Epistaxis, Nasal Obstruction and Unilateral Facial Pain Due to an Ectopic Tooth

Presence of ectopic tooth in the nasal cavity of an adult is a rare phenomenon. Exact etiology of this condition is yet to be confirmed. We report a case of a 40-year-old woman, who presented to us with the history of left nasal obstruction of one-year duration along with pain in the left side of face revealing an on examination. Intranasal tooth was removed by surgical intervention with Luc’s forceps. The patient’s nasal obstruction and facial pain subsided after the treatment. We need to suspect an intranasal tooth when there is a white substance mimicking bone in the nasal cavity in patients presenting to us with facial pain and nasal obstruction Keywords: intranasal tooth; nasal obstruction; surgical extraction

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Clinical benefits of surgical management of concha bullosa

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20173669 ◽

2017 ◽

Vol 3 (4) ◽

pp. 833 ◽

Cited By ~ 1

Author(s):

Kulwinder Singh Mehta ◽

Aamir Yousuf ◽

Iftikhar Ali Wazir ◽

Kouser Sideeq

Keyword(s):

Surgical Management ◽

Nasal Obstruction ◽

Facial Pain ◽

Anatomical Variation ◽

Concha Bullosa ◽

Female Ratio ◽

Male Female Ratio ◽

Clinical Benefits ◽

Proper Diagnosis ◽

One Year

Background: Concha bullosa is a common anatomical variation in nasal cavity, responsible for headache, Rhinogenic origin is an important cause for headache wrongly managed now a day, which may be treated by medical or surgical intervention, proper diagnosis and patient’s selection is very important to achieve good results with surgery of CB. The aim of this study is to evaluate the efficacy and assess the clinical benefits outcome results of our endoscopic turbinoplasty technique for CB. Methods: This study was done in SMHS GMC Srinagar for a period of one year and about 30 patients with mild/moderate DNS and associated CB with symptoms of facial pain, head ache, nasal obstruction, anosmia, recurrent rhinitis were selected for surgical management and symptoms assessment was done using VAS. Results: The 30 patient group with 1: 1 male: female ratio predominatly in 3rd decade of life presented with nasal obstruction more on concha bullosa side, 26 with facial pain and 27 patients with head ache and nasal obstruction, anosmia/hyposmia in 20 and recurrent rhinitis in 26. There was statistical significant benefit on symptoms score in patients managed with endoscopic chonchoplasty. Conclusions: The endoscopic turbinoplasty is safe and efficacious procedure for concha bullosa and is causuative factor for rhinogenic origin of headache and facial pain.

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GAMBARAN DERAJAT KEPARAHAN GEJALA PASIEN RINOSINUSITIS KRONIK DI RSUD DR. SOETOMO SURABAYA

Care Jurnal Ilmiah Ilmu Kesehatan ◽

10.33366/jc.v8i2.1666 ◽

2020 ◽

Vol 8 (2) ◽

pp. 235

Author(s):

Anggita Putri Samara ◽

Budi Sutikno ◽

Reny I’tishom

Keyword(s):

Risk Factor ◽

Observational Study ◽

Medical Record ◽

Nasal Obstruction ◽

Facial Pain ◽

Nasal Congestion ◽

The Other ◽

Nasal Discharge ◽

Analog Scale ◽

Nasal Inflammation

Chronic rhinosinusitis (CRS) is a sinus paranasal and nasal inflammation marked with two or more symptoms, nasal congestion or nasal discharge and the other symptom like facial pain and reduced smell may present. This symptom occur >12 weeks. One of the parameter for symptom’s severity assessmentis using Visual Analog Scale (VAS) that can be classified as mild (0-3), moderate (4-7), dan severe (8-10). This study was a observational study by assessing patient’s medical record at SMF THT-KL RSUD Dr. Soetomo and analyzed descriptively. 43 patients were enrolled to study (28 male and 15 female), most of them were between age 36-45 years old (25,58%). Most of the patient’s symptom’s severity in general, nasal obstruction, nasal discharge, facial pain, and reduced smell were moderate (65,11%), moderate (58,13%), mild (41,86%), mild (58,13%), mild (62,79%) respectively. Most of the patients had risk factor (62,79%), and the most of the patient’s risk factor were allergy. Most of the CRS patients in this study were male, 36-45 years old, with the general symptom’s severity moderate, moderate nasal obstruction, mild nasal discharge, mild facial pain, mild reduced smell, and had allergy.

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Nasal obstruction secondary to an inverted midline supernumerary tooth

Annals of The Royal College of Surgeons of England ◽

10.1308/rcsann.2018.0163 ◽

2019 ◽

Vol 101 (1) ◽

pp. e14-e16 ◽

Cited By ~ 1

Author(s):

L Jones ◽

JM Hilton ◽

J Heyman ◽

H Viswanathan ◽

VB Wreesmann ◽

...

