Studies on mucocoeles of the ethmoid and sphenoid sinuses: Analysis of 47 cases

AbstractForty-seven mucocoeles of the ethmoid and/or sphenoid sinuses (33 males, 14 females) were operated on during the 10-years period from 1980 through 1989. Thirty-seven cases were post-operative mucocoele, while the remaining 10 were so-called primary mucocoeles. None of the cases had a history of facial trauma. In the majority of post-operative cases, the mucocoele develops 15–24 years after initial surgery. Paranasal sinus surgery in young patients (teenagers) may lead to a mucocoele due to post-operative scarring in the surgical wound. The principal symptoms include globe displacement, double vision, headache, deep orbital pain, a mass in the supero-medial quadrant of the orbit, visual disturbance, etc. Sufficient opening of the mucocoele wall by the endonasal approach is recommended for surgical treatment of ethmoidal and sphenoidal mucocoeles

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Monophasic Epithelial Synovial Sarcoma Accompanied by an Inverted Papilloma in the Sphenoid Sinus

Case Reports in Medicine ◽

10.1155/2012/379720 ◽

2012 ◽

Vol 2012 ◽

pp. 1-3 ◽

Cited By ~ 4

Author(s):

Xiaohua Jiang ◽

Qi Huang ◽

Jianguo Tang ◽

Matthew R. Hoffman

Keyword(s):

Synovial Sarcoma ◽

Sphenoid Sinus ◽

Inverted Papilloma ◽

Sinus Surgery ◽

Nasal Discharge ◽

Olfactory Sensation ◽

History Of ◽

The Right ◽

Sphenoid Sinuses

A 58-year-old man presented with a six-month history of intermittent blood-stained posterior nasal discharge. Five years ago, he had a three-week episode of fitful light headaches. Nasal ventilation, olfactory sensation, and facial sensation were normal; there were no ophthalmological complaints. Coronal computed tomography (CT) scans revealed soft masses in the bilateral sphenoid sinuses with bone absorption. The patient underwent bilateral functional endoscopic sinus surgery and resection of right nasal papillary masses. Papillary masses and mucosa in both sphenoid sinuses were also removed. The mass in the left sphenoid sinus was diagnosed as two separate entities, one being a primary monophasic epithelial synovial sarcoma and the other an inverted papilloma, while the mass in the right sphenoid sinus was an inverted papilloma. After surgery, the patient underwent radiotherapy and chemotherapy. At the 50-month follow-up visit, there were no signs of recurrence.

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Anatomic Site of Origin of Nasal Polyps: Endoscopic Nasal and Paranasal Sinus Surgery as a Screening Method for Nasal Polyps in an Autopsy Material

American Journal of Rhinology ◽

10.2500/105065896782103090 ◽

1996 ◽

Vol 10 (4) ◽

pp. 211-216 ◽

Cited By ~ 12

Author(s):

P. L. Larsen ◽

M. Tos

Keyword(s):

Paranasal Sinuses ◽

Nasal Polyps ◽

Screening Method ◽

Middle Turbinate ◽

Sinus Surgery ◽

Anatomic Site ◽

Endoscopic Endonasal ◽

Paranasal Sinus Surgery ◽

History Of ◽

Place Of Origin

Systematic examination of the paranasal sinuses and nasal cavity followed by endoscopic endonasal surgery was performed in 31 cadavers, polyps being found in 13. In all, a total of 27 polyps was found. Only four patients had a case history of allergy or sinusitis. The polyps and their place of origin were documented photographically. A total of 70% of the polyps originated in the ostia, clefts, or recesses. In three patients, polyps originated on the middle turbinate, and in one the agger nasi area, indicating that polyp formation in the ethmoidal sinuses and other paranasal sinuses is secondary to the formation of polyps in the sinus ostia, clefts, and recesses.

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Effect of Sinus Surgery on Visual Disturbance Caused by Spheno-ethmoid Mucoceles

American Journal of Rhinology ◽

10.2500/105065897781286025 ◽

1997 ◽

Vol 11 (5) ◽

pp. 337-344 ◽

Cited By ~ 27

Author(s):

Eiji Yumoto ◽

Masamitsu Hyodo ◽

Seiji Kawakita ◽

Ryuichi Aibara

Keyword(s):

Visual Acuity ◽

Surgical Treatment ◽

Visual Loss ◽

Visual Disturbance ◽

The Other ◽

Sinus Surgery ◽

Bony Defect ◽

Blurred Vision ◽

Severe Visual Loss ◽

Sphenoid Sinuses

Fifteen patients suffering from visual disturbance of varying degrees caused by a mucocele of the posterior ethmoid and/or sphenoid sinuses underwent marsupialization of a mucocele into the nasal cavity. Five of the eight patients with severe visual loss worse than 20/200 showed recovery of measurable vision. Two of these five were operated on within 24 hours after the onset of visual loss and showed marked recovery to 20/25 and 20/15. The other seven patients who had relatively mild visual disturbance experienced improvement of visual acuity or remission of subjective complaints such as blurred vision postoperatively. During operation partial bony defect was found in the optic canal in 12 patients and in the skull base in 12 patients. A good understanding of this disease by ophthalmologists and otolaryngologists is essential for early diagnosis and prompt surgical treatment to avoid permanent visual dysfunction and operative sequelae.

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Intracranial Complication of Rhinosinusitis from Actinomycosis of the Paranasal Sinuses: A Rare Case of Abducens Nerve Palsy

Case Reports in Otolaryngology ◽

10.1155/2014/601671 ◽

2014 ◽

Vol 2014 ◽

pp. 1-5 ◽

Cited By ~ 2

Author(s):

G. L. Fadda ◽

M. Gisolo ◽

E. Crosetti ◽

A. Fulcheri ◽

G. Succo

Keyword(s):

Nerve Palsy ◽

Unusual Case ◽

Clinical Symptoms ◽

Abducens Nerve ◽

Abducens Nerve Palsy ◽

Sinus Surgery ◽

Facial Trauma ◽

History Of ◽

Extent Of Disease

Sinonasal actinomycosis should be suspected when a patient with chronic sinusitis does not respond to medical therapy or has a history of facial trauma, dental disease, cancer, immunodeficiency, long-term steroid therapy, diabetes, or malnutrition. Radiological evaluation with computed tomography and magnetic resonance imaging are important in differential diagnosis, evaluating the extent of disease, and understanding clinical symptoms. Endoscopic sinus surgery associated with long-term intravenous antibiotic therapy is the gold standard for treatment of sinonasal actinomycosis. We report an unusual case of abducens nerve palsy resulting from invasive sinonasal actinomycosis in a patient with an abnormally enlarged sphenoid sinus. A review of the current literature highlighting clinical presentation, radiological findings, and treatment of this uncommon complication is also presented.

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History of Paranasal Sinus Surgery and Recurrent Rhinitis

Pediatric Allergy ◽

10.1007/978-3-030-18282-3_5 ◽

2019 ◽

pp. 25-28

Author(s):

Juan J. L. Sienra-Monge ◽

Omar J. Saucedo-Ramirez ◽

Elsy M. Navarrete-Rodríguez

Keyword(s):

Paranasal Sinus ◽

Sinus Surgery ◽

Paranasal Sinus Surgery ◽

History Of

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Renal Impairment in Young Patients with Unilateral Ureteral Lithiasis Obstruction: What Factors can be Responsible?

Revista de Chimie ◽

10.37358/rc.18.2.6110 ◽

2018 ◽

Vol 69 (2) ◽

pp. 375-378

Author(s):

Catalin Pricop ◽

Ileana Adela Vacaroiu ◽

Daniela Radulescu ◽

Daniel Andone ◽

Dragos Puia

Keyword(s):

