- Management of severe and/or refractory epistaxis. [Journal Article]
- AOActa Otorrinolaringol Esp 2018 May 18
- CONCLUSIONS: Most cases of severe and/or refractory epistaxis are resolved by conventional tamponade. Endoscopy ligation is associated with a decrease in hospital stay, without serious complications. It is advisable to have all the possible therapeutic options available, for which the presence of interventional radiologists and experienced surgeons is essential to avoid complications and decide the treatment to be performed individually for each patient.
- Safety of nonsteroidal anti-inflammatory drugs in copperhead snakebite patients. [Journal Article]
- CTClin Toxicol (Phila) 2018 May 18; :1-7
- CONCLUSIONS: There were no bleeding outcomes attributable to NSAID usage among copperhead snakebite patients. The use of NSAIDs in managing pain and inflammation in identified copperhead snakebite patients appears safe.
- Metastasis to Paranasal Sinuses from Carcinoma of Prostate: Report of a Case and Review of the Literature. [Journal Article]
- CRCase Rep Otolaryngol 2018; 2018:5428975
- Metastasis from distant primary tumors is extremely rare in the paranasal sinuses with few hundred cases in the literature. Metastatic carcinoma of the prostate is even rarer, despite being one of th...
Metastasis from distant primary tumors is extremely rare in the paranasal sinuses with few hundred cases in the literature. Metastatic carcinoma of the prostate is even rarer, despite being one of the most common tumors, with only 24 cases published. In this article, we report a case of a 58-year-old male presenting with epistaxis and nasal obstruction as initial symptoms of a metastatic prostate carcinoma in the ethmoid cells and maxillary sinus.
- [Complications and side effects of conservative treatment of rhinological diseases]. [Review]
- HNOHNO 2018 May 16
- CONCLUSIONS: Particularly when treating children or pregnant or breastfeeding women, the indications of all nasal preparations should be checked carefully. The huge variety of rhinologicals enables an optimal individual selection on the basis of consideration of known side effects.
- An Unusual Presentation of Esthesioneuroblastoma in a Young Pregnant Female. [Journal Article]
- OOOcul Oncol Pathol 2018; 4(3):192-195
- CONCLUSIONS: This case highlights the progressive and fatal course of olfactory neuroblastoma. As it can present with the complex symptoms related to ocular and nasal sites, timely referral of patients presenting with visual symptoms along with nasal involvement (frequent epistaxis) to otorhinolaryngologists is very important.
- Changing Trends in the Management of Esthesioneuroblastoma: Irish and International Perspectives. [Journal Article]
- JNJ Neurol Surg B Skull Base 2018; 79(3):262-268
- Objectives Evaluation of the changing trends in esthesioneuroblastoma in an Irish context and review of management options nationally to clarify the best current therapeutic approach by comparing wi...
Objectives Evaluation of the changing trends in esthesioneuroblastoma in an Irish context and review of management options nationally to clarify the best current therapeutic approach by comparing with international research on this uncommon malignancy. Design Retrospective review. Setting Tertiary referral center. Participants All patients presenting with esthesioneuroblastoma in Beaumont hospital or on the National Cancer Registry of Ireland between 1994 and 2013. Main Outcome Measures Recurrence-free and overall survival. Results During the study period, 32 cases of esthesioneuroblastoma were diagnosed (0.4 per million per year). Average age at diagnosis was 57 years; however, two cases were under 20. The majority (62.5%) were male. Patients predominantly presented with epistaxis or nasal congestion (73%), while two cases were identified incidentally on radiological investigations. Twenty-seven cases underwent primary surgical management (two post neo-adjuvant treatment) with seventeen requiring bifrontal craniotomy. Twenty-four of these received postoperative radiation therapy. Overall, 5-year survival was 65%. Kadish A/B patients exhibited 100% 5-year disease-specific survival versus 54% in Kadish C/D ( p = 0.011). Hyams grade I/II patients exhibited 75% 5-year disease-specific survival versus 63% in Hyams grade III/IV ( p = 0.005). Patients treated endoscopically exhibited 100% 5-year disease-specific survival versus 51% in those treated via an open approach ( p = 0.102). Conclusions Many controversies exist in the diagnosis and management of this condition. Despite this, results from Irish data are mostly concordant with the international literature. The rising incidence of this disease may represent improved pathological recognition. An increasing number of esthesioneuroblastoma cases are being successfully treated via endoscopic surgery.
- StatPearls [BOOK]
- BOOKStatPearls Publishing: Treasure Island (FL)
- Sinus squeeze, also known as barosinusitis and aerosinusitis, is irritation of the mucosal lining in the paranasal sinuses as a result of the failure to equalize intrasinus pressures with the ambient...
Sinus squeeze, also known as barosinusitis and aerosinusitis, is irritation of the mucosal lining in the paranasal sinuses as a result of the failure to equalize intrasinus pressures with the ambient environment pressure. Sinus squeeze is associated with rapid ascent or descent while scuba diving, rapid altitude changes during flights, and hyperbaric treatments. Symptoms include pain, epistaxis, lacrimation, and rhinorrhea. Pain is the most common symptom, and the frontal sinuses are most commonly affected. Referred tooth pain can occur when the maxillary sinuses are involved.
- Anatomy of the posterior and middle ethmoidal arteries via computed tomography. [Journal Article]
- SOSAGE Open Med 2018; 6:2050312118772473
- CONCLUSIONS: Attention should be paid to the posterior and middle ethmoidal arteries.
- Nasal fibroscopy as a routine screening procedure of sinonasal adenocarcinoma of woodworkers: French longitudinal case study. [Journal Article]
- HNHead Neck 2018 May 13
- CONCLUSIONS: Flexible nasoendoscopy offers meaningful efficacy and a promising safety profile, and, therefore, could become the new cornerstone of the routine screening procedure of sinonasal adenocarcinoma among woodworkers.
New Search Next
- NUT carcinoma of the sinonasal tract infiltrating the orbit in a man with birdshot chorioretinitis. [Journal Article]
- SJSaudi J Ophthalmol 2018 Jan-Mar; 32(1):62-65
- A 48-year-old man with a history of birdshot chorioretinitis presented with blurry vision, retro-bulbar pain and sinusitis. Though visual acuity was unaffected, he had left optic disc oedema and mild...
A 48-year-old man with a history of birdshot chorioretinitis presented with blurry vision, retro-bulbar pain and sinusitis. Though visual acuity was unaffected, he had left optic disc oedema and mild restriction of left eye abduction. His symptoms progressed quickly, with diplopia in primary gaze, epistaxis from his left nostril, and a left relative afferent pupillary defect (RAPD). On computed tomography, there was a mass in the nasal cavity that extended through the left cribriform plate and lamina papyracea and posteriorly into the optic canal. Pathological examination of biopsy specimens revealed sheets of undifferentiated cells with extensive areas of necrosis and islands of squamous differentiation. The tumour cells expressed monokeratin, p63, CD34, and p16. Molecular testing indicated rearrangement of the NUTM1 (15q14) locus and fusion of the NUTM1 and BRD4 (19p13.12) loci, confirming the diagnosis of NUT carcinoma of the sinonasal tract. This is the first reported case of NUT carcinoma in a patient with birdshot chorioretinitis. The onset of chorioretinitis may have been the earliest sign of the effects of the BRD4-NUTM1 fusion protein, resulting in expression of HLA-A29. There is evidence that bromodomain and extra terminal (BET) family proteins play a role in inflammatory marker expression.