Foreign body in the maxillary sinus. Surgical closure using the palatal pocket technique

Objective: to present a case report of a patient with a bucosinusal communication and its surgical resolution through the palatal pocket technique. Method: The patient came to the office reporting pain and passage of substances from the oral cavity to the nose. During inspection, a prosthetic reconstruction was observed, and in the multislice CT scan, the right maxillary sinus showed a lane to the alveolus of the second upper premolar. An irregular and diffuse foreign body was seen inside the maxillary sinus. Pre-surgical preparation: washes were performed through the fistula. Under general anesthesia, surgery was performed for the removal of the foreign body and plastic closure of the communication, using the palatal pocket technique. Resultsand conclusion: This technique ensured a tight closure of the communication and prevented reopening of the lesion. This was confirmed during postoperative controls

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Subconjunctival Mass as Rare Presentation of Even Rarer Intraocular Medulloepithelioma: A Case Report

Journal of Nepal Medical Association ◽

10.31729/jnma.5269 ◽

2020 ◽

Vol 59 (233) ◽

Author(s):

Santosh Chaudhary ◽

Vinayak Regmi ◽

Sangeeta Shah ◽

Purbesh Adhikari

Keyword(s):

Case Report ◽

Foreign Body ◽

Ct Scan ◽

Histopathological Examination ◽

Ciliary Epithelium ◽

Embryonal Tumor ◽

Rare Presentation ◽

Tender Mass ◽

The Right ◽

Pars Plicata

Medulloepithelioma is a rare childhood embryonal tumor arising from the non-pigmented ciliary epithelium of the pars plicata. We report a case of an 11-year-old male who presented with painless loss of vision of the right eye for the last three years and progressively increasing mass on the superior aspect of the globe for the last three months. On ocular examination, a firm, non-tender mass of 4cm x 3cm was noted in the superior aspect of the globe. CT-Scan of the orbit was suggestive of a foreign body with a haemorrhage or infection. The patient underwent enucleation with minimal manipulation. Histopathological examination of the enucleated globe revealed medulloepithelioma. The intraocular medulloepithelioma presentation is often late and masquerading, which may lead to extraocular extension and metastasis and ultimately unfavorable prognosis.

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Maxillary sinus aspergillosis: A case report of the timely failure to treatment

Iranian Journal of Microbiology ◽

10.18502/ijm.v11i4.1473 ◽

2019 ◽

Author(s):

Asma Beyki ◽

Mahmud Zardast ◽

Zahra Nasrollahi

Keyword(s):

Case Report ◽

Invasive Aspergillosis ◽

Maxillary Sinus ◽

Paranasal Sinuses ◽

Tooth Extraction ◽

Histopathological Examination ◽

Maxillary Sinusitis ◽

Eye Pain ◽

Lower Jaw ◽

The Right

Invasive aspergillosis of the paranasal sinuses is a rare and often misdiagnosed disease. This study reported a case of max- illary aspergillosis with a complete headache and eye pain after tooth extraction with a large abscess in the relative jaw. Tenderness in the right temporal, lower jaw numbness and right eye proptosis was found. Histopathological examination was the suggestion of maxillary sinusitis with a fungal ball of aspergillus.

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Squamous cell carcinoma of the right maxillary sinus associated with penicilliosis: a case report.

Japanese Journal of Oral & Maxillofacial Surgery ◽

10.5794/jjoms.44.58 ◽

1998 ◽

Vol 44 (1) ◽

pp. 58-60

Author(s):

Fujio ATSUTA ◽

Jiro KATO ◽

Hidetaka YOKOE ◽

Tsuneo MIