scholarly journals A Case Report of Inverting Papilloma of Lacrimal Sac

2019 ◽  
Vol 2 (2) ◽  
pp. 23-27
Author(s):  
Elaine Marie Y. Omana ◽  
Franklin P. Kleiner

Purpose To report a rare case of Inverting Papilloma originating from the Lacrimal Sac in Tertiary Hospital. Method Case report. Results Inverting papilloma is uncommon in lacrimal sac. More often presents in Maxillary sinus, Ethmoid sinus and lateral wall of nasal cavity. This case of 69 years old, Filipino male, who presented with a two-year history of gradually enlarging left medial canthal mass, and tearing. There were no ophthalmoplegia, visual disturbances, proptosis or pain but there was globe displacement superolaterally. Other ophthalmologic examinations were unremarkable at that time of examination. Orbital CT-scan revealed: Heterogenously enhancing mass extending to ipsilateral nasolacrimal canal and nasal cavity causing mass effect. There was note of a suspicious area of hyperostosis. Patient was referred to the Department of Otolaryngology Head and Neck Surgery for co-management. Punch biopsy was done and histopathology revealed Inverting papilloma. Combined surgical management of anterior Maxillectomy via lateral Rhinotomy approach and Dacryocystectomy was done. Intraoperatively, there was note of adhesions to bone in the area of the Lacrimal Sac corresponding to the area of hyperostosis on CT-scan. Post-operative recovery was unremarkable with unchanged visual acuity and extraocular muscle movement. Conclusions This is a case of an inverting papilloma involving the lacrimal sac and nasolacrimal duct that was managed with combined anterior maxillectomy via Lateral Rhinotomy approach and dacryocystectomy for complete resection. We recommended complete resection of the tumor to minimize recurrence. Origin in the Lacrimal Sac area was confirmed by intraoperative findings which correlated with CT- scan findings.

1970 ◽  
Vol 15 (2) ◽  
pp. 75-77
Author(s):  
M Alamgir Chowdhury ◽  
Mousumi Malakar ◽  
SM Golam Rabbani ◽  
Naseem Yasmeen ◽  
Shahidul Islam

Juvenile nasopharyngeal angiofibroma is a benign vascular neoplasm, but it is locally aggressive. This accounts for less than 0.5% of all the neoplasm in the head & neck region in the male population only. Here we report a case of 10-year-old boy with a blackish red smooth polypoidal mass in the nasal cavity, with history of recurrent epistaxis. On physical examination it was suspected as nasopharyngeal angiofibroma. We removed it totally by lateral rhinotomy approach. And the diagnosis was nasopharyngeal angiofibroma on histopathology. Key words: Angiofibroma; Nasopharyngeal. DOI: 10.3329/bjo.v15i2.5061 Bangladesh J Otorhinolaryngol 2009; 15(2): 75-77


2017 ◽  
Vol 13 (2) ◽  
pp. 178-179
Author(s):  
Sriti Manandhar ◽  
S Chettri ◽  
S Shah ◽  
BP Sah ◽  
S Shilpakar ◽  
...  

This is a case report of a three years old male child presented in the Otolaryngology and Head & Neck Surgery with chief complain of bleeding from the left nostril since seven days with nasal itching which was later diagnosed to be living foreign body leech causing epistaxis.Health Renaissance 2015;13(2): 178-179


2014 ◽  
Vol 7 (2) ◽  
pp. 87-89 ◽  
Author(s):  
Neelam Wadhwa ◽  
PP Singh ◽  
Vipin Arora ◽  
Pankaj Verma ◽  
Khyati Bhatia

ABSTRACT A rare case of sinonasal paraganglioma is described. A 40-year-old female patient presented with 2 years history of unilateral nasal obstruction and bleeding. CT scan demonstrated an expansile enhancing mass involving bilateral ethmoids, right nasal cavity and right maxillary sinus. Histopathological diagnosis was neuroendocrine tumor with possibility of paraganglioma. A subtotal maxillectomy with excision of mass performed. Primary nonchromaffin paraganglioma of nose and paranasal sinus is a very rare tumor, these lesion pose diagnostic challenge to clinicians and pathologist. Only twenty five cases are reported in review of literature. Surgical excision is the mainstay of treatment. How to cite this article Arora V, Verma P, Singh PP, Wadhwa N, Bhatia K. Sinonasal Paraganglioma: A Case Report and Review of Literature. Clin Rhinol An Int J 2014;7(2):87-89.


