Seromucinous hamartoma in the nasal cavity medial to the middle turbinate: Report of 2 cases and review of the literature

Introduction Epithelial myoepithelial carcinoma (EMC) of the nasal cavity is a rare tumor, and here we describe the first case of EMC of the nasal cavity presenting with epiphora. A case presentation and review of the literature is provided. Methods A case report is described of a 63-year-old man who presented with unilateral epiphora and was found via a thorough history and physical examination to have a nasal tumor. The physical examination consisted of an ocular examination, including probing and irrigation, and a detailed nasal examination (anterior rhinoscopy, nasal endoscopy). The nasal examination was prompted by the patient's report of concurrent nasal symptoms during history taking. Immunohistochemistry subsequently identified the nasal tumor as EMC. A literature search was performed to gain insights into similar malignancies of the nasal cavity. Results Eight cases of EMC of the nasal cavity were identified in the literature, none of the patients presented with epiphora. The case presented here resulted in resolution of the patient's symptoms and no evidence of disease after surgical excision. Conclusion Epithelial myoepithelial is a rare salivary gland malignancy that can arise in the nasal cavity. Unilateral epiphora with concurrent nasal symptoms should prompt nasal cavity examination for the possibility of an obstructive tumor.

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Middle turbinate angiofibroma in an elderly woman

Vojnosanitetski pregled ◽

10.2298/vsp0907583p ◽

2009 ◽

Vol 66 (7) ◽

pp. 583-586 ◽

Cited By ~ 11

Author(s):

Aleksandar Peric ◽

Nenad Baletic ◽

Snezana Cerovic ◽

Biserka Vukomanovic-Djurdjevic

Keyword(s):

Nasal Cavity ◽

Elderly Woman ◽

Anterior Part ◽

Middle Turbinate ◽

Immunohistochemical Analysis ◽

Vascular Tumors ◽

Male Adolescents ◽

Sphenopalatine Foramen ◽

First Case ◽

Left Middle

Background. Angiofibromas are histologically benign vascular tumors, originating from the nasopharynx, near by the area of sphenopalatine foramen. These neoplasms occur typically in male adolescents. Reports of primary extranasopharyngeal angiofibromas have appeared sporadically in the literature in English. We present the first case of an elderly woman with tumor arising from the middle turbinate, diagnosed as angiofibroma. Case report. A 63-year-old female presented with left-sided nasal obstruction and epistaxis. Endoscopic evaluation revealed a polypoid mass arising from the anteroinferior portion of the left middle turbinate. Computed tomography (CT) scan showed a soft-tissue opacity that filled the anterior part of the left nasal cavity. After the endoscopic excision of the mass, postoperative pathohistological and immunohistochemical analysis confirmed the diagnosis of an angiofibroma. Two years later, the patient was free of symptoms and without endoscopic evidence of recurrence. Conclusion. Extranasopharyngeal angiofibromas arising from the nasal cavity are extremely rare tumors. Immunohistochemical analysis is very important in all doubtful cases, especially in those with atypical location.

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Extramedullary Plasmacytoma of the Nasal Cavity Report of Three Cases With Review of the Literature

Iranian Red Crescent Medical Journal ◽

10.5812/ircmj.2209 ◽

2013 ◽

Vol 15 (4) ◽

pp. 363-6 ◽

Cited By ~ 16

Author(s):

Mohamad Javad Ashraf ◽

Negar Azarpira ◽

Bighan Khademi ◽

Elham Abedi ◽

Afsoon Hakimzadeh ◽

...

