scholarly journals Facial distortion due to chronic inflammation of unknown cause in a cat

2020 ◽  
Vol 6 (2) ◽  
pp. 205511692095720
Author(s):  
Lynelle R Johnson ◽  
Sarah A Vidal ◽  
Kelsey D Brust ◽  
M Kevin Keel ◽  
Michele A Steffey
Keyword(s):  
Nasal Cavity ◽  
Subcutaneous Tissue ◽  
Mass Lesion ◽  
Unknown Etiology ◽  
Activity Levels ◽  
Surgical Biopsy ◽  
Nasal Bridge ◽  
Upper Eyelid ◽  
Frontal Sinuses ◽  
The Right

Case summary An 8-year-old neutered male indoor cat was presented for evaluation of a year-long history of swelling over the bridge of the nose that extended from the subcutaneous tissue of the right upper eyelid to the dorsum of the skull. Intermittent regression of the mass lesion was reported with antibiotic or corticosteroid therapy; however, progressive swelling, malaise and hiding behavior persisted. CT revealed an aggressive osteolytic mass lesion in the right and left nasal cavities and extending into the frontal sinuses. Rhinoscopy using a 2.8 mm rigid telescope revealed somewhat normal-appearing turbinates rostrally and ventrally on the left side, with turbinate destruction on the right. After obtaining a biopsy from the right side of the nasal cavity, thick material filling the entire nasal cavity was visible caudally and was extracted endoscopically from a rostral approach. Surgical biopsy of the dorsal nasal bridge resulted in protrusion of inspissated material from the incision site. Rhinoscopic exploration revealed that the material extended into both frontal sinuses. Following extensive debridement and medical therapy, marked resolution of facial asymmetry was achieved. Relevance and novel information Facial distortion is often considered suggestive of a neoplastic process; however, it can also be seen with fungal and mycobacterial infections, and, in this case, an inflammatory condition of unknown etiology. In this cat, aggressive intervention and debridement of necrotic debris resulted in substantial bony remodeling of the skull and return to normal activity levels.

Heterotopic pleomorphic adenoma of the external nose

1996 ◽  
Vol 110 (4) ◽  
pp. 376-378 ◽  
Author(s):  
Lydia Badia ◽  
Justin N. Weir ◽  
Anthony C. Robinson
Keyword(s):  
Salivary Gland ◽  
Nasal Cavity ◽  
Salivary Glands ◽  
Pleomorphic Adenoma ◽  
Subcutaneous Tissue ◽  
Minor Salivary Glands ◽  
Salivary Gland Tumours ◽  
External Nose ◽  
Pleomorphic Adenomas ◽  
The Right

AbstractPleomorphic adenomas arising from sites other than the major or minor salivary glands are uncommon. We describe a case of pleomorphic adenoma in the subcutaneous tissue of the nasomaxillary crease. An identical tumour was previously excised from the right nasal cavity. The possible aetiology of these heterotopic salivary gland tumours is discussed.

scholarly journals Solitary Fibrofolliculoma of the Upper Eyelid in a 68-year Old Female: A Case Report

2019 ◽  
Author(s):  
Wenqiu Wang ◽  
Jinwei Cheng
Keyword(s):  
Case Report ◽  
Connective Tissue ◽  
Mass Lesion ◽  
Upper Eyelid ◽  
Solitary Lesion ◽  
Case Presentation ◽  
Multiple Lesions ◽  
Tissue Tumor ◽  
Upper Lid ◽  
The Right

Abstract Background Fibrofolliculoma is a benign, perifollicular, connective tissue tumor, which is a clinically asymptomatic, 2-4 mm, skin-colored, dome-shaped smooth papule. It usually arises in the form of multiple lesions, and very rarely presents as a solitary lesion. Case presentation A 68-year-old female presented with an asymptomatic, flesh-colored mass on the right upper eyelid. The 5×5×4 mm lesion was located near upper lid margin. It was a skin-colored, dome-shaped, smooth nodule, with eyelashes on the surface, rubbery to palpation and not painful. The lesion was excised completely, and the diagnosis of fibrofolliculoma was confirmed through a histological exam. Conclusions Solitary fibrofolliculomas is rarely arising in the eyelid. However, it should be suspected when a localized mass lesion of the eyelid is encountered.

scholarly journals Solitary Fibrofolliculoma of the Upper Eyelid in a 68-year Old Female: A Case Report

