Removal of Foreign Bodies of the Nose

Werman, Howard A.

doi:10.1016/s0733-8627(20)31091-9

Cited by 24 publications

(2 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Limited information on the removal of paranasal sinus foreign bodies exists in the English literature. Several case reports exist on the clinical nature and removal of foreign bodies of the nasal cavities; however, few have been published on paranasal sinus foreign bodies and their management 2‐5 . Mladina 6 reported a case of a metallic projectile lodged at the sphenoethmoid junction, which was removed successfully with an endoscopic approach.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Management of a Chronic Ethmoid and Sphenoid Sinus Foreign Body

Bhattacharyya

Wenokur

1998

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

ities in ciliary structure that impair mucociliary transport. 9 The finding of compound cilia alone in a patient does not in itself signify diminished mucociliary clearance. This finding requires evaluation with other tests such as technetium-99-labeled albumin scanning or possibly the cost-effective saccharin test. 1 Ciliary motion also can be evaluated with highspeed cinematography or a video system with slow-or stopmotion capabilities when viewing through a phase-contrast microscope. 2 The effects of compound cilia and other nonspecific axonemal defects on mucociliary clearance are not completely understood. 3 Our patient had slightly diminished mucociliary clearance, which can be attributed to her high numbers of compound cilia. These cilia are known to exist in mucosal disorders such as chronic rhinitis, sinusitis, and PCD, but it is unclear whether the abnormality is a cause or result of the disease. Conceivably the compound cilia are a result of mucosa undergoing rapid regeneration from various infectious conditions and conditions leading to ciliary destruction. Regardless, this abnormality may be seen in patients with chronic respiratory illnesses and, as in our case, in those with a mild immunodeficiency. More knowledge is needed concerning the influence of these ultrastructural abnormalities on the effectiveness of the mucociliary transport mechanism. REFERENCES1. Karga J, Nuutinen J, Karjalainen P. Radioisotopic method for measurement of nasal mucociliary activity. Arch Otolaryngol 1982;108(2):99-101. 2. Rossman CM, Newhouse MT. Primary ciliary dyskinesia: evaluation and management. Pediatr Pulmonol 1988;5:36-50. 3. Mygind N, Pedersen M, Nielson MH. Primary and secondary ciliary dyskinesia. Acta Otolaryngol (Stockh) 1983;95(5-6): 688-94. 4. Burgersdijk FJA, DeGroot JC, Graamans K, Rademakers LH. Testing ciliary activity in patients with chronic and recurrent infections of the upper airways: experiences in 68 cases. Laryngoscope 1986;96(9 pt 1):1029-33. 5. LeMauviel L. Primary ciliary dyskinesia. West J Med 1991; 155(9):280-3. 6. Smallman LA. Microtubular abnormalities of cilia in acquired pulmonary diseases. Lancet 1984;1(8383):965-6. 7. Afzelius BA, Camner P, Mossberg B. Acquired ciliary defects compared to those seen in immotile-cilia syndrome. Eur J Respir Dis 1983;64(Suppl 127):5-10. 8. Rossman CM, Lee RMKW, Forrest JB, et al. Nasal cilia in normal man, primary ciliary dyskinesia and other respiratory disease: analysis of motility and ultrastructure. Eur J Resp Dis 1983;64(Suppl 127):71-7. 9. Min YG, Kim IT, Park SH. Mucociliary activity and ultrastructural abnormalities of regenerated sinus mucosa in rabbits.Whereas foreign bodies of the nose are relatively common, foreign bodies of the paranasal sinuses occur infrequently. They may present in a delayed fashion, frequently with symptoms of chronic inflammation, and necessitate careful removal because of their relationship to vital structures. 1 We present a case of chronic sinusitis caused by a sphenoid and ethmoid sinus foreign body of 16 years'...

show abstract

Section: Discussionmentioning

confidence: 99%

Endoscopic Management of a Chronic Ethmoid and Sphenoid Sinus Foreign Body

Bhattacharyya

Wenokur

1998

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

show abstract

“…Common symptoms, if present, are pain or discomfort during palpation of the maxillary sinus area, headache, nasal discharge, nasal obstruction or stuffiness. A unilateral fetid mucopurulent nasal discharge is the most common symptom in patients with sinonasal foreign bodies 17 .…”

Section: Diagnosis and Therapeutic Strategy Of Maxillary Sinus Foreign Bodymentioning

confidence: 99%

Foreign body of endodontic origin in the maxillary sinus

Preda

Sarafoleanu

2021

Romanian Journal of Rhinology

View full text Add to dashboard Cite

Displacement of foreign bodies into the maxillary sinus is still a rare pathology, but the incidence is increasing continuously with the development of dental procedures. Most cases of foreign bodies are associated with dental procedures. These can be of varying natures, such as dental implants, fractured teeth roots, endodontic materials and tools, dental burs, dental impression materials or dental fillings materials. Less frequent are the foreign bodies of non-dental origin, which are related to facial injuries in accidents or assaults. The diagnosis is based on careful clinical and radiological examinations. Foreign bodies should be diagnosed and treated on time in order to prevent complications, mainly acute or chronic rhinosinusitis. In this article, we review the main characteristics regarding the incidence, etiology, diagnosis and treatment options – endoscopic and an external approach for the removal of a displaced foreign body into the maxillary sinus. Also, we present our personal experience and treatment options, highlighting the importance of pre-operative evaluation, proper imaging assessment, adequate access and visibility and adequate surgical technique, in order to prevent later sinonasal infectious complications.

show abstract