scholarly journals Grafting to denuded nasal cavity for prevention of recurrent nasal polyposis by endoscopic sinus surgery

2018 ◽  
Vol 4 (5) ◽  
pp. 1135
Author(s):  
Hany Amin ◽  
Yasser Mohammed Hassan Mandour ◽  
Ahmed Elrefai
Keyword(s):  
Nasal Cavity ◽  
Nasal Obstruction ◽  
Nasal Mucosa ◽  
Endoscopic Sinus Surgery ◽  
Nasal Septum ◽  
Nasal Polyposis ◽  
Inferior Turbinate ◽  
Sinus Surgery ◽  
Nasal Polypi ◽  
Recurrent Nasal Polyposis

<p class="abstract"><strong>Background:</strong> The objective of the study was to avoid nasal polyposis occurrence after recurrent FEES.</p><p class="abstract"><strong>Methods:</strong> 87 patients undergoing recurrent FESS due to recurrent nasal polyposis, after completing all steps of FESS the placement of normal nasal mucosa from inferior turbinate or nasal septum instead of the mucosa of the fovea ethmoidalis and lamina papyracea was done.  </p><p class="abstract"><strong>Results:</strong> There were nasal obstruction improvement in 79 patients (90.8%), but there were 8 patients (9.2%) had recurrent nasal polypi causing nasal obstruction. There was smell improvement in 38 patients (71.7%) out of 15 patients (28.3%).</p><p class="abstract"><strong>Conclusions:</strong> The nasal cavity grafting in FESS of recurrent nasal polyposis with nasal septal or inferior turbinate mucosa had promising results in prevention of nasal polyposis recurrence. These results made a recommendation of nasal cavity grafting during primary FESS of nasal polyposis.</p>

scholarly journals Mucocele of a giant inferior turbinate concha bullosa mimics a nasal mass: case report

2021 ◽  
Vol 37 (1) ◽  
Author(s):  
Kamal Ebeid ◽  
Mohamed H. Askar
Keyword(s):  
Nasal Cavity ◽  
Endoscopic Sinus Surgery ◽  
Nasal Septum ◽  
Inferior Turbinate ◽  
Sinus Surgery ◽  
Lateral Nasal Wall ◽  
Complete Disappearance ◽  
Concha Bullosa ◽  
Left Nasal Cavity ◽  
Nasal Tumors

Abstract Background The concha bullosa is a pneumatized nasal turbinate commonly middle turbinate but that of the inferior turbinate is an uncommon entity. A giant inferior conchal pneumatization with mucocele formation is not reported in the literature till now. Case presentation A 17-year-old female patient presented with bilateral severe nasal obstruction. Anterior rhinoscopy and endoscopic examination revealed a giant mass which filled the left nasal cavity completely, pushing the septum to the contralateral side. The paranasal sinus CT showed a mass in the left nasal cavity ballooning the whole nasal cavity with compression of the nasal septum to the right side. MRI was done and the lesion was hyperintense in T2 MRI sequences and hypointense in T1 sequences consistent with a cystic lesion. The patient was consented and prepared for endoscopic resection under general anesthesia. The lesion was completely separated from the nasal septum and the orbit but attached to the lateral nasal wall at the site of origin of the inferior turbinate. Conchoplasty was done and patient follow-up for 9 years is excellent with complete disappearance of all patient symptoms. Conclusions Concha bullosa of the inferior turbinate should be considered in the differential diagnosis of nasal tumors, nasal cystic lesions, and preoperative evaluation of endoscopic sinus surgery. Also, a systematic approach for dealing with nasal lesions with thorough examination and radiological review will be of great value in decision-making. The anatomy of the paranasal should be thoroughly examined prior to endoscopic sinus surgery to develop treatment strategies and to prevent possible complications.

Adult-onset Woakes’ syndrome: a rare entity

2021 ◽  
Vol 14 (1) ◽  
pp. e236894
Author(s):  
Pedro Salvador ◽  
Francisco Moreira da Silva ◽  
Rui Fonseca
Keyword(s):  
Ct Scan ◽  
Endoscopic Sinus Surgery ◽  
Nasal Polyposis ◽  
Sinus Surgery ◽  
Nasal Dorsum ◽  
Rare Entity ◽  
Adult Onset ◽  
Aspirin Exacerbated Respiratory Disease ◽  
Nasal Pyramid ◽  
Recurrent Nasal Polyposis

Woakes’ syndrome (WS) is a rare entity, defined as severe recalcitrant nasal polyposis with consecutive deformity of the nasal pyramid. WS occurs mainly in childhood and its aetiology remains unclear. We report a case of a 68-year old woman, with aspirin-exacerbated respiratory disease, who presented with recurrent nasal polyposis and progressive broadening of the nasal dorsum. CT scan revealed extensive bilateral nasal polyposis and diffuse osteitis, with anterior ethmoidal calcified lesions. The patient underwent revision endoscopic sinus surgery and nasal pyramid deformity was successfully managed without osteotomies.