2019 ◽  
Author(s):  
Wenqiu Wang ◽  
Jinwei Cheng
Keyword(s):  
Case Report ◽  
Connective Tissue ◽  
Mass Lesion ◽  
Upper Eyelid ◽  
Solitary Lesion ◽  
Case Presentation ◽  
Multiple Lesions ◽  
Tissue Tumor ◽  
Upper Lid ◽  
The Right

Abstract Background Fibrofolliculoma is a benign, perifollicular, connective tissue tumor, which is a clinically asymptomatic, 2-4 mm, skin-colored, dome-shaped smooth papule. It usually arises in the form of multiple lesions, and very rarely presents as a solitary lesion. Case presentation A 68-year-old female presented with an asymptomatic, flesh-colored mass on the right upper eyelid. The 5×5×4 mm lesion was located near upper lid margin. It was a skin-colored, dome-shaped, smooth nodule, with eyelashes on the surface, rubbery to palpation and not painful. The lesion was excised completely, and the diagnosis of fibrofolliculoma was confirmed through a histological exam. Conclusions Solitary fibrofolliculomas is rarely arising in the eyelid. However, it should be suspected when a localized mass lesion of the eyelid is encountered.

scholarly journals Woakes syndrome

2014 ◽  
Vol 44 (1) ◽  
pp. 76
Author(s):  
Retno Sulistyo Wardani ◽  
Ika Dewi Mayangsari
Keyword(s):  
Nasal Cavity ◽  
Nasal Polyp ◽  
Nasal Polyps ◽  
Bone Erosion ◽  
Aesthetic Surgery ◽  
Complete Information ◽  
Massive Bleeding ◽  
Sinus Surgery ◽  
Nasal Bridge ◽  
The Right

Background: Extensive nasal polyp growth in the paranasal sinuses can lead to bone erosion of the sinus walls and cause facial disfigurement due to continuous pressure or chronic inflammation. This extremely rare phenomenon is called Woakes syndrome. This syndrome consist of several symptoms include the destruction of ethmoid sinus that cause broadening of the bridge of the nose, frontal sinus aplasia and bronchiectasis. Purpose: To give complete information about the diagnosis and management of Woakes Syndrome. Case: A 16-year-old boy with deformity of the left nose, nasal obstruction and frequent episodes of rhinorrhea since 4 months before admission. Nasoendoscopic evaluation showedhuge nasal polyps filling the left nasal cavity, pushing the septum and narrowing the right nasal cavity. Histopathology result was edematous polyp with necrosis and massive bleeding without signs of malignancy. Management: Patient was managed in two stages operations. First, nasal polyp removal by FESS technique in general anesthesia, and the second stage four months later, was septorhinoplasty for aesthetic bridge reconstruction. Conclusion: Nasal polyps could be related to Woakes syndrome, characterized by broadening of nasal bridge which needs functional and aesthetic surgery. Keyword: Woakes Syndrome, nasal polyps, Functional Endoscopic Sinus Surgery, Septorhinoplasty ABSTRAKLatar Belakang: Polip hidung besar yang meluas dalam sinus paranasal dapat menyebabkan erosi dinding sinus dan menyebabkan cacat wajah akibat tekanan terus-menerus atau peradangan kronis. Fenomena ini sangat langka dan disebut sebagai sindrom Woakes. Sindrom ini terdiri dari beberapa gejala termasuk kerusakan dinding sinus etmoid yang menyebabkan hidung melebar, aplasia sinus frontal dan bronkiektasis. Tujuan: Untuk memberikan informasi yang lengkap tentang diagnosis dan penatalaksanaan Woakes Syndrome. Kasus: Seorang anak laki-laki 16 tahun dengan deformitas hidung kiri, hidung tersumbat dan pilek berulang sejak 4 bulan. Evaluasi nasoendokopi menunjukkanpolip hidung masif mengisi rongga hidung kiri, mendorong septum dan menyempitkan rongga hidung kanan. Pemeriksan histo-patologi memperlihatkan polip edematosa dengan nekrosis dan perdarahan masif tanpa tanda-tanda keganasan. Penatalaksanaan: Pada pasien dilakukan dua tahap tindakan. Pertama, dilakukan Bedah Sinus Endoskopik Fungsional (BSEF) dan polipektomi dalam anestesi umum, dan empat bulan kemudian pasien menjalani septorinoplasti untuk rekonstruksi wajah. Kesimpulan: Polip hidung pada kasus ini kemungkinan terkait dengan sindrom Woakes, ditandai dengan pelebaranpyramid hidung yang membutuhkan tindakan operasi fungsional dan estetika.Kata kunci: sindroma Woakes, polip hidung, Bedah Sinus Endoskopik Fungsional, Septorinoplasti.

