11/28. Sinonasal and nasopharyngeal adenoidcystic carcinoma: report of four cases.Four cases of sinonasal and nasopharyngeal adenoidcystic carcinoma that came to the RIMS Hospital, Imphal during the period of July, 2002 to March, 2003 are reported in this article. The age incidence ranged from 30 to 80 years and the mean age was 47.5 years; with male to female ratio of 1:1. The average duration from first sympton in the patient to the date of his medical consultation was 17.8 months. nasal obstruction was the first symptom two cases; lump sensation in the throat and headache in the third and fourth cases respectively. Despite the evidence of rapid and extensive local spread there were definitely delays from the patients' end to consult a clinician. Whereas the tumour itself is not common, the usual sites, if it occurs, are palate and minor salivary glands and rarely mucous and seromucinous glands elsewhere.- - - - - - - - - - ranking = 1keywords = headache (Clic here for more details about this article) |
12/28. Resolution of nocturnal enuresis in snoring children after treatment with nasal budesonide.nocturnal enuresis has been associated with obstructive sleep apnea-hypopnea and may resolve after adenotonsillectomy. Nasal corticosteroids have improved symptoms and polysomnography findings in children with snoring. Two children with primary nocturnal enuresis, chronic nasal obstruction, and loud snoring underwent polysomnography. The apnea-hypopnea index was 4.9 and 7.3 episodes/hr, and the oxygen desaturation of hemoglobin index was 4.6 and 5.2 episodes/hr. After administration of budesonide, the frequency of snoring decreased, the polysomnography findings improved, and the enuresis resolved completely. Six months after treatment, both children were still dry at night. Administration of nasal corticosteroids is associated with resolution of enuresis in children with mild obstructive sleep-disordered breathing.- - - - - - - - - - ranking = 34.957249800677keywords = breathing (Clic here for more details about this article) |
13/28. Pyocele of the middle turbinate: a case report.Mucoceles are uncommon and the majority of cases occur in the frontoethmoidal complex. The accumulation of mucous secretion and eventual secondary infection may result in the formation of a pyocele of the middle turbinate, which is exceptionally rare. This case report presents a patient with a large pyocele of the middle turbinate invading the orbit. A 48-year-old woman presented with a three-week history of nasal obstruction, slight rhinorrhea, and headache. There was an external swelling of the nasal pyramid just near the medial canthus and right exophthalmos with bulging of the medial canthus of the ipsilateral eye. A computed tomography scan revealed a rounded, expansive lesion of soft tissue density. There was a thin compact bone at the margin. Under general anesthesia, resection of the lateral and inferior walls of the middle turbinate was performed. The large cystic mass was filled with pus. exophthalmos and bulging of the medial canthus immediately disappeared. Histologic examination showed the mucocele wall with a ciliary respiratory epithelium.- - - - - - - - - - ranking = 1keywords = headache (Clic here for more details about this article) |
14/28. Non-Hodgkin's lymphoma of the nose and paranasal sinuses: a case report.Primary non-Hodgkin lymphoma (NHL) of the nasal cavity is a rare neoplasm. They account for about 0.17-2% of all cases of NHL and 5.8% of all malignant neoplasms of the sinonasal region in adults. A 37-year-old male patient presented with left-sided nasal obstruction and headache which appeared a couple of weeks before the admission. Nasal examination revealed a massive polyposis. After medical therapy with corticosteroids, neither the polyposis nor his complaints showed regression; thus, he underwent a nasal polypectomy operation. biopsy results indicated an inflammatory nasal polyp. Two weeks later, a rapidly progressive facial swelling, especially in the left periorbital area and blurred vision occurred. Second biopsy, which was also taken from the left nasal cavity suggested again an inflammatory nasal polyp. To rule out any possible malignancy, a third biopsy was conducted in the left maxillary sinus which indicated T/NK cell lymphoma of the sinonasal tract.- - - - - - - - - - ranking = 1keywords = headache (Clic here for more details about this article) |
15/28. Infected inferior turbinate pneumatization.With the widespread utilization of endoscopic nasal surgery, the interest in nasal structures has increased. Inferior turbinate pneumatization is among the most rare causes of nasal obstruction. In the current literature, there are only ten reported cases of inferior turbinate pneumatization. A 52-year-old male patient presented with nasal obstruction, purulent nasal discharge, facial pain and headache. Anterior rhinoscopic examination showed bilateral middle and inferior turbinate hypertrophy and edema of the nasal mucosa. Computed tomography (CT) revealed bilateral frontal, anterior and posterior ethmoidal and maxillary sinusitis with bilateral concha media bullosa and right infected inferior turbinate pneumatization. In this report, infection of this rare anatomical abnormality is presented for the first time and documented with acoustic rhinometry, CT and peroperative photography.- - - - - - - - - - ranking = 1keywords = headache (Clic here for more details about this article) |
