Spontaneous maxillary sinus rupture in the absence of pre-existing sinus disease: case report

AbstractIntroduction:Spontaneous fracture of the maxillary sinus is usually associated with enophthalmos and pre-existing sinus disease.Case report:We present a case of spontaneous maxillary sinus fracture without enophthalmos and with no preceding history of trauma or evidence of sinusitis.Discussion:The closest condition to that presented is silent sinus syndrome. The differences between our case and this syndrome are reviewed. There are no previously reported cases of lateral wall maxillary fracture and associated facial surgical emphysema following nose-blowing.

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An inverted papilloma with intracranial extension

The Journal of Laryngology & Otology ◽

10.1017/s0022215100105572 ◽

1988 ◽

Vol 102 (6) ◽

pp. 534-537 ◽

Cited By ~ 10

Author(s):

A. F. van Olphen ◽

H. Lubsen ◽

J. W. van 'T Verlaat

Keyword(s):

Case Report ◽

Maxillary Sinus ◽

Frontal Sinus ◽

Lateral Wall ◽

Inverted Papilloma ◽

Intracranial Extension ◽

Sphenoidal Sinus ◽

Ethmoidal Sinus ◽

History Of ◽

Inverted Papillomas

SummaryInverted papilloma can be found in the lateral wall of the nose, the ethmoidal sinus, the maxillary sinus, the sphenoidal sinus and the frontal sinus. To our knowledge there are no reports of papillomas with intracranial extension. This case report describes the history of a patient with long-standing inverted papillomas, which eventually grew intracranially. The treatment of this patient and the treatment of inverted papilloma in general are discussed.

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Abdominal intussusception associated with coeliac disease: case report and literature review

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20211904 ◽

2021 ◽

Author(s):

Rashid Hameed ◽

Noshine Irrum ◽

Subodhini P. Arachchige ◽

Edwin Tan ◽

Jacinta Tobin

Keyword(s):

Abdominal Pain ◽

Case Report ◽

Literature Review ◽

Coeliac Disease ◽

Recurrent Abdominal Pain ◽

Immune Infiltration ◽

Disease Case ◽

Classical Pattern ◽

History Of

In genetically susceptible individuals, gluten ingestion triggers and immune infiltration and bowel damage in the classical pattern of coeliac disease, with variable symptoms. Intussusception is a condition where one segment of intestine ‘telescopes’ inside of another portion of intestine, which may cause symptoms of abdominal pain due to obstruction. Intussusception has been associated with coeliac disease. We report a 4-year-old girl presented with recurrent abdominal pain of variable severity and found to have intussusception on two occasions, which on both occasions reduced spontaneously during ultrasound examinations. She was later diagnosed with coeliac disease. This case highlights the importance of considering coeliac screening in patients with a history of recurrent abdominal pain and intussusception.

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Silent sinus syndrome: an unusual case of facial numbness

Practical Neurology ◽

10.1136/practneurol-2017-001807 ◽

2018 ◽

Vol 18 (6) ◽

pp. 494-496 ◽

Cited By ~ 3

Author(s):

Samuel Tribich ◽

Colin J Mahoney ◽

Nicholas W Davies

Keyword(s):

Maxillary Sinus ◽

Complete Resolution ◽

Unusual Case ◽

Clinical Context ◽

Blurred Vision ◽

Silent Sinus Syndrome ◽

Osteomeatal Complex ◽

Middle Meatal Antrostomy ◽

Facial Numbness ◽

History Of

A 49-year-old man presented with a 1-week history of right facial paraesthesia with blurred vision and diplopia. Examination was normal apart from reduced facial sensation. Following appropriate neuroimaging, we considered a diagnosis of silent sinus syndrome. He underwent a middle meatal antrostomy with complete resolution of symptoms. Silent sinus syndrome results from occlusion of the osteomeatal complex, preventing normal aeration of the maxillary sinus. Maxillary sinus hypoventilation typically causes inferior displacement of the globe in the orbit (unilateral hypoglobus). Neurologists will only infrequently see people with silent sinus syndrome but it can have devastating consequences if left untreated and so must be considered in the appropriate clinical context.

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Silent sinus syndrome associated with natural childbirth

Polski Przegląd Otorynolaryngologiczny ◽

10.5604/01.3001.0012.7723 ◽

2018 ◽

Vol 7 (4) ◽

pp. 1-5

Author(s):

Aleksandra Sobolewska ◽

Pedro Clarós

Keyword(s):

Maxillary Sinus ◽

Nasal Congestion ◽

Rare Condition ◽

Orbital Floor ◽

Ipsilateral Side ◽

Natural Childbirth ◽

Silent Sinus Syndrome ◽

Unusual Association ◽

History Of ◽

One Step

Spontaneous, painless enophthalmos, hypoglobus with orbital floor resorption and maxillary sinus collapse on the ipsilateral side is recognised as a rare condition known as the silent sinus syndrome. This paper aimed to present an unusual association of natural childbirth and the onset of orbital floor displacement caused by silent sinus syndrome. We wanted to present a case of a 31-year-old woman presented with a 3-month history of painless, progressive right enophthalmos otherwise utterly asymptomatic who developed symptoms shortly after natural childbirth. That association have never been presented before in literature. We also wanted to discuss the pregnancy-related nasal congestion. We present our experience with these case treated with a single-stage procedure, focusing on the advantages of this one-step approach.

