. Among FD of the head and neck, the maxilla and mandible are the most frequent sites to be involved. However, its occurrence in the sinonasal tract is very rare. We report a case of a large monostotic FD of the ethmoid bone in a 29-year-old woman. The lesion was removed by lateral rhinotomy approach and pathology proved to be FD. Keywords: Ethmoid bone, Fibrous dysplasia, Monostotic. How to cite this article: Mundi DK, Bhagat S, Singh M, Gill K. Fibrous Dysplasia of Ethmoid. Clin Rhinol An Int J 2016;9(2): 105-107. Source of support: Nil Conflict of interest: None
Ashok K Gupta
Natasha Choudhury, Joe Marais
Abstract Silent sinus syndrome (SSS) is a rare and interesting clinical condition that is associated with spontaneous, painless, unilateral enophthalmos and hypoglobus resulting from downward bowing of the orbital floor, in the absence of any symptomatic sinonasal disease. It generally affects younger patients between the third and fifth decades of life. The pathogenesis of silent sinus syndrome is based on chronic maxillary sinus obstruction, related to occlusion of the maxillary infundibulum which results in a hypoventilated sinus and negative pressures. Endoscopic sinus surgery to create a wide maxillary antrostomy with or without orbital floor reconstruction is considered the gold standard treatment of choice. Keywords: Silent sinus syndrome, imploding antrum syndrome, chronic maxillary atelactasia, enophthalmos, hypoglobus.
Chandrashekharayya SH, SS Suligavi, Sachin Chougule, SS Doddamani
Abstract Rhinosporidiosis is a rare chronic granulomatous disease caused by rhinosporidium seeberi. Nasal rhinosporidiosis presents with nasal mass, nasal obstruction and epistaxis. In this study, we present our experience in 17 patients of rhinosporidiosis. Diagnosis was made on clinicopathological features. Different clinical presentations, management by surgical, combined with medical line of treatment are discussed with review of literature Keywords: Nasal rhinosporidiosis, endoscopic excision, dapsone.
Ashok K Gupta, Rijuneeta
Abstract Ninety-eight cases of nasolacrimal duct obstruction including 6 bilateral cases were included in the study done at Postgraduate Institute of Medical Research, Chandigarh. All the cases had been divided into three groups with Group I including cases in which 12 endoscopic dacryocystorhinostomy (DCR) with dilatation and probing and stent insertion were performed. In Group II, 23 Endo DCR performed with intraoperative dilatation and probing but no stent insertion. Group III included 69 cases of Endo DCR without dilatation and probing and no stent insertion. Overall success rate was found to be 94.3% with Group III cases having a success rate of 97.1% and was found statistically significant on comparing with that of Group II (p value: 0.03). Keywords: Endoscopic dacryocystorhinostomy, probing, outcome.
Hemant Chopra, Kapil Dua, Neha Chopra, Vikrant Mittal
Abstract Objective: Comparison of clinical and histopathological diagnosis of nasal masses. Material and methods: A prospective randomized study conducted over a three years period on 100 patients of nasal mass selected from the inpatient department of Otorhinolaryngology, Dayanand Medical College and Hospital, Ludhiana. Results: A variety of pathological condition (ranging from benign lesions to malignant tumors) can present as nasal mass. The results show that the final diagnosis can be established only on histopathology. Conclusion: It is concluded that for proper evaluation of a nasal mass, clinical and histopathological evaluation should be done conjointly in all the patients. Histopathology always gives a confirmatory diagnosis. Although rare, unexpected clinically relevant findings may be identified during routine histologic examination of nasal mass specimens. Keywords: Nasal mass, clinical findings, histopathology.
Ishwar Singh, Amar Sherstha, Dej Gautam, Ojasvini
Abstract Chronic rhinosinusitis and nasal polyposis is more common in the age group of 18 to 25 years. Urban population and housewives are more commonly affected. Common complains were headache and nasal blockage in 80% and 76.6% cases respectively. Polyps were common clinical finding in one third of cases. Subjective complete relief was seen in 83.3% of cases after FESS. Eight cases had minor postoperative complications Keywords: Chronic rhinosinusitis, nasal polyps, FESS.
Rupender K Ranga, Jyoti Yadav, Jagat Singh
Abstract Allergic rhinitis in children is not an uncommon disease in India. Our objective was to evaluate the effect of allergic rhinitis on nasal mucociliary clearance. The nasal mucociliary clearance time (NMC) was studied using Andersen’s saccharin method in fifty controls and fifty age and sex matched patients of allergic rhinitis. The nasal mucociliary clearance time in healthy controls was found to be 5.11 ± 1.51 minutes. A significant impairment (p < 0.01) in nasal mucociliary clearance time of 12.46 ± 3.74 minutes was observed in children suffering with allergic rhinitis, signifying that allergic rhinitis may predispose to sinusitis and pulmonary diseases. Keywords: Allergic rhinitis, nasal mucociliary clearance, children.
Gopika Kalsotra, Ashok K Gupta
Abstract Skull base chondrosarcomas are rare and account for approximately 0.15% of all intracranial tumors. Management of these tumors is challenging because of their potential to recur, and their proximity to vital structures such as major vessels and cranial nerves. We describe five patients with chondrosarcoma of the skull base who were managed at our institute between January 2002 and December 2009. Keywords: Chondrosarcoma, skull base, endoscopic, craniotomy.
Abstract Background: Ossifying fibroma is an uncommon tumor of the craniofacial skeleton presenting in several variant histopathological subtypes. Ossifying fibroma is a benign fibro-osseous lesion that commonly involves the maxilla.1 Ossifying fibromas occur predominantly in women, frequently during the 3rd and 4th decades of life.1 The overlapping clinical and histopathological features of these subtypes have led to diagnostic dilemma and confusion.1 Complete excision of this tumor has become a necessity since it is notorious for recurrence.1 Aims: To study and compare the clinical profiles of various types of ossifying fibroma and also the surgical approaches to the tumor. To discuss the diagnostic difficulties and controversies associated with the tumor. Setting: Medical college referral hospital. Design: Case reports of 4 patients presenting to our medical college OPD. Methods: Planned surgical excision based on criteria. Results: Four cases of different types of ossifying fibroma were successfully treated by various surgical approaches. 42 papers related to diagnostic and treatment aspects of ossifying fibroma were studied. Conclusion: The diagnostic dilemma of ossifying fibroma can be overcome with a combination of clinical, radiological and pathological criteria. Complete surgical excision of the tumor is possible when surgery is based on preplanned criteria. Combination of 2 or more surgical approaches may be necessary in many cases in order to ensure complete clearance and prevent recurrence of the tumor. Keywords: Ossifying fibroma fibrous dysplasia, lateral maxillectomy.
Pankaj Gupta, Usha Singh, Ashok K Gupta, Sandeep Bansal, Narinder Kumar, Kusum Joshi
Abstract The orbit is involved in 10% of all lymphomas. Paranasal sinuses and nose are other sites for extranodal lymphoma that are involved in upto 2.6 to 6.7% of lymphomas involving head and neck region and are second most common presentation of extranodal lymphoma. In nearly 22.5% of patients, sinonasal lymphoma and orbital lymphoma may coexist. The present report describes such patient with first presentation to an ophthalmologist with an attempt to review the present literature of coexistent orbital and paranasal sinuses lymphoma. Keywords: Proptosis, paranasal sinuses, orbit, lymphoma.
Surinder K Singhal, Charanjit Singh, Rajeev Kumar, Harsh Mohan
Abstract Capillary hemangioma of the maxillary sinus is a rare entity. It commonly presents as a sinonasal mass with nasal obstruction, intermittent epistaxis and occasionally as a cheek swelling. Computed tomography and angiography assist in making a correct diagnosis. Biopsy is not usually recommended as it can cause profuse bleeding and may yield false results. Selective arterial embolization followed by surgical resection forms the mainstay of treatment. Keywords: Hemangiomas, maxillary sinus.
P Mishra, Anjani Sharma, Mohnish Grover
Abstract Meningiomas arise from arachnoid cells. They can occur at intracranial or extracranial sites. Extracranial meningiomas are very rare tumors. They may arise from nasal cavity, paranasal sinuses, middle ear, and subcutaneous tissues. The ectopic meningiomas of paranasal sinuses do not have any communication with intracranial meninges. They usually occurs in young males. Imaging studies shows no bone erosion or intracranial extension. Primary surgical excision is the treatment of choice. The present case is reported due to its rarity and presentation at an unusual age. Keywords: Ectopic meningioma, meningioma of paranasal sinus, paranasal sinus tumor.
Vipin Arora, Nitin M Nagarkar, Arjun Dass, Anil Dash, Ravinder Kaur
Abstract Aspergillosis of paranasal sinuses is a rare infection with invasion of surrounding soft tissues, orbit and anterior cranial base. Eighteen years old immunocompetent man presented with gross facial swelling, proptosis and unilateral blindness. Histopathology was reported as invasive aspergillosis. The patient was given systemic antifungal therapy in the form of liposomal amphotericin B. He died of cerebral infarction by fungal embolism. Aspergillus fumigatus was the causative organism. Keywords: Invasive aspergillosis, intracranial aspergillosis, cavernous sinus thrombosis.
Saurabh Varshney, SS Bist, RK Singh, Nitin Gupta, Sanjeev Bhagat
Abstract Sneezing is usually the physiologic response to nasal irritation but intractable paroxysmal sneezing is very uncommon. Various causative factors have been identified in the literature; these include psychologic problems, cervical lymphadenitis, epilepsy, and allergy. Majority of cases of intractable sneezing are reported among adolescents and are psychogenic in origin. We report one young lady with intractable paroxysmal sneezing in whom the removal of psychogenic stressors resulted in complete remission. The sneezing was continuous but did not occur while talking or sleeping, and did not respond to antihistamines, steroids and bronchodilators. The authors discuss the patients’ treatment and outcomes and the pathophysiology of intractable paroxysmal sneezing. Keywords: Sneezing, intractable.
Bulbul Gupta, Sridevi, Ishwar Singh
Abstract Rhinolithiasis is an uncommon condition but attract attention because they can be confused with both benign and malignant nasal tumors. We report a case of incidental finding of a rhinolith for a patient being taken up for septoplasty. Keywords: Rhinolith, rhinolithiasis, calcification.
Arjun Dass, Hitesh Verma, Surinder Singhal, Meenakshi G Bansal
Abstract Neurofibroma is a tumor of neuronal origin. Solitary neurofibroma of maxillary sinus is exceedingly rare tumor. Keywords: Neurofibroma, maxillary sinus, malignant peripheral nerve sheath tumor (MPNST).
" Otorhinolaryngology Clinics: An International Journal is an International periodical devoted at exploring connections between clinical experience and world literature, and understanding of various pathologies and diseases related to the ear, nose and throat. I..."
" The International Journal of Phonosurgery and Laryngology (IJOPL) is the official journal of the Association of Phonosurgeons of India, a conglomeration of otolaryngologists, who are interested in laryngology and voice. International Journal of Phonosurgery an..."
" There is a virtual explosion of information that is available to those engaged in the management of head and neck diseases. We realize that it is imperative to have one more head and neck journal to allow a greater publication avenue for the head neck communit..."
Subscribe to be the first to know about Best Deals and Exclusive Offers!
4838/24, Ansari Road, Daryaganj
New Delhi 110-002, India