Keyword(s):

Computed Tomography ◽

Surgical Treatment ◽

Minimally Invasive ◽

Surgical Resection ◽

Nasal Obstruction ◽

Treatment Strategy ◽

Nasal Septum ◽

Facial Pain ◽

Supernumerary Tooth ◽

Full Resolution

We present the case of a 36-year-old man who presented with left-sided nasal obstruction and facial pain. Clinical examination and computed tomography revealed an inverted midline supernumerary tooth buckling and deviating the nasal septum to the left. Full surgical resection of the tooth was achieved through a minimally invasive endoscopic septoplasty with full resolution of symptoms. There is little precedent within the literature to guide our management in this case and therefore we offer a successful surgical treatment strategy.

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Vascular leiomyoma of the inferior turbinate–report of a case and review of the literature

The Journal of Laryngology & Otology ◽

10.1017/s0022215100107595 ◽

1988 ◽

Vol 102 (12) ◽

pp. 1159-1160 ◽

Cited By ~ 26

Author(s):

G. S. Hanna ◽

A. B. Akosa ◽

M. H. Ali

Keyword(s):

Smooth Muscle ◽

Nasal Obstruction ◽

Paranasal Sinuses ◽

Facial Pain ◽

English Literature ◽

Inferior Turbinate ◽

Review Of The Literature ◽

Vascular Leiomyoma ◽

Nose And Paranasal Sinuses ◽

Benign Tumours

AbstractLeiomyoma of the nose and paranasal sinuses is rare. It constitutes about 1 per cent of all benign tumours. This is due to the paucity of smooth muscle in the nose.In this paper, the authors present one case of vascular leiomyoma which arose in the inferior turbinate in a 64-year-old lady. It was treated by partial turbinectomy with the relief of her symptoms of nasal obstruction, epistaxis and facial pain.The English literature on the topic is reviewed.

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Correlation Between the Severity of Chronic Rhinosinusitis and Sleep Quality in Adult Patients

Biomolecular and Health Science Journal ◽

10.20473/bhsj.v3i2.22024 ◽

2020 ◽

Vol 3 (2) ◽

pp. 62

Author(s):

Clarisa Christina Gabriella ◽

Kristanti Wanito Wigati ◽

Budi Sutikno

Keyword(s):

Sleep Quality ◽

Chronic Rhinosinusitis ◽

Nasal Obstruction ◽

Facial Pain ◽

Sampling Technique ◽

Adult Patients ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Chi Square ◽

Cross Sectional

Introduction: Chronic rhinosinusitis (CRS) usually accompanied by one of the symptoms (nasal obstruction, rhinorrhea) and one of associated symptoms (facial pain and/or hyposmia/anosmia). In addition, most of CRS sufferers have poor sleep quality. Thus, we aim to determine the relationship between the severity of CRS and sleep quality in adult patients.Methods: This study was cross-sectional method study. Consecutive sampling technique with estimate a proportion in finite population formula was used. The variables studied were the CRS severity based on visual analogue scale (VAS), and subjects’ sleep quality based on the Pittsburgh sleep quality index (PSQI). The data collection was carried out using a questionnaire and analyzed using chi-square test and continued with fisher’s exact test.Results: Of the 24 study subjects, 45.8% were male and 54.2% female. 83.3% had a nasal obstruction, 66.7% had rhinorrhea, 54.2% had hyposmia/anosmia, and 66.7% had facial pain. The severity of subject was mild, moderate and severe by 41,67%, 29,17%, and 41,67% respectively. 87.5% had poor sleep quality. There was no significant correlation between the severity of CRS and sleep quality (p=1,00).Conclusion: Although there was no correlation between CRS severity and sleep quality in adult patients, but CRS patients in general had poor sleep.Further study using more subjects, apply objective assessments, and include other more specific will help describe the correlation in population.

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Effect of functional endoscopic sinus surgery on the symptom profile in chronic rhinosinusitis cases

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20200154 ◽

2020 ◽

Vol 6 (2) ◽

pp. 375

Author(s):

G. Syam Manohar ◽

Khan Majid Jabbar

Keyword(s):