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Esthesioneuroblastoma (ENB): A case report

Journal of Clinical Oncology ◽

10.1200/jco.2006.24.18_suppl.15546 ◽

2006 ◽

Vol 24 (18_suppl) ◽

pp. 15546-15546

Author(s):

E. Troncoso ◽

S. Bonicatto ◽

A. Mainella ◽

A. Barbero ◽

M. Lavezzaro ◽

...

Keyword(s):

Case Report ◽

Maxillary Sinus ◽

Soft Palate ◽

Sensory System ◽

Clinical Manifestations ◽

Response To Therapy ◽

Nasal Fossa ◽

History Of ◽

Left Maxillary Sinus ◽

The Right

15546 Background: ENB is a rare embrionary tumor derived from neuroblasts of the olfactory sensory system. Polypoid mass with epistaxis or nasal obstruction are the most common clinical manifestations of this tumor. It’s invasive and it frequently causes regional and distant metastasis. ENB requires a multimodality therapy. The objective of this study is to describe the form of presentation, diagnosis, treatment and evolution of this tumor on a female patient (pt), as a casuistic contribution. Methods and Case Report: A 61 year old woman with a four month history of epistaxis, nasal pain and anosmia. CT shows nasal mass invading the entire nasal cavity and upper maxillary. Pt underwent nasal resection and reconstruction with frontal flaps. Anatomopathology: ENB invading the bone. Cromogranin (+), sinaptofisin (+), CK (−), NSE (−). Three months later: lesion on the right wing nasal and a mass in the soft palate. MRI: mass on the floor of the nasal fossa that involve the left maxillary sinus and the bone palate. Kadish stage C. We treated her with three cycles of chemotherapy using cisplatin 30 mg/sqM d 1–3 iv and etoposide 100 mg/sqM d 1–3 iv. After that, remission was observed in the wing nasal lesion but the the soft palate mass shows progression. MRI: mass in nasal fossa that destroys the left maxillary sinus and causes lysis of the upper maxillary and orbital floor. Pt was treated with radiotherapy (6000 cGy) showing complete remission of the nasal lession and partial response on the soft palate, verified by physical examination and RMI. Four months after the end of radiotherapy, she continues under control and maintains the response to therapy without evidence of progression. Conclusion: ENB is an unfrequent tumor without any standard treatment. In our case, the combination of surgery, CH and RT has been effective for local control of the disease with good tolerance and acceptable quality of life. No significant financial relationships to disclose.

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Cochlear Implantation in Charcot-Marie-Tooth Disease: Case Report and Review of the Literature

Case Reports in Medicine ◽

10.1155/2018/1760978 ◽

2018 ◽

Vol 2018 ◽

pp. 1-3 ◽

Cited By ~ 3

Author(s):

C. Lane Anzalone ◽

Sarah Nuhanovic ◽

Amy P. Olund ◽

Matthew L. Carlson

Keyword(s):

Case Report ◽

Cochlear Implant ◽

Cochlear Implantation ◽

English Literature ◽

Lateral Wall ◽

Hereditary Neuropathy ◽

Charcot Marie Tooth ◽

Charcot Marie Tooth Disease ◽

Disease Case ◽

Patient Reported

Introduction. Charcot-Marie-Tooth (CMT) disease is a peripheral hereditary neuropathy associated with motor and sensory impairment and can result in profound sensorineural hearing loss (SNHL). Currently, the role of cochlear implantation in the setting of CMT and other progressive peripheral neurodegenerative disorders is not well established. Methods. Case report and review of the English literature. Results. A 70-year-old male with CMT was referred for evaluation of progressive asymmetric SNHL and reported a 15-year duration of deafness involving the left ear. Audiometric testing confirmed profound SNHL in the left ear, while the right ear exhibited moderate-to-severe SNHL. Left-sided cochlear implantation was performed using a conventional length lateral wall electrode. Intraoperative device testing found normal impedance levels throughout the array; however, electrically evoked auditory potentials were absent on all electrodes. Upon initial activation 3 weeks after surgery, the patient reported excellent access to sound in the cochlear implant-only condition. He has made good progress at each subsequent visit; speech perception testing after seven months showed improvement from 0% to 32% on AzBio sentence and 53% on CNC phoneme testing in the cochlear implant-only condition. Conclusion. We report the third case of cochlear implantation in a patient with CMT. SNHL in CMT is hypothesized to result from disruption of synchronous activity of the cochlear nerve. In patients with CMT, cochlear implantation may reconstitute synchronous neural activity by way of supraphysiological electrical stimulation. Our results corroborate two earlier reports that cochlear implantation is a viable option for rehabilitation of SNHL in this unique subset of patients.