2020 ◽  
Vol 8 (11) ◽  
Author(s):  
Manoela Moura De Bortoli ◽  
José Alcides Almeida de Arruda ◽  
Ricardo José Holanda Vasconcellos ◽  
Emanuel Dias Oliveira e Silva ◽  
Ana Karina de Medeiros Tormes ◽  
...  

Among the ways to approach cases of ectopic teeth, the surgical approach is a valid option and should be considered, since it is considered simple and it permits direct visualization and a rapid recovery. The aim of this article is to report a rare case of ectopic tooth in the lateral wall of the nasal cavity caused by trauma in the maxillofacial region in childhood, and to describe its clinical and imaging characteristics as well as ways of treatment and surgical aspects. A 25-year-old woman was seen at the clinic of Maxillofacial Surgery and Traumatology due to the presence of a foreign body in the nose. A treatment plan was elaborated based on physical and radiographic examination. The tooth was removed by a surgical approach and the patient underwent esthetic rehabilitation. Surgical treatment of ectopic teeth provides a good and satisfactory postoperative result, is simple and mostly without complications. Ectopic teeth are rare, and the professional should be able to perform the diagnosis, indication and planning of treatment, as well as its execution. Surgical treatment is an option that produced an effective result in the present case.Descriptors: Mouth; Tooth, Impacted; Ambulatory Surgical Procedures.ReferencesVerma RK, Bakshi J, Panda NK. Ectopic intranasal tooth: an unusual cause of epistaxis in a child. Ear Nose Throat J. 2012;91(6):242-44.Gupta YK, Shah N. Intranasal tooth as a complication of cleft lip and alveolus in a four years old child: case report and literature review. Int J Paediatr Dent. 2001;11(3):221-24.Thor AL. Delayed removal of a fully intruded primary incisor through the nasal cavity: a case report. Dental Traumatol. 2002;18(4):227-30.Koçak HE, Özdamar K, Bilgi B, Aipayam H. Case report a rare cause of intranasal mass: bilateral ectopic nasal teeth. Iran J Otorhinolaryngol. 2017;29(94):287-89.Van Essen TA, Van Rijswijk JB. Intranasal toothache case report. J Laryngol Otol. 2013;127(3):321-22.Kim DH, Kim JM, Chae SW, Hwang SJ, Lee SH, Lee HM. Endoscopic removal of an intranasal ectopic tooth. Int J Pediatr Otorhinolaryngol. 2003;67(1):79-81.Ray B, Singh LK, Das CJ, Roy TS. Ectopic supernumerary tooth on the inferior nasal concha. Clin Anat. 2006;19(1):68-74.Zalagh M, Akhaddar A, Benariba F. Chronic rhinorrhea revealing an actinomycotic rhinolithiasis with ectopic tooth. Int J Oral Maxillofac Surg. 2012;41(3):297-99.Moreano EH, Zich DK, Goree JC, Graham, SM. Nasal tooth. Am J Otolaryngol. 1998;19(2):124-26.Sammatino G, Trosino O, Perillo L, Cioff A, Marenzi G, Mortellaro C. Alternative transoral approach for intranasal tooth extraction. J Craniofac Surg. 2011;22(5):1944-46.Lee FP. Endoscopic extraction of an intranasal tooth: a review of 13 cases. Laryngoscope. 2001;111(6):1027-31.


2020 ◽  
Vol 18 (1) ◽  
pp. 102-104
Author(s):  
A Bhattarai ◽  
BL Shrestha ◽  
A Dhakal

Rhabdomyosarcoma comprises about half of the soft tissue tumors. Approximately 40% of the alveolar subtype occur in the head and neck region. Patients present with unilateral nasal mass with/without lymphadenopathy and with/without orbital manifestations. Diagnosis is aided radiologically by CT scan, MRI along with biopsy and is confirmed by immunohistochemistry. Treatment involves surgical resection, chemotherapy, radiotherapy or a combination of these. In spite of treatments, however, the outcome is poor. This is a case report of 14-year-old male who presented with unilateral nasal mass with proptosis of right eye who was eventually diagnosed as a case of alveolar rhabdomyosarcoma of solid variant.


2010 ◽  
Vol 23 (1) ◽  
pp. 80-83
Author(s):  
Khandaker Abu Talha ◽  
ATM Mosharef Hossain ◽  
Khan Asaduzzaman ◽  
Amer Wahed ◽  
Farhana Selina ◽  
...  

We present a lady with scalp swelling and headache. CT scan of brain showed a right parietal bony lesion without any dural or parenchymal invasion. Tumour was removed. Bony gap was repaired by acrylic bone cement. Post operative recovery was uneventful. Biopsy report of tumour was primary calvarial meningioma. This is a very rare type of CNS tumour. Only very few cases were reported before. TAJ 2010; 23(1): 80-83


2019 ◽  
Vol 21 (Supplement_4) ◽  
pp. iv19-iv19
Author(s):  
Ali Elhag ◽  
José Lavrador ◽  
Joseph Frantzias ◽  
Ahilan Kailaya-Vasan ◽  
Richard Gullan ◽  
...  

Abstract Background Supratentorial Metastatic Melanomas are common and increasingly treated with immunotherapy. While improving the outcome, the immunotherapy potentially increases the risks of the intracranial surgical procedures, particularly bleeding. However, scarce reports address this complications. Case Description A 52-year old male with a history of right upper limb excised skin lesion resected with wide local excision 6 months prior to admission, who presented with a three weeks history of progressive headaches, vomiting, odd behaviours, forgetfulness, and left lower sided weakness. Brain imaging showed a right frontal lesion with evidence of haemorrhage within it with midline shift and mass effect. He underwent craniotomy and resection of the lesion with no post-operative complication, resolution of left sided hemiparesis and post-operative imaging documenting complete resection and no post-operative complications. The histopathology confirmed metastatic melanoma and he received adjuvant immunotherapy (Nivolumab), however he represented 4 weeks post operatively with sudden onset headache with vomiting with no neurological deficit, brain imaging showed a delayed hematoma in the surgical site. Conclusions This case report highlights the risk of post-operative bleeding with the immunotherapy and paves the way for further studies with regards to the safety of immunotherapy after intracranial procedures


1992 ◽  
Vol 2 (2) ◽  
pp. 73-78 ◽  
Author(s):  
J. Murube Del Castillo ◽  
A. Martinez Baradas ◽  
J. Hernandez King ◽  
M. E. Cruz Vilella ◽  
M. Bahamon Caycedo

The two most frequent sites of obstruction of the lacrimal pathways are under the lacrimal sac, in the ductus lacrimonasalis, and over the lacrimal sac, in the canaliculi. The obstruction of the first type already has a satisfactory solution with the different forms of dacryo-cysto-rhinostomies. Obstruction of the second type has a satisfactory resolution only in a limited number of cases. For patients in whom current treatment methods are unsuccessful, a technique of dacryo-fornix-rhinostomy is presented, consisting in opening a new pathway between the infero-medial conjunctival cul-de-sac and the atrial part of the nasal cavity. A piece of bone is removed from the antero-lateral wall of the atrium nasi, and the bottom of the infero-medial conjuctival fornix is opened to the precedent wound. The exposed nasal mucosa is cut into two flaps, one being sutured to the posterior lip, and the other to the anterior lip of the conjuctival wound. A conformer is maintained in the new path for several weeks. The new path has an almost vertical trajectory, making the flow of tears very easy. Blinking and the movements of the eyes have a pumping effect.


2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Ravishankar Pillenahalli Maheshwarappa ◽  
Amit Gupta ◽  
Juhi Bansal ◽  
Mahesh Virupaksha Kattimani ◽  
Sachin Shivayogappa Shabadi ◽  
...  

A 10-year-old boy presented with left-sided nasal obstruction and epistaxis. Endoscopic evaluation revealed a polypoid mass in the vestibule arising from the lateral wall of the nasal cavity anteroinferior to the left inferior turbinate. Computed tomography (CT) scan showed a soft tissue opacity in the vestibule of the left nasal cavity. After the endoscopic excision of the mass, postoperative and histopathological analyses confirmed the diagnosis of an angiofibroma.


Sign in / Sign up

Export Citation Format

Share Document