scholarly journals Kimura Disease of the Nose

2021 ◽  
Vol 6 (2) ◽  
pp. 61-64
Author(s):  
Zalilah Musa ◽  
Abdul Razak Ismail ◽  
Irfan Mohamad
Keyword(s):  
Head And Neck ◽  
Histopathological Examination ◽  
Subcutaneous Tissue ◽  
Neck Region ◽  
Surgical Excision ◽  
Unknown Etiology ◽  
Inflammatory Disorder ◽  
Kimura Disease ◽  
Nasal Bridge ◽  
Chronic Inflammatory Disorder

Introduction: Kimura disease is a rare chronic inflammatory disorder affecting the subcutaneous tissue. It is of unknown etiology mainly occurring in head and neck region. Case report: A 34-year-old Malay lady presented with a gradually enlarging, painless right nasal bridge mass for one year duration. Clinical examination revealed a firm, immobile swelling measuring 2 cm x 2 cm. Nasal endoscopy showed no extension of the mass into the right nasal cavity. Surgical excision was performed where histopathological examination reported as finding consistent with Kimura disease. Conclusion: Kimura disease is extremely a rare benign disease, which can affect the head and neck structures. Manifestation at the nasal region is an extremely rare occurrence. Histopathological examination is needed to diagnose the disease.

scholarly journals An extremely rare and atypical paediatric presentation of a maxillary sinus haemangioma in the UK

2019 ◽  
Vol 12 (8) ◽  
pp. e230696
Author(s):  
Aphrodite Iacovidou ◽  
Vikas Acharya ◽  
Devavrata Joshi ◽  
Ali Taghi
Keyword(s):  
Nasal Cavity ◽  
Maxillary Sinus ◽  
Nasal Obstruction ◽  
Unusual Case ◽  
Histological Analysis ◽  
Paediatric Population ◽  
Sinus Surgery ◽  
Mass Lesion ◽  
The Uk ◽  
The Right

We present a rare and unusual case of a 16-year-old girl, with no significant medical history, presenting with right nasal obstruction and suspected sinusitis with occasional epistaxis and haemoptysis. On examination, she had a mass lesion in the right nasal cavity, with no evidence of other pathology on assessment of the ears, nose, throat or head and neck. A CT scan revealed an opacified right maxillary sinus with polypoidal mucosa, extending and passing through the accessory ostium into the right nasal cavity. Examination under anaesthesia with functional endoscopic sinus surgery and excision of the lesion was subsequently undertaken. Histological analysis confirmed the mass lesion as a haemangioma. This case report is the first to present a maxillary haemangioma presenting as nasal obstruction with intermittent sinusitis symptoms in a child. The authors discuss the incidence, presentation and management of maxillary haemangiomas in the paediatric population.

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.

scholarly journals Three Cases of Lymphocytic Infiltration of the Eyelid

2021 ◽  
Vol 8 (2) ◽  
pp. 124-129
Author(s):  
Kyoko Sugioka ◽  
Akinobu Hayashi ◽  
Masako Ichishi ◽  
Yasuko Sugimoto ◽  
Koji Habe ◽  
...  
Keyword(s):  
T Cells ◽  
Cd8 T Cells ◽  
Chronic Phase ◽  
Lymphocytic Infiltration ◽  
Unknown Etiology ◽  
Upper Eyelid ◽  
Reticular Dermis ◽  
History Of ◽  
The Right ◽  
Normal Epidermis