Impact of Endoscopic Sinus Surgery on Sleep Quality in Patients With Chronic Nasal Obstruction Due to Nasal Polyposis

2009 ◽  
Vol 20 (2) ◽  
pp. 446-449 ◽  
Author(s):  
Fuat Tosun ◽  
Kismet Kemikli ◽  
Sinan Yetkin ◽  
Fuat Ozgen ◽  
Abdullah Durmaz ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Nasal Obstruction ◽  
Endoscopic Sinus Surgery ◽  
Nasal Polyposis ◽  
Sinus Surgery

Leiomyoma of the nasal septum: report of a case and review of the literature

1996 ◽  
Vol 110 (1) ◽  
pp. 65-68 ◽  
Author(s):  
J. L. Llorente ◽  
C. Suárez ◽  
M. Seco ◽  
A. Garcia
Keyword(s):  
Nasal Cavity ◽  
Endoscopic Sinus Surgery ◽  
Nasal Septum ◽  
Sinus Surgery ◽  
Review Of The Literature

AbstractLeiomyomas of the nasal cavity are very rare. A case of leiomyoma arising in the nasal septum is presented. The tumour was removed by endoscopic sinus surgery. The literature on the topic is reviewed.

Prevention of blood staining of endoscope tip during functional endoscopic sinus surgery: sleeve technique

2009 ◽  
Vol 123 (12) ◽  
pp. 1358-1359 ◽  
Author(s):  
G Kalra ◽  
J Keir ◽  
J Tahery
Keyword(s):  
Nasal Cavity ◽  
Nasal Mucosa ◽  
Endoscopic Sinus Surgery ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Endoscopic View ◽  
Deviated Septum ◽  
Bleeding Area

AbstractOptimisation of the endoscopic view during FESS may require correction of a deviated septum. The resulting incision leads to bleeding which could obscure the view of the endoscope. Repeated cleaning of the endoscope intraoperatively is time consuming and traumatisation of the lining of the nasal mucosa may lead to formation of adhesions post operatively.We discuss the use a segment of suction tubing that can act as a conduit or sleeve for the passage of the endoscope into the nasal cavity. This protects the endoscope tip from the bleeding area.

scholarly journals the Frequency of Intranasal Synechiae Formation between Nasal Septum and Lateral Nasal Wall after Endoscopic Sinus Surgery Among Patients with Sinonasal Polyposis

Esculapio ◽  
2020 ◽  
Vol 16 (03, july 2020-Septmber 2020) ◽  
Author(s):  
Damish Arsalan ◽  
◽  
Sarwat Hassan Syed ◽  
Ghulam Murtaza ◽  
Mohammad Qamar Nasir ◽  
...  
Keyword(s):  
Endoscopic Sinus Surgery ◽  
Nasal Septum ◽  
Nasal Polyposis ◽  
Sinus Surgery ◽  
Lateral Nasal Wall ◽  
Demographic Information ◽  
Number Of Patients ◽  
Male Patients ◽  
Age Range ◽  
Sinonasal Polyposis

Objectives: To determine the frequency of intranasal synechiae formation between lateral nasal wall and nasal septum after (ESS) Endoscopic Sinus Surgery among patients with Sino nasal Polyposis Methods: After obtaining approval from the ethical committee of our Hospital, a total number of 150 subjects fulfilling the study criteria were recruited in the research which was conducted in the department of Otorhinolaryngology, Services Hospital, Lahore. Demographic information (name, age, gender, contact details) was also obtained were included in this study. All the patients underwent ESS and were followed up post operatively at the end of 1st, 2nd, 3rd and 4th weeks respectively, to observe the formation of synechiae. Results: Age range in this study was between 21-40 years out of which a small number of patients were < 20 years old. Mean age of the patients was 35.30±10.54 years. Male patients were 80 (53.3%) while female patients were 70 (46.7%). Intranasal Synechiae formation was observed in 28 patients (18.7%). Conclusion: Intranasal Synechiae formation between lateral nasal wall and nasal septum was found in 18.4% of the patients after endoscopic sinus surgery. Keywords: Sino nasal polyposis, ESS, Intranasal Synechiae Formation

scholarly journals A Review on Deviated Nasal Septum: Classification, Clinical Features and Management

