A 38-year-old male came to outpatient clinic, presenting with a 1-month history of headache and right facial pain. There was no specific finding on nasal endoscopy. Paranasal sinuses computed tomography (PNS CT) showed unilateral soft tissue density on right maxillary sinus and ground glass opacity on right maxillary and zygomatic bone. And there was no finding suggestive of malignancy in the subsequent PNS magnetic resonance imaging (MRI). We considered benign tumor such as fibrous dysplasia with maxillary sinusitis and performed the endoscopic sinus surgery combined with open surgery via Caldwell-Luc and subcillary approach. Histopathological diagnosis was diffuse large B-cell lymphoma. After six cycles of rituximab, cyclophosphamide, doxorubicin, vincristine, prednisolone chemotherapy, he gained complete remission and found no recurrence until two years. We report a rare case of sinonasal lymphoma mimicking fibrous dysplasia with literature review.
Background and Objectives:Pediatric orbital blowout fractures occur in discreet patterns, in reference to the characteristic developmental anatomy of the facial skeleton at the time of injury. The purpose of this study was to investigate the clinical characteristics, ocular symptom, fracture type and postoperative results of orbital blowout fractures in the pediatric population. Material and Methods:A retrospective study was conducted from January 2009 to June 2015 in 116 patients with orbital floor fractures ; all less than 18 years old. Patients were divided into 3 groups by age : 0 to 6, 7 to 12, and 13 to 18 years of age. The cause of fracture, fracture site and type, preoperative and postoperative ocular symptoms, timing of surgery were reviewed from their records. Re-sults:Medial wall fractures were the most common site in the 0 to 6 years old group, and floor fractures were the most common site in other age groups. However, floor fracture was the most common site of the need for surgery in all age groups. Trapdoor type of fractures occurred more frequently than open door type of fractures in all age groups. Preoperative symptoms did not differ among the 3 age groups. In case of need surgery, frequency of preoperative ocular symptoms increased with age. However, as age group was young, rate of residual postoperative ocular symptoms were increased. Conclusions:The younger patients are more to have trapdoor type fracture and residual postoperative ocular symptom. Earlier surgical intervention more needed for children with entrapment results..
It is common to find a nose with a hump, lower nasal tip and a radix among Koreans. For better results, the patients also need lifting the nasal tip as well as augmentation of the dorsum, nasion after humpectomy. In such case, since the amount of autologous cartilage is often insufficient, alloplastic implant is mainly used for surgery. However, if the patient has a rejection of the prosthesis, preserving the hump may reduce the amount of autologous cartilage required for augmentation. By preserving the hump without removing it, we were able to reduce the amount of autologous cartilage needed for the operation and make satisfactory correction of the hump nose using only autologous cartilage.
Intractable rhinitis is defined as refractory to maximum medical treatment. Vidian neurectomy was indicated in resistant cases of allergic and vasomotor rhinitis. but recently it is hardly used because of its high incidence of complications such as dry eyes, dental and cheek numbness and blindness. Alternatives to vidian neurectomy have been reported. The endoscopic posterior nasal neurectomy, which resection of the postganglionic parasympathetic nerve fibers at the sphenopalatine foramen by mucoperiosteal flap elevation. This surgery gives equal result as of vidian neurectomy with less complications. The author reports three recently encountered cases of endoscopic posterior nasal neurectomy without complications.
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