Quality Of Life ◽

Chronic Rhinosinusitis ◽

Nasal Obstruction ◽

Endoscopic Sinus Surgery ◽

Facial Pain ◽

Functional Endoscopic Sinus Surgery ◽

Sinus Surgery ◽

Nasal Discharge ◽

Symptom Profile

Background: Chronic rhinosinusitis (CRS) is a common chronic disease, that have considerable impact on quality of life, functional and emotional impairments of affected beings. Post-surgical improvement of quality of life indicates the surgical success. Functional endoscopic sinus surgery (FESS) is the dominating surgical procedure for CRS. This study was designed to assess the symptom profile of patient before and after surgery and the complications after FESS in the post-operative period.Methods: A total of 50 cases attending ENT outpatient department with clinical features and investigations suggestive of chronic sinusitis with infective pathology were randomly considered for this study. Cases were assessed for CRS symptoms pre and post operatively using grading symptoms. Results: Common major symptom was nasal obstruction (93.3%, N=28) followed by post nasal drip (83.33%, N=25), purulent nasal discharge (76.66%, N=23), facial pain/pressure (66.66%, N=20) and hyposmia (60%, N=18). None of the patients reported fever and facial congestion or fullness. Post operatively, cases with nasal obstruction (92.8%), purulent nasal discharge (86.9%), facial pain or pressure (85%), headache (81.8%), post nasal drip (84%), ear pain or fullness or pressure (92.8%) and hyposmia (61.1%) showed improvement after FESS at the end of three follow-up.Conclusions: The most common symptom pre operatively was nasal obstruction which also responded best to FESS, along with all the other minor symptoms including headache. The results of this study confirm that FESS is an excellent method of treatment in patients with CRS refractory to medical treatment.

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‘Intranasal toothache’: case report

The Journal of Laryngology & Otology ◽

10.1017/s0022215112002927 ◽

2012 ◽

Vol 127 (3) ◽

pp. 321-322 ◽

Cited By ~ 7

Author(s):

T A van Essen ◽

J B van Rijswijk

Keyword(s):

Case Report ◽

Facial Pain ◽

Surgical Extraction ◽

History Of ◽

Nasal Tooth ◽

Endoscopic Guidance ◽

Ectopic Tooth ◽

One Year ◽

The One

AbstractObjective:This paper describes a patient with recurrent unilateral nasal discomfort and pain due to an intranasal tooth. A short overview of the literature is provided in relation to the aetiology, symptomatology, diagnosis and treatment of intranasal teeth.Case report:A 26-year-old man was referred with a history of recurrent left-sided nasal obstruction, facial pain and discomfort, and chronic purulent rhinorrhoea. Computed tomography revealed a nasal tooth, which was likely to have been the cause of these symptoms. After transnasal surgical extraction under endoscopic guidance, the patient was relieved of his complaints (at the one-year follow up).Conclusion:An ectopic tooth in the nasal cavity is a rare phenomenon, and in most cases the cause of an intranasal tooth remains unclear. The treatment of an intranasal tooth entails surgical extraction even though such teeth may remain asymptomatic; several cases have illustrated the potential significant morbidity associated with their occurrence.

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Middle Turbinate Osteoma Presenting with Ipsilateral Facial Pain, Epiphora, and Nasal Obstruction

Otolaryngology ◽

10.1067/mhn.2003.29 ◽

2003 ◽

Vol 128 (2) ◽

pp. 282-283 ◽

Cited By ~ 17

Author(s):

Lin Chao-Jung ◽

Lin Yaoh-Shiang ◽

Kang Bor-Hwang

Keyword(s):

Nasal Obstruction ◽

Facial Pain ◽

Middle Turbinate

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Symptom Specific Outcomes of Endoscopic Sinus Surgery

Otolaryngology ◽

10.1016/j.otohns.2008.05.260 ◽

2008 ◽

Vol 139 (2_suppl) ◽

pp. P81-P81

Author(s):

Jastin L Antisdel ◽

Raj Sindwani ◽

Alexander C Chester

Keyword(s):

Nasal Obstruction ◽

Symptom Severity ◽

Endoscopic Sinus Surgery ◽

Facial Pain ◽

Relative Effectiveness ◽

Sinus Surgery ◽

Nasal Discharge ◽

Web Based ◽

Relative Improvement ◽

Severity Scores

Objective 1) Learn the relative effectiveness of endoscopic sinus surgery (ESS) regarding improving individual major chronic rhinosinusitis (CRS) symptoms and headache. 2) Be able to more effectively counsel patients undergoing ESS. Methods A literature search of MEDLINE, EMBASE, Web of Science, Cochrane databases, and other Web-based sources from 1980–2008 was performed. Additional articles were identified by reviewing relevant bibliographies. Studies with more than 10 adult CRS patients that used symptom severity scores to analyze at least 4 major criteria (facial pressure, congestion, nasal obstruction, nasal discharge, and hyposmia/anosmia) or 3 major criteria as well as headache were included. 265 studies were identified and reviewed. 22 of these met inclusion criteria and their data were analyzed. After conversion of the symptom severity scores used in each study to a relative percent value, symptom categories were averaged, and compared in aggregate. Results This analysis included 1641 CRS patients (average of 74 pts/study). The patients were followed an average of 19.4 months (range, 1 week to 76 months) postoperatively. All 6 evaluated symptoms showed non-weighted, relative improvements in symptom scores. Overall, symptoms improved synchronously with a relative improvement over preoperative levels ranging from 27% to 36%. ESS provided the greatest relief from nasal obstruction (relative improvement of 36%), which was a significantly larger change than with facial pain (p<0.034) or nasal discharge (p<0.034). Conclusions The relative improvement in major CRS symptoms and headache after surgery is similar. Nasal obstruction improves slightly more than facial pain and nasal discharge.

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