2021 ◽  
pp. 432-437
Author(s):  
Suhani Jain ◽  
P. T. Deshmukh
Keyword(s):  
Nasal Cavity ◽  
Clinical Features ◽  
Nasal Obstruction ◽  
Nasal Septum ◽  
Squamous Metaplasia ◽  
Inferior Turbinate ◽  
Deviated Nasal Septum ◽  
Suppurative Otitis Media ◽  
Obstructive Sleep ◽  
Pressure Headache

The nasal septum separates the right and left part of the nasal cavity and columellar septum, membranous septum and septum proper are the parts of it. Deviation of nasal septum is a common case of nasal obstruction presented in a clinic. A lot of classifications have been developed to help ease the study of deviated nasal septum but none of them is used as a standard. Some of the classifications include the one given by Vidigal, Guyuron, Cerek, Mladina and Cottle’s. Apart from nasal obstruction other common clinical features involving deviated nasal septum are sinusitis especially in horizontal deviation type V. Pressure on lateral wall by spurs can also cause pressure headache. Due to increased air flow in the nasal cavity, dryness occurs causing epistaxis. Obstruction of nasal cavity causes mouth breathing in return either exaggerating or leading to obstructive sleep apnoea. Septal deviation also effects the choroidal thickness and choroidal blood supply. Histopathologically, lymphocytic infiltration and squamous metaplasia occurs in septal mucosa. These changes occur mostly due to change in the aerodynamic flow. There is decreased cilia movement and inferior turbinate hypertrophy. Thickness of inferior turbinate gains importance while septoplasty as, if thickened a lot, the inferior turbinate demands excision. The deviated nasal septum is associated with sinusitis, chronic suppurative otitis media and Eustachian tube dysfunction. Management involves sub mucus resection or septoplasty. Out of the two, septoplasty is preferred as it is a conservative surgery. Only symptomatic and cosmetically grossly disfigured cases require a surgical treatment while the asymptomatic cases are generally not indicated for surgery. This study tries to review the Classification, Clinical Features and Management of Deviated Nasal Septum.

Nasal Cytology in Radiofrequency Turbinate Volume Reduction

ORL ◽  
2021 ◽  
pp. 1-6
Author(s):  
Giancarlo Pecorari ◽  
Giuseppe Riva ◽  
Claudia Bartoli ◽  
Mattia Ravera ◽  
Valeria Dell’Era ◽  
...  
Keyword(s):  
Allergic Rhinitis ◽  
Effective Treatment ◽  
Nasal Obstruction ◽  
Nasal Mucosa ◽  
Inferior Turbinate ◽  
Volume Reduction ◽  
Nonallergic Rhinitis ◽  
Turbinate Hypertrophy ◽  
Nasal Cytology ◽  
Rhinitis Medicamentosa

Introduction: Radiofrequency turbinate volume reduction (RFTVR) is an effective treatment of inferior turbinate hypertrophy. RFTVR can reduce epithelial cell alterations in nasal mucosa. The aim of this observational study was to evaluate the effects of RFTVR on nasal obstruction and cytology, stratifying for different types of rhinitis. Methods: Nasal cytology and subjective nasal obstruction were evaluated on 113 patients before RFTVR (T0) and after 3 months (T1). The patients were divided into groups on the basis of the underlying disease: allergic rhinitis, nonallergic rhinitis, rhinitis medicamentosa, and other diseases (e.g., hormonal-based turbinate hypertrophy). Results: Nasal cytology at T0 identified 42 patients with allergic rhinitis, 40 with nonallergic rhinitis, 19 with rhinitis medicamentosa, and 12 with other diseases. An improvement of nasal cytology at T1 was observed in 29.2% of cases. They mainly consisted of patients with nonallergic rhinitis with neutrophils, whose neutrophil infiltrate decreased. Only 2 cases (1.7%) showed a worsening of nasal cytology at T1. A statistically significant decrease in subjective nasal obstruction was observed for every group (p < 0.05). Higher differences of nasal obstruction between T0 and T1 were found in patients with rhinitis medicamentosa or other diseases. Conclusion: RFTVR represents a safe and effective treatment for turbinate hypertrophy of various etiology. It is not responsible for a worsening of inflammatory infiltrate of the nasal mucosa.

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