Renal Impairment ◽

Serum Creatinine ◽

Young Patients ◽

Kidney Injury ◽

Contralateral Kidney ◽

Reactive Protein ◽

Ureteral Lithiasis ◽

Unilateral Hydronephrosis ◽

Duration Of Hospitalization ◽

History Of

In the literature, occurrence of acute kidney injury (AKI) in young patients with unilateral ureteral lithiasic obstruction and without previous renal impairment is not very often reported, and the underlined pathophysiological mechanisms are poorly known; according to some studies, it is a false kidney failure, the increase in serum creatinine being due to absorbtion of obstructed urine in the affected kidney. We have conducted a retro and prospective study in order to identify the possible risk factors that can cause renal function impairment in young patients (18-40 years) with unilateral ureteral lithiasis obstruction and a normal contralateral kidney. Results. From 402 patients included in the study, 20.64% (83 cases) presented with serum creatinine ] 1.3 mg/dL. In patients with renal impairment, prevalence of male gender and history of NSAIDS use before admission were significantly higher than in non-AKI group. Serum urea/creatinine ratio, and estimated glomerular filtration rate (MDRD formula) were significantly higher, and respectively lower in AKI group. We found no significant differences between the two groups regarding age, prevalence of urinary tract infection after relief of obstruction, C-reactive protein value, and the duration of hospitalization. Conclusions. AKI in young patients with unilateral ureteral lithiasis obstruction and normal contralateral kidney is not quite a rare finding in our region. NSAIDs use can influence development of AKI, and should be used cautiously even in young patients with renal colic. In our opinion, the presence of AKI in patients with unilateral hydronephrosis demands urgent endourological intervention. Choosing conservative therapy in these patients, especially treatment with NSAIDS may aggravate the renal dysfunction.

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Paraspinal gossybipoma: A case report and review of the literature

Journal of Neurosciences in Rural Practice ◽

10.4103/0976-3147.71725 ◽

2010 ◽

Vol 01 (02) ◽

pp. 102-104 ◽

Cited By ~ 11

Author(s):

Baris Kucukyuruk ◽

Huseyin Biceroglu ◽

Bashar Abuzayed ◽

Mustafa O Ulu ◽

Ali M Kafadar

Keyword(s):

Clinical Presentation ◽

Review Of The Literature ◽

Disk Herniation ◽

Serous Fluid ◽

Lumbar Disk Herniation ◽

Radiologic Findings ◽

Initial Surgery ◽

History Of ◽

Retained Surgical Sponges ◽

Operation Wound

ABSTRACTSpinal or paraspinal retained surgical sponges (gossybipoma or textiloma) are rare incidents and mostly asymptomatic in chronic cases, but can be confused with other masses such as a hematoma, an abscess or a tumor. In chronic cases, the presentation can be as late as decades after the initial surgery; however, some gossybipomas cause infection or abscess formation in the early stages. The authors report a 40-year-old woman with a history of operation for lumbar disk herniation before 8 months, and got admitted with a complaint of serous fluid leakage from the operation wound. In this report, the authors discuss the clinical presentation, the radiologic findings and the differential diagnosis of gossybipoma.

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Posterior Fossa Arachnoid Cyst Masking a Delayed Diagnosis of Hyperparathyroidism in a Child

Case Reports in Endocrinology ◽

10.1155/2012/931371 ◽

2012 ◽

Vol 2012 ◽

pp. 1-4

Author(s):

B. Dhamija ◽

D. Kombogiorgas ◽

I. Hussain ◽

G. A. Solanki

Keyword(s):

Differential Diagnosis ◽

Primary Hyperparathyroidism ◽

Posterior Fossa ◽

Arachnoid Cyst ◽

Hospital Admissions ◽

Delayed Diagnosis ◽

Visual Disturbance ◽

Organ Damage ◽

Presenting Symptoms ◽

History Of

Background. Primary hyperparathyroidism in childhood is a very rare entity, often being diagnosed late after the onset of its presenting symptoms. It most commonly affects patients in their fourth decade of life and beyond. The inclusion of primary hyperparathyroidism in the differential diagnosis is necessary when evaluating patients presenting with nonspecific symptoms such as polyuria, fatigue, weight loss, abdominal pain, nausea, and vomiting.Methods. We report the case of an eleven-year-old girl presenting with three years history of headaches, visual disturbance, along with episodes of emotional lability. Neuroimaging confirmed a large posterior fossa arachnoid cyst. It was decided to manage this lesion conservatively with surveillance. Only after further hospital admissions with recurrent loss of consciousness, dizziness, and nausea to add to her already existing symptoms, a full biochemical and endocrine assessment was performed to look for more specific causes for her presentation. These pointed to a diagnosis of primary hyperparathyroidism.Conclusions. The inclusion of primary hyperparathyroidism in the differential diagnosis should be considered when evaluating paediatric patients presenting with nonspecific (neurological, gastrointestinal, and renal) symptoms in order to establish a prompt diagnosis of the disorder and to avoid severe complications of prolonged hypercalcaemia and end-organ damage.

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