Keyword(s):

Nasal Cavity ◽

Extramedullary Plasmacytoma ◽

Review Of The Literature

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Comparative investigations of anatomy and physiology in mammalian noses (Homo sapiens--Artiodactyla)

Rhinology Journal ◽

10.4193/rhino09.005 ◽

2011 ◽

Vol 49 (1) ◽

pp. 18-23

Author(s):

S. Grutzenmacher ◽

D.M. Robinson ◽

J. Sevecke ◽

G. Mlynski ◽

A.G. Beule

Keyword(s):

Nasal Cavity ◽

Dead Space ◽

Homo Sapiens ◽

Middle Turbinate ◽

Inferior Turbinate ◽

Point Of View ◽

Nasal Airflow ◽

Functional Area ◽

External Nose ◽

Human Nose

Background: Knowledge of airflow in animal noses is sparse. Such knowledge could be important for selection of animal models used in environmental studies. From the phylogenetic and ontogenetic point of view, a comparison between the animal and human nose is interesting. Method: Nose models of 5 even-toed ungulate species (he-goat, sheep, cow, roebuck, wild boar) and two humans (new born infant and adult) were examined. Anatomical and physiological features of the nasal cavities of all species were compared. All models were rinsed with water and the flow was visualized for observation. Geometric and rhinoresistometric measurements were then performed. Results and conclusions: Even-toed ungulates have two turbinates directly in the main part of the nasal airflow (respiratory turbinates) and a different number of turbinates in a so-called dead space of the nasal airflow above the nasopharyngeal duct (ethmoidal turbinates). The latter correspond with the upper and middle turbinate in analogy to the human nose. Respiratory turbinates of even-toed ungulates insert immediately behind the external nasal ostium. Thus, the whole nasal cavity acts as a functional area with the exception of a small area acting as dead space only detectable in ruminants, possibly indicating a small evolutionary progress from suinae to bovidae. The shape of the animal nasal cavity is stretched and flat. The airflow runs nearly completely turbulent through the nose. The nasal cavity in the adult human is relatively short and high. The area between the external nasal ostium and the head of the inferior turbinate is called inflow area. It distributes the airflow over the whole nasal cross section and generates a turbulent flow. So the airflow is prepared to contact the mucosa in the functional area (turbinate area). The morphology of the inflow area is approximately formed by the shape of the external nose. The nasal cavity of a newborn child is also stretched and flat and more similar to the nasal shape of the investigated animals. The inflow area in the newborn nose is not yet developed and corresponds with the growing external newborn nose. One can hypothesize that the inflow area in human noses is a morphological adaptation in the changed length-height-ratio of the nasal cavity.

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Endoscopic excision of nasal septal schwannoma:case report and review of literature

Bangladesh Journal of Medical Science ◽

10.3329/bjms.v18i3.41646 ◽

2019 ◽

Vol 18 (3) ◽

pp. 660-662

Author(s):

Norsyamira Aida Mohamad Umbaik ◽

Rosdi Ramli ◽

Baharudin Abdullah

Keyword(s):

Nasal Cavity ◽

Paranasal Sinuses ◽

Anterior Part ◽

Medical Science ◽

Middle Turbinate ◽

Postoperative Recovery ◽

Benign Tumors ◽

Left Nasal Cavity ◽

Myelinated Nerve ◽

Endoscopic Excision

Schwannomas are benign tumors arising from Schwann cells of myelinated nerve sheath. Schwannomas of the nasal cavity and paranasal sinuses are rare, with only 4% occurrence. We report a case of a 48-year-old lady who presented with 1-year history of progressively worsening left nasal blockage. Rigid nasoendoscopy showed a smooth, globular mass occupying the left nasal cavity. The mass arose from the left nasal septum and impinged on the anterior part of the middle turbinate posteriorly and inferior turbinate anteriorly. Computed tomography of the paranasal sinuses showed a 3.8 × 1.8 x 3.7- cm enhancing soft tissue density in the left nostril. The mass obliterated the left nasal cavity and caused deviation of the septum to the right. The patient underwent an endoscopic excision and histopathologic examination confirmed the diagnosis of Schwannoma. Postoperative recovery was uneventful and no recurrence was seen in the follow-up period. Bangladesh Journal of Medical Science Vol.18(3) 2019 p.660-662

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Choanal Polyp Arising from Middle Turbinate

Clinical Rhinology An International Journal ◽

10.5005/jp-journals-10013-1170 ◽

2013 ◽

Vol 6 (3) ◽

pp. 124-125

Author(s):

Sunder Singh ◽

Manish Gupta

Keyword(s):

