Supernumerary tooth in nasopalatine canal: a rare cause of septal cartilage collapse

2021 ◽  
Vol 14 (9) ◽  
pp. e245103
Author(s):  
Rasads Misirovs ◽  
Avinash Kumar Kanodia ◽  
Christopher McDonald ◽  
Richard Green
Keyword(s):  
Inferior Turbinate ◽  
Close Relation ◽  
Septal Cartilage ◽  
Nasal Passage ◽  
Nasal Discharge ◽  
Supernumerary Tooth ◽  
Nasopalatine Canal ◽  
Inferior Meatus ◽  
History Of ◽  
The Right

Mesiodens is the most common type of supernumerary tooth, located between the maxillary central incisors in close relation to the nasopalatine canal. A 20-year-old man presented with right-sided nasal blockage, nasal discharge and collapsed nose without history of trauma. Imaging revealed a calcified mass in the inferior meatus extending into dilated nasopalatine canal. Endoscopic removal of the mass revealed tuberculate appearance of an incompletely developed tooth, consistent with mesiodens. Based on the history of septal cartilage collapse with right-sided mucopurulent discharge, endoscopic findings of the right inferior turbinate being adherent to the septal cartilage and the underlying mesiodens, we believe that the patient developed a septal abscess secondary to infection in nasal mucosa surrounding the mesiodens causing collapse of septal cartilage. While a tooth or tooth-like mass causing nasal passage air-flow obstruction is uncommon, we believe that this is the first reported case of mesiodens presenting with septal cartilage collapse.

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

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
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.

scholarly journals Sinonasal Plasmacytoma in a Cat

2007 ◽  
Vol 19 (5) ◽  
pp. 573-577 ◽  
Author(s):  
Sandra Schöniger ◽  
Nicole Bridger ◽  
Karin Allenspach ◽  
Panagiotis Mantis ◽  
Joan Rest ◽  
...  
Keyword(s):  
Nasal Cavity ◽  
Frontal Sinus ◽  
Plasma Cells ◽  
Nasal Discharge ◽  
Upper Respiratory Tract ◽  
History Of ◽  
Well Differentiated ◽  
The Right ◽  
Partially Occluded ◽  
Macroscopic Examination

A 13-year-old female spayed Domestic Shorthair cat presented with a history of right-sided mucopurulent nasal discharge for 18 months. Computed tomography revealed a mass within the right nasal cavity and the right frontal sinus. The animal was euthanized, and a postmortem examination was performed. On macroscopic examination, the right nasal cavity and the right frontal sinus were partially occluded by a soft whitish mass. Microscopically, the mass was composed of well-differentiated plasma cells that were immunopositive for immunoglobulin G and lambda light chains. These findings were consistent with a mature-type sinonasal plasmacytoma. In addition, there was right-sided mucopurulent rhinitis and sinusitis caused by a Pasteurella infection, which probably developed secondary to the sinonasal plasmacytoma. To the authors’ knowledge, this is the first report of a sinonasal plasmacytoma in a cat. The present communication shows that feline sinonasal plasmacytomas should be included in the differential diagnosis for tumors located in the upper respiratory tract of cats.

scholarly journals Septal rhinoscleroma

2010 ◽  
Vol 43 (02) ◽  
pp. 219-221
Author(s):  
Mohamed A. Shoeib
Keyword(s):  
Tract Infection ◽  
Respiratory Tract ◽  
Nasal Cavity ◽  
Past History ◽  
Inferior Turbinate ◽  
Upper Respiratory Tract ◽  
History Of ◽  
Upper Respiratory ◽  
The Right ◽  
Tip Rhinoplasty

ABSTRACTRhinoscleroma is a chronic granulomatous condition of the nose and other structures of the upper respiratory tract. Infection by the bacterium Klebsiella rhinoscleromatis is said to be the cause. A female patient aged 45 years, presented with a past history of trauma to the nose and swelling on her nose since last 1 year. There was nasal asymmetry and internal nasal examination showed a septal swelling protruding to the right nasal cavity with hypertrophied nasal mucosa and inferior turbinate. Open tip rhinoplasty approach was used to excise the mass, which examined pathologically revealing a rhinoscleroma, fibrotic infiltrative stage.

An Unusual Case of a Nasal Foreign Body in a Cat with Chronic Nasal Discharge

2015 ◽  
Vol 51 (4) ◽  
pp. 249-251 ◽  
Author(s):  
Emma Bellei ◽  
Luciano Pisoni ◽  
Monika Joechler ◽  
Marco Pietra
Keyword(s):  
Unusual Case ◽  
Infectious Virus ◽  
Endoscopic Examination ◽  
Nasal Discharge ◽  
Complete Disappearance ◽  
Canine Tooth ◽  
Maxillary Canine ◽  
History Of ◽  
The Right

This report describes a cat infected with the feline infectious virus and a 1 yr history of unilateral mucopurulent nasal discharge. Intraoral radiography and endoscopic examination revealed the presence of a large fragment of tooth root in the right nasal cavity. The cat had previously undergone maxillary canine tooth (104) extraction. The root was successfully removed by an endoscopic-assisted procedure, and follow-up examination 1 yr later documented complete disappearance of the respiratory signs.

scholarly journals Nasal mucosal melanoma as a cause of epistaxis

2019 ◽  
Vol 12 (7) ◽  
pp. e228640 ◽  
Author(s):  
Ruqaiyah Behranwala ◽  
Bhagya Harindi Loku Waduge ◽  
Bervin Teo
Keyword(s):  
Symptomatic Relief ◽  
Subcutaneous Fat ◽  
Mucosal Melanoma ◽  
Nasal Passage ◽  
Delay In Diagnosis ◽  
Positron Emission ◽  
Left Neck ◽  
History Of ◽  
Associated Risk Factors ◽  
The Right

A 43-year-old woman presented with an 8-week history of fatigue and recurrent right sided nasal bleeds progressing to significant pain and swelling on the right side of her face. Clinical examination revealed a friable mass in her right nasal passage. A biopsy and staging positron emission tomography-CT scan confirmed the diagnosis of a T4 N1 M1 BRAF wild type mucosal melanoma. The melanoma had metastasised to the right paranasal sinuses, right and left neck nodes, right submental node, right upper breast, liver, the subcutaneous fat of the left buttock and the right iliac bone as well as cerebral metastasis with further disease progression. Combination immunotherapy was started but initially suspended due to an adverse reaction to nivolumab and restarted in due course. Surgical debulking was carried out for symptomatic relief. This case report explores the delay in diagnosis of mucosal melanoma with its subsequent consequences and the lack of understanding of associated risk factors and optimal treatment.

scholarly journals Isolated Sphenoid Sinus Disease- A Unique Case of Sphenoidal Mucocoele

2018 ◽  
Vol 26 (3) ◽  
pp. 234-237
Author(s):  
Tushar Kanti Ghosh ◽  
Srijoy Gupta ◽  
Pradeep Devineni
Keyword(s):  
Sphenoid Sinus ◽  
Nasal Discharge ◽  
Rare Entity ◽  
Unique Case ◽  
Nasal Endoscope ◽  
Sinus Disease ◽  
Nasal Stuffiness ◽  
Mri Scans ◽  
History Of ◽  
The Right

Introduction Isolated Sphenoid Sinusitis and sinus lesions is a rare entity accounting for just 1-3% of all Sinus afflictions. Most have occurred in men between the ages of 30 and 40 years. Case Report A case of right sphenoid sinus mucocele is reported in a male patient aged 68 years, with size of the lesion (35 x 34 mm) detected by CT & MRI scans. The patient presented with a 3 weeks history of unilateral ptosis, diplopia, and photophobia. He also complained of bilateral nasal obstruction, nasal stuffiness, and a mucoid nasal discharge. Endoscopic decompression of the right sphenoid sinus was performed, and approximately 160 ml of thick, sterile mucoid secretion was aspirated. Despite the size of the mucocele, no significant destruction of the sphenoid walls was evident. Postoperatively within 15 days the patient's symptoms improved significantly. Conclusion The Nasal Endoscope has revolutionised sphenoid sinus mucocele treatment. An adequate sphenoidotomy and drainage give excellent results.

scholarly journals Unexpected nasal foreign body

2020 ◽  
Vol 16 (4) ◽  
pp. 433-435
Author(s):  
Vshakri Ehdam ◽  
◽  
Suzina Sheikh Ab Hamid ◽  
Keyword(s):  
Foreign Body ◽  
Inferior Turbinate ◽  
Nasal Discharge ◽  
Medical Practitioners ◽  
The Face ◽  
Paediatric Age ◽  
The Right ◽  
Nasal Pathology ◽  
Bluish Discoloration

Foreign body in the nose is a common complaint in the paediatric age group and the most prevalent site of foreign body insertion compared to the ear and throat. Typical presentation involves foul-smelling unilateral nasal discharge. However, some cases are asymptomatic with no witnesses, and only discovered by medical practitioners during routine examinations. The diagnosis in this scenario becomes more challenging when another nasal pathology is present. We describe the case of a 6-year-old girl with underlying extensive infantile haemangioma of the face, tongue, neck and chest, who came for a routine follow-up, without any nasal complaints. However, the examination revealed right nasal crusting with bluish discoloration and hypertrophy of the right inferior turbinate, which was initially thought of as extension of the patient’s haemangioma. A foreign body in the right nasal cavity was noted by the girl’s parent on the next day after nasal douching, and was successfully removed in the clinical setting.