Lymphocytic infiltration of the skin (LIS), first reported by Jessner and Kanof in 1953, is a disease of unknown etiology characterized by erythematous papules and plaques on the head, neck, and upper back and histopathological findings of a normal epidermis with underlying lymphocytic infiltration of the reticular dermis without mucin deposition. A 69-year-old man and a 21-year-old woman presented with edematous indurative erythema of the left upper eyelid. Lymphocytic infiltration of the dermis with CD4+ T cell predominance was noted on biopsy. A 68-year-old man presented with a four-year history of recurrent edematous indurative erythema of the right upper eyelid that extended up to the right cheek. Predominantly dermal infiltration of CD8+ T lymphocytes was found on biopsy. We treated all three patients with 8–16 mg of methylprednisolone daily, and the erythema and induration improved. CD4+ T cells were predominant in the acute phase (patients 1 and 2), whereas CD8+ T cells were predominant in the chronic phase (patient 3). CD8+ T cells may be involved in LIS recurrence. Lymphocytic infiltration of the eyelid may be associated with isolated circumscribed, edematous, indurative, colorless lesions that are responsive to daily low-to-middle doses of oral methylprednisolone.

scholarly journals Levator palpabrae superioris myositis as an unusual cause of unilateral ptosis—case report

2021 ◽  
Vol 52 (1) ◽  
Author(s):  
Ahmed M. Abdrabou
Keyword(s):  
Previous History ◽  
Good Prognosis ◽  
Oculomotor Nerve Palsy ◽  
Ophthalmological Examination ◽  
Bilateral Ptosis ◽  
Mri Findings ◽  
Upper Eyelid ◽  
Unilateral Disease ◽  
The Right ◽  
Mri Study

Abstract Background Ptosis can be a manifestation of a more serious situation. Hence, the analysis of the complaint and the search for etiology are crucial in such cases. Ptosis has many causes; some of them lead to unilateral ptosis while others cause bilateral ptosis. For instance, myasthenia gravis is a cause of bilateral ptosis while oculomotor nerve palsy induces unilateral disease. Proper evaluation of the patient and identification of the cause are important to achieve accurate management and good prognosis. Case presentation A 47-year-old male patient attended the ER complaining of dropping the right eye lid of 2 days’ duration. There was no associated pain or diplopia. On examination, the extraocular muscles’ (EOM) motility was intact, normal pupil and corneal reflexes, and there was swelling of the upper eyelid. Ophthalmological examination revealed normal anterior and posterior chambers as well as the vitreous and retina. The patient had a previous history of traumatic intracranial hemorrhage that was resolved without surgical intervention. He also had diabetes mellitus and hypertension. The patient was transferred to the MRI unit to perform MRI study of the brain and orbit with MRA and IV contrast administration. MRI findings confirmed the diagnosis of LPS myositis, and the patient received medical treatment and improved. Conclusion Proper radiological diagnosis leads to accurate management and achieves rapid recovery and optimal patient care.

Regional brain tissue pressure gradients created by expanding extradural temporal mass lesion

1997 ◽  
Vol 86 (3) ◽  
pp. 505-510 ◽  
Author(s):  
Christopher E. Wolfla ◽  
Thomas G. Luerssen ◽  
Robin M. Bowman
Keyword(s):  
Intracranial Pressure ◽  
Frontal Lobe ◽  
Brain Tissue ◽  
Temporal Lobe ◽  
Mass Lesion ◽  
Pressure Monitor ◽  
Tissue Pressure ◽  
Content Type ◽  
Regional Brain ◽  
The Right

✓ A porcine model of regional intracranial pressure was used to compare regional brain tissue pressure (RBTP) changes during expansion of an extradural temporal mass lesion. Measurements of RBTP were obtained by placing fiberoptic intraparenchymal pressure monitors in the right and left frontal lobes (RF and LF), right and left temporal lobes (RT and LT), midbrain (MB), and cerebellum (CB). During expansion of the right temporal mass, significant RBTP gradients developed in a reproducible pattern: RT > LF = LT > RF > MB > CB. These gradients appeared early, widened as the volume of the mass increased, and persisted for the entire duration of the experiment. The study indicates that RBTP gradients develop in the presence of an extradural temporal mass lesion. The highest RBTP was recorded in the ipsilateral temporal lobe, whereas the next highest was recorded in the contralateral frontal lobe. The RBTP that was measured in either frontal lobe underestimated the temporal RBTP. These results indicated that if a frontal intraparenchymal pressure monitor is used in a patient with temporal lobe pathology, the monitor should be placed on the contralateral side and a lower threshold for therapy of increased intracranial pressure should be adopted. Furthermore, this study provides further evidence that reliance on a single frontal intraparenchymal pressure monitor may not detect all areas of elevated RBTP.

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