16/28. Apertura pyriformis stenosis in the newborn.Apertura pyriformis stenosis in the newborn. Respiratory distress in the newborn can have a variety of aetiologies, the best known of which are cardiac and pulmonary diseases. Major nasal airway obstruction is probably often overlooked when acute desaturation of the neonate requires reanimation procedures, although it is well established that the baby is an obligate nose breather at birth. Nasal airway stenosis or atresia could account for a number of unexplained deaths in the delivery room. In the differential diagnosis of major nasal airway obstruction in the newborn, choanal atresia is by far the most common aetiology. However, a few cases of pyriform aperture stenosis have been reported. One child presenting this pathology was recently treated at the Brussels University Children's Hospital. Unexpectedly, the baby survived until 3 months without any medical support but had severe feeding problems. The diagnosis was confirmed by naso-sinusal CT scan. Surgery was performed at 4 months through an unusual endonasal approach which seems to be less traumatic than the classical sublabial approach. The post-operative course was satisfactory. The 9-month-old patient does not now show residual breathing problems. The presentation will focus on this unusual case.- - - - - - - - - - ranking = 34.957249800677keywords = breathing (Clic here for more details about this article) |
17/28. Surgical correction of the snout suffocation syndrome.Two nursing home patients with difficulty breathing because of occlusion of the mouth and nares by an involuntary snout reflex-like mannerism have previously been described. In both cases advanced dementia, edentia, and a downward-angled nasal base were present. life-threatening hypoxia occurred intermittently in one case, and after becoming severe, was corrected by the surgical procedure described.- - - - - - - - - - ranking = 34.957249800677keywords = breathing (Clic here for more details about this article) |
18/28. Obligate mouth breathing during exercise. Nasal and laryngeal sarcoidosis.A young black man presented with simultaneous nasal and laryngeal sarcoidosis, each uncommon entities. Despite severe upper airway obstruction and emergent tracheostomy, there was an uncharacteristic rapid response to oral steroids alone. The patient's predominant initial complaint of early mouth breathing during routine army physical training demonstrates a symptom complex and an alternate mechanism of dyspnea to consider in sarcoidosis.- - - - - - - - - - ranking = 174.78624900339keywords = breathing (Clic here for more details about this article) |
19/28. Two Class II, division 1 patients with congenitally missing lower central incisors.Although orthodontic treatment objectives and procedures for apparent protrusion of the maxillary teeth vary among orthodontists and specific cases, the differences are even greater where there is disharmony of jaw relationship between the maxilla and the mandible. The two cases presented in this article resemble each other in appearance, but the growth patterns and reactions to appliance, as well as treatment progress, are quite different. The initial excessive overjet seemed equally severe. Treatment was started at the same age, both patients were eldest daughters, both had a convex type facial pattern and an abnormal perioral muscle function with mouth breathing. In addition to the marked overjet, deep bite, and Class II molar relationship, lower central incisors were missing, and second molars had not erupted. They both had a steep curve of Spee, disharmony between the upper and lower arch forms, and slight diastemata. The facial appearance has been improved significantly in both, and patient satisfaction is high. A Kloehn-type cervical headgear was used in both cases. Case 1 showed improvement in the relationship between the maxilla and the mandible with reduction of the overjet. However, in Case 2, the sagittal relationship became worse, and an open bite developed. The obvious question is why the big difference in treatment response? What role did clearing of the nasopharyngeal airway play?- - - - - - - - - - ranking = 34.957249800677keywords = breathing (Clic here for more details about this article) |
20/28. clindamycin-induced lip and nasal passage swelling.OBJECTIVE: To report a severe case of clindamycin-induced lip and nasal passage swelling. DESIGN: Single case report. SETTING: Six hundred eighty-four-bed community hospital. CASE SUMMARY: A 34-year-old, insulin-dependent diabetic white man with worsening cellulitis and osteomyelitis of the left great toe was admitted for treatment with intravenous antibiotics. Intravenous clindamycin was the first agent administered. Within 5 minutes after initiating the drug (600-mg dose) the patient began to sneeze and his eyes began to tear and itch. Within 10 minutes, his lips and nasal passages began to swell. By the end of the infusion (approximately 20 min), the patient's lips were severely swollen and his nasal passages were completely closed off secondary to the swelling. The patient did not have difficulty breathing through his mouth and denied any shortness of breath. He did not develop a rash. His vital signs remained stable and no pharmacologic agents were administered for this reaction. No subsequent doses of clindamycin were given and complete resolution of all symptoms occurred within 24 hours. CONCLUSIONS: Severe lip and nasal passage swelling is an uncommon adverse reaction associated with the use of intravenous clindamycin. We believe this to be the first published case of nasal passage swelling and only the second case reporting lip edema associated with the intravenous form of this agent. Clinicians should be aware of this uncommon but potentially severe reaction.- - - - - - - - - - ranking = 34.957249800677keywords = breathing (Clic here for more details about this article) |
| <- Previous || Next -> |