scholarly journals A rare case of nasal osteoma in a dog: a case report

2017 ◽  
Vol 62 (No. 11) ◽  
pp. 614-619 ◽  
Author(s):  
G. Galiazzo ◽  
M. Pietra ◽  
D. Tinto ◽  
N. Linta ◽  
M. Morini ◽  
...  
Keyword(s):  
Nasal Cavity ◽  
Nasal Discharge ◽  
Cutaneous Lesions ◽  
German Shepherd ◽  
Computed Tomographic ◽  
Large Size ◽  
History Of ◽  
Frontal Sinuses ◽  
Well Differentiated ◽  
The Right

A 35-month-old female German shepherd weighing 33.2 kg was referred to our department with a 10-month history of sneezing and left nasal swelling. On clinical examination, the dog showed deformity of the left nasal plane in the absence of any cutaneous lesions or nasal discharge, and presented with nasal snoring noises during both the inspiratory and expiratory phases. The patency of nasal cavities was evaluated using the cotton swab test, and was found to be preserved only on the right side. Endoscopic, radiographic and computed tomographic examination revealed an osteoproductive lesion that distorted the nasal, maxillar and frontal bones, completely occupying the left nasal cavity and frontal sinuses, resulting in destruction of the nasal septum and invasion of the contralateral nasal cavity. Five bioptic samples of the mass were collected from the cutaneous surface using a 9G Jamshidi bone marrow bioptic instrument. Histologically, the lesion consisted of a non-encapsulated, multilobulated mass composed of dense coalescing trabeculae of well-differentiated bone, which was lined by osteogenic cells. The morphology was suggestive of nasal osteoma. Due to the large size of the mass, evidenced by computed tomography, chronic systemic nonsteroidal anti-inflammatory treatment with carprofen was proposed instead of surgery. The description of this case is useful for veterinarians, who should consider osteoma as a possible differential diagnosis for nasal tumours.

Z-line degradation and phagocytosis of sarcomeric fragments in myonecrosis

1983 ◽  
Vol 41 ◽  
pp. 790-791
Author(s):  
Melinda L. Estes ◽  
Samuel M. Chou
Keyword(s):  
Vastus Lateralis ◽  
Inflammatory Myopathy ◽  
Muscle Disease ◽  
White Female ◽  
Inflammatory Cell Infiltrate ◽  
Limb Weakness ◽  
Muscle Diseases ◽  
History Of ◽  
The Right ◽  
Mononuclear Inflammatory Cell

Many muscle diseases show common pathological features although their etiology is different. In primary muscle diseases a characteristic finding is myofiber necrosis. The mechanism of myonecrosis is unknown. Polymyositis is a primary muscle disease characterized by acute and subacute degeneration as well as regeneration of muscle fibers coupled with an inflammatory infiltrate. We present a case of polymyositis with unusual ultrastructural features indicative of the basic pathogenetic process involved in myonecrosis.The patient is a 63-year-old white female with a one history of proximal limb weakness, weight loss and fatigue. Examination revealed mild proximal weakness and diminished deep tendon reflexes. Her creatine kinase was 1800 mU/ml (normal < 140 mU/ml) and electromyography was consistent with an inflammatory myopathy which was verified by light microscopy on biopsy muscle. Ultrastructural study of necrotizing myofiber, from the right vastus lateralis, showed: (1) degradation of the Z-lines with preservation of the adjacent Abands including M-lines and H-bands, (Fig. 1), (2) fracture of the sarcomeres at the I-bands with disappearance of the Z-lines, (Fig. 2), (3) fragmented sarcomeres without I-bands, engulfed by invading phagocytes, (Fig. 3, a & b ), and (4) mononuclear inflammatory cell infiltrate in the endomysium.

Popliteal artery thrombosis secondary to a tibial osteochondroma

VASA ◽  
2011 ◽  
Vol 40 (3) ◽  
pp. 251-255 ◽  
Author(s):  
Gruber-Szydlo ◽  
Poreba ◽  
Belowska-Bien ◽  
Derkacz ◽  
Badowski ◽  
...  
Keyword(s):  
Case Report ◽  
Magnetic Resonance Angiography ◽  
Popliteal Artery ◽  
Doppler Ultrasonography ◽  
Histopathological Examination ◽  
Previous History ◽  
Plain Radiography ◽  
Artery Thrombosis ◽  
History Of ◽  
The Right

Popliteal artery thrombosis may present as a complication of an osteochondroma located in the vicinity of the knee joint. This is a case report of a 26-year-old man with symptoms of the right lower extremity ischaemia without a previous history of vascular disease or trauma. Plain radiography, magnetic resonance angiography and Doppler ultrasonography documented the presence of an osteochondrous structure of the proximal tibial metaphysis, which displaced and compressed the popliteal artery, causing its occlusion due to intraluminal thrombosis..The patient was operated and histopathological examination confirmed the diagnosis of osteochondroma.

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