Mitomycin C was not effective in preventing middle meatus synechia, but reduced the probability of total synechia formation.

Sudden deafness should be approached as a symptom common to different diseases. The presence of cerebellopontine angle tumors in 10.2% of our cases, among other treatable causes, justifies the recommendation of gadolinium-enhanced magnetic resonance use, not only to study the auditory peripheral pathway, but to study the whole auditory pathway including the brain.

-SUNCT syndrome (short lasting unilateral neuralgiform headache with conjuntival injection and tearing) is defined as short attacks of periorbital unilateral pain and accompanied by ipsilateral lacrimation and redness of the same eye. We present an unusual SUNCT case with bilateral pain that started five years ago after an acute maxillary sinus infection that evolved to chronic sinusitis. This association has been described in few SUNCT cases, but its causal role remains uncertain. The patient was a 58 years old man that fulfilled a headache diary that showed the usual circadian pattern, worsening in the morning and afternoon, and responded to treatment with gabapentina. He was submitted to a functional endoscopic sinus surg e ry and evolved with milder pain. In a review of 21 patients, 5 had a past medical history of sinusitis, but the causal role of this association remained uncertain. KEY WORDS: SUNCT, bilateral, sinusitis, gabapentinaSíndrome SUNCT de ocorrência bilateral associada a sinusopatia maxilar crônica RESUMO -A síndrome SUNCT (short lasting unilateral neuralgiform headache with conjuntival injection and tearing) é definida como curtos ataques de dor periorbital unilateral, acompanhada de lacrimejamento e h i p e remia conjuntival ipsilateral. Apresentamos um raro caso de SUNCT com dor bilateral com evolução de cinco anos e iniciado após uma infecção de seio maxilar que evoluiu para sinusite crônica. Esta associação foi descrita em poucos casos de SUNCT, porém pouco esclarecida. O paciente era um homem de 58 anos que p reencheu um diário de dor que demonstrou o típico padrão circadiano da síndrome, com pioras matinais e vespertinas, e apresentou melhora com uso de gabapentina. Submetido a ciru rgia endoscópica funcional em seio maxilar e evoluiu com modulação da dor, sugerindo um potencial efeito benéfico após tratamento da sinusopatia.Na revisão de literatura encontramos 21 casos de SUNCT bilateral, cinco dos quais apresentavam história de sinusite; no entanto, a relação entre as duas entidades permanece ainda incert a . PALAVRAS-CHAVE: SUNCT, bilateral, sinusite, gabapentina. CASEWe re p o rt on a 58-year-old non white male with a past medical history of bilateral lachrymal duct surgeries and trauma in the left forehead in his infancy, who suff e re d from periorbital stabbing eye pain lasting 5 to 10 seconds accompanied by conjuntival injection and tearing. The attacks started five years ago after he had an acute maxillary sinus infection presenting with proptosis and lateral deviation of the left eye due to fronto-ethmoidal mucocele, diagnosed by CT scan, requiring surgical drainage of the paranasal sinuses. After this intervention he developed chro nic sinusitis, confirmed with CT and MRI scans (Fig 1). A few weeks after the pro c e d u re he evolved stabbing eye pain described as "a needle sticking into my eye", lasting 5 to 10 seconds, accompanied by conjuntival injection and tearing, that could be triggered by cold weather and forceful reading. Although he w as not able t o count, h...

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Inverted papilloma is a nasal benign tumor that usually arises from the lateral nasal wall, especially from the middle meatus. It has high local invasive likelihood, high recurrence rates and malignancy potential. Sphenoethmoidal recess involvement is rare and is usually due to sphenoid sinus primary disease. In the literature, no case of isolated sphenoethmoidal recess inverted papilloma has been reported yet. The present report describes an exceptional location of inverted papilloma, arising from the sphenoethmoid recess, without involving the sphenoid sinus.