Diagnosis and Treatment of Bilateral Respiratory Epithelial Adenomatoid Hamartomas With and Without Sinonasal Polyposis

Basile, Giorgio Carmelo; Felippu, Andrè Wady Debes; Felippu, Alexandre; Militi, David; Portaro, Simona; Poma, Salvatore; Cascio, Filippo

doi:10.1177/0145561319886500

Cited by 7 publications

(4 citation statements)

References 22 publications

(47 reference statements)

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“…Patients with MGD and chronic blepharitis often present punctal stenosis and epiphora [ 12 , 13 , 14 , 15 ]. Tear stasis resulting from canalicular stenosis enhances the persistence of inflammatory mediators on the ocular surface [ 12 , 34 , 35 , 36 ]. Resolution of the stenosis facilitates the outflow of the tear film and inflammatory factors, improving the ocular surface.…”

Section: Discussionmentioning

confidence: 99%

The Use of Venous Catheter and Irrigation with Povidone-Iodine 0.6% in Patients with Punctal and Proximal Canalicular Stenosis: Preliminary Report

Azzaro,

Meduri,

Oliverio

et al. 2024

JCM

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Background: This study aimed to evaluate the safety and efficacy of povidone-iodine 0.6% (PVI) irrigation for preventing recurrence of stenosis after punctoplasty in patients with punctal and proximal canalicular stenosis treated using a venous catheter as a stent. Methods: Twenty patients were enrolled and divided into two groups. Group 1 received irrigation of 1 mL 0.6% PVI, while Group 2 received 1 mL of balanced salt solution (BSS). The patients underwent baseline, 15-, 30-, and 90-day assessments using the Ocular Surface Disease Index (OSDI) questionnaire, Symptoms Assessment in Dry Eye (SANDE), Schirmer I test, tear meniscus height (TMH), bulbar redness, meibography, and non-invasive breakup time (NIKBUT) through Keratograph 5M (Oculus, Germany). Results: At three months, both groups demonstrated statistically significant improvements in symptoms and ocular surface parameters. However, Group 1 showed statistically significant improvements in OSDI, SANDE scores, bulbar redness, and NIKBUT compared to Group 2. Additionally, no patients in Group 1 presented a recurrence of stenosis, while three patients in Group 2 demonstrated stenosis relapse at the end of the follow-up period. Conclusions: The application of a venous catheter and PVI 0.6% irrigations proved to be effective in treating proximal lacrimal duct stenosis, reducing the risk of recurrence and improving tear film stability, ocular discomfort symptoms, and ocular surface parameters.

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Section: Discussionmentioning

confidence: 99%

The Use of Venous Catheter and Irrigation with Povidone-Iodine 0.6% in Patients with Punctal and Proximal Canalicular Stenosis: Preliminary Report

Azzaro,

Meduri,

Oliverio

et al. 2024

JCM

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“…The dissection proceeds posteriorly or anteriorly with the 30°endoscope turned face-down to the sphenoid sinus and face-up to the frontal sinus. [9][10][11] The extemporaneous histological examination showed oval and spindle-shaped cells, with vessels ranging in size from tiny capillary-like slits to larger open channels, and a typical antlerlike pattern of vessels. The pattern is typical of HPC.…”

Section: Case Reportmentioning

confidence: 99%

“…Dissection then proceeds along the medial wall of the orbit in a posterosuperior direction to the floor of the anterior cranial fossa (ethmoid roof). The dissection proceeds posteriorly or anteriorly with the 30° endoscope turned face-down to the sphenoid sinus and face-up to the frontal sinus 9–11 …”

Section: Case Reportmentioning

confidence: 99%

Treatment and Management of a Sinonasal Hemangiopericytoma

Cascio

d'Alcontres

Gazia

2023

Journal of Craniofacial Surgery

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Sinonasal Hemangiopericytoma (HPC) is a rare vascular tumor originated from Zimmermann’s pericyte with not well valuable course. The diagnosis needs a careful ENT endoscopic examination, radiological study and histopathological analysis with immunohistochemistry for confirmation of diagnosis. We describe a case of a male patient, 67 years old, with history of repeated monolateral right epistaxis. Endoscopic and radiological examination showed an ethmoid-sphenoidal lesion which occupied the entire nasal fossa extending towards the choana, with blood supply coming from the posterior ethmoidal artery. The patient performed an extemporaneous biopsy with subsequent en-bloc removal in operating room, without prior embolization, with the Centripetal Endoscopic Sinus Surgery technique (CESS). The histopathologic analysis led to the diagnosis of sinus HPC. The patient performed close endoscopic follow-ups every 2 months, without performing radio or chemotherapy, and with no evidence of recurrence after 3 years of follow-up. Analyzing the recent literature, a more indolent course with low recurrence rates after total endoscopic surgery remotion was described. Preoperative embolization can be useful in determinate cases, but cause to different complications, it should not be ordinarily performed.

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“…A septoplasty was performed, and subsequently, using a centripetal technique, 9,10 the left maxillary sinus was opened and the cyst removed. After careful exeresis, a very particular finding could be noted, the dehiscence of the infraorbital nerve in its course of the homonymous canal.…”

Section: Case Reportmentioning

confidence: 99%

Rhinogenic Headache: The Dehiscence of Infraorbital Nerve

Cascio,

Stagno d’Alcontres,

Nicastro

et al. 2024

Journal of Craniofacial Surgery

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Rhinogenic headache (RH), arising from nasal and sinus pathologies, present a diagnostic challenge due to their diverse etiologies. This study investigates a unique case where RH coincides with infraorbital nerve dehiscence, delving into the intricate relationship between sinonasal anatomy and neurovascular complications. The infraorbital nerve contacted a cyst in the maxillary sinus. Centripetal endoscopic sinus surgery was performed to open the maxillary sinus and remove the cyst. After 3 months of follow-up, the patient had a notable improvement in symptoms with a reduced headache. This case highlights the significance of considering uncommon anatomic variations, such as infraorbital nerve dehiscence, within the context of RH. Diligent history-taking and appropriate use of radiologic investigations are pivotal for guiding clinicians toward an accurate diagnosis and determining the most appropriate course of treatment.

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Diagnosis and Treatment of Bilateral Respiratory Epithelial Adenomatoid Hamartomas With and Without Sinonasal Polyposis

Cited by 7 publications

References 22 publications

The Use of Venous Catheter and Irrigation with Povidone-Iodine 0.6% in Patients with Punctal and Proximal Canalicular Stenosis: Preliminary Report

The Use of Venous Catheter and Irrigation with Povidone-Iodine 0.6% in Patients with Punctal and Proximal Canalicular Stenosis: Preliminary Report

Treatment and Management of a Sinonasal Hemangiopericytoma

Rhinogenic Headache: The Dehiscence of Infraorbital Nerve

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