Soft Tissue ◽

Nasal Cavity ◽

Endoscopic Surgery ◽

Rare Case ◽

Soft Tissue Mass ◽

Middle Turbinate ◽

Good Prognosis ◽

Complete Resection ◽

Tissue Mass ◽

Choanal Polyp

ABSTRACT Choanal polyp is the term used for benign, solitary soft tissue mass which extend toward the junction of nasal cavity and nasopharynx, i.e. choana. We report a rare case of choanal polyp arising from the middle turbinate and its successful treatment by endoscopic surgery. The complete resection of choanal polyp at the site of origin using an endoscope is usually sufficient and carries good prognosis without recurrence. How to cite this article Gupta M, Singh S. Choanal Polyp Arising from Middle Turbinate. Clin Rhinol An Int J 2013;6(3): 124-125.

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Two Rhinoliths in a Single Nasal Cavity in an Elderly Patient Mimicking Fungal Sinusitis

Clinical Rhinology An International Journal ◽

10.5005/jp-journals-10013-1201 ◽

2014 ◽

Vol 7 (2) ◽

pp. 76-79

Author(s):

Vishal Prasad ◽

Chandrakala Srinivas ◽

Sheetal Krishnappa ◽

Suresh T Narayan Rao ◽

Harshitha T Rajanna

Keyword(s):

Elderly Patient ◽

Differential Diagnosis ◽

Nasal Cavity ◽

Histopathological Examination ◽

Middle Turbinate ◽

The Elderly ◽

Nasal Discharge ◽

Fungal Sinusitis ◽

Nasal Mass ◽

The Right

ABSTRACT Objective To highlight an interesting and a rare case of two rhinoliths in a single nasal cavity of an elderly male patient, mimicking fungal sinusitis or malignancy. To emphasize that rhinolith has to be considered in the differential diagnosis of unilateral nasal mass even in the elderly. Case report A 55-year-old man presented with a right-sided nasal obstruction, foul-smelling nasal discharge and a mass in the right nasal cavity of 6 months duration. Endoscopic examination revealed a gritty, blackish brown mass filling the entire right nasal cavity. A clinical differential diagnosis of malignancy or fungal sinusitis was made. CT scan of paranasal sinus was suggestive of fungal sinusitis following which patient was posted for biopsy. Intraoperatively, patient was found to have two separate masses in the right nasal cavity which were removed. We found a septal perforation adjoining the area where the rhinolith was impacted, with septum pushed laterally and adherent to middle turbinate. However, there were no features suggestive of malignancy. Histopathological examination also ruled out malignancy and confirmed a vegetable foreign body with calcification around an acellular material. Conclusion Rhinolith, though rare should be considered in the differential diagnosis of unilateral nasal mass in the elderly. How to cite this article Prasad V, Srinivas C, Krishnappa S, Rao STN, Rajanna HT. Two Rhinoliths in a single nasal Cavity in an Elderly Patient Mimicking fungal sinusitis. Clin Rhinol An Int J 2014;7(2):76-79.

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Malignant melanoma arising in the frontal sinuses

The Journal of Laryngology & Otology ◽

10.1017/s0022215100137363 ◽

1997 ◽

Vol 111 (4) ◽

pp. 376-378 ◽

Cited By ~ 8

Author(s):

Samuel M. Jayaraj ◽

Jonathan D. Hern ◽

George Mochloulis ◽

Graham C. Porter

Keyword(s):

Malignant Melanoma ◽

Natural History ◽

Nasal Cavity ◽

Paranasal Sinuses ◽

Frontal Sinus ◽

Poor Prognosis ◽

Review Of The Literature ◽

History Of ◽

Frontal Sinuses ◽

Sinonasal Malignant Melanoma

AbstractSinonasal malignant melanoma is rare and usually occurs in the nasal cavity. Presentation is often varied and occurs late in the natural history of the disease, resulting in a poor prognosis. A case is reported of a patient with malignant melanoma arising from the frontal sinus who presented with a forehead swelling and progressive confusion. A review of the literature on malignant melanoma in the nasal cavity and paranasal sinuses regarding its presentation, site of origin and principles of management is discussed.

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