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Silent Sinus Syndrome: Interesting Computed Tomography and Magnetic Resonance Imaging Findings

Journal of Clinical Imaging Science ◽

10.25259/jcis_62_2020 ◽

2020 ◽

Vol 10 ◽

pp. 38

Author(s):

Fahad B. Albadr

Keyword(s):

Magnetic Resonance Imaging ◽

Computed Tomography ◽

Magnetic Resonance ◽

Maxillary Sinus ◽

Imaging Findings ◽

Resonance Imaging ◽

Sinus Disease ◽

Silent Sinus Syndrome ◽

Parry Romberg Syndrome ◽

Key Features

Silent sinus syndrome (SSS) is the spontaneous unilateral collapse of the maxillary sinus and orbital floor with complete or partial opacification of the collapsed sinus. The key features in a patient who presents with SSS are painless progressive unilateral maxillary sinus disease in the absence of rhinosinusitis, trauma, or surgery. SSS is a rare disorder but could be under-diagnosed because of a lack of recognition. SSS is characterized by spontaneous and progressive enophthalmos (“sunken” eye-eye recession into the globe) and hypoglobus (globe displaced downward; and a drop in the pupillary level), so it is common for these patients to present first to an ophthalmologist. Although mostly observed in adults, there have been reports of SSS in children. SSS in younger individuals has characteristic clinical and radiologic signs with, in many cases, abnormal intranasal anatomic characteristics on the affected side. SSS should be differentiated from other causes of spontaneous enophthalmos, such as Parry-Romberg syndrome and linear scleroderma. The aim of this report was to alert the reader to the imaging findings in patients with SSS. This syndrome is well recognized by rhinologists and to a lesser extent to ophthalmologists but remains relatively unknown to general radiologists.

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Pilonidal sinus disease: Case report and review of the literature

East and Central African Journal of Surgery ◽

10.4314/ecajs.v23i2.8 ◽

2018 ◽

Vol 23 (2) ◽

pp. 86-88

Author(s):

Olayinka A. Olawoye ◽

Izegaegbe O. Obadan ◽

Joshua D. Choji

Keyword(s):

Pilonidal Sinus ◽

Pilonidal Disease ◽

Pilonidal Sinus Disease ◽

Sinus Disease ◽

Surgical Interventions ◽

Hygiene Measures ◽

Disease Case ◽

History Of ◽

Subcutaneous Tissues ◽

High Index Of Suspicion

Pilonidal sinus disease is a chronic granulomatous condition resulting from the presence of hair in the subcutaneous tissues. Its treatment ranges from simple hygiene measures to complex surgical interventions depending on the mode of presentation. We present a 59-year-old man who had a history of re-current swelling in the left gluteal region of about 2 years duration. After a diagnosis was made of pilonidal sinus disease, he had open surgery with laying open of the sinus and exploration with a probe in the operating room under local anesthesia. The sinus measured about 4 cm. He had drainage of the sinus cavity with curettage of the floor of the sinus. Pilonidal sinus disease may not be as uncommon in our setting as previously thought. A high index of suspicion should be entertained based on the characteristic location and typical presentation of the condition. Keywords: pilonidal sinus; pilonidal disease; pilonidal cavity

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Primary pelvic hydatid cyst: Case report

Medicinski pregled ◽

10.2298/mpns0912587s ◽

2009 ◽

Vol 62 (11-12) ◽

pp. 587-591

Author(s):

Goran Stanojevic ◽

Milan Jovanovic ◽

Miroslav Stojanovic ◽

Zoran Rancic ◽

Lidija Djordjevic-Jovanovic ◽

...

Keyword(s):

Case Report ◽

Surgical Treatment ◽

Hydatid Cyst ◽

Benign Disease ◽

Positive History ◽

Cystic Tumors ◽

Disease Case ◽

History Of ◽

Rare Site ◽

Primary Hydatid Cyst

Introduction. Primary hydatid cyst in the pelvis is an extremely rare site of the disease and occurs in approximately 0.7% of the patients with this disease. Case report. The case of a 65-year-old woman is reported, who was admitted for surgical treatment of incidentally detected pelvis tumor of unclear origin. Intraoperatively, it was noted that the tumor in the pelvis was cystic, resembling a hydatid disease, involving left pararectal space and extending to the sacroiliac joint. The total cystectomy with partial pericystectomy was performed. The section was sent to histopathology, which confirmed intraoperative findings. Discussion and conclusion. A pelvic hydatid cyst is in most cases diagnosed intraoperatively but the disease should be taken into consideration in cases of cystic tumors of unclear origin, especially in endemic regions and in persons with positive history of pet keeping. Surgical management is the treatment of choice. The principal goal is the compromise between the need to completely remove the cyst and the fact that it is a benign disease so the patient should not be unnecessarily exposed to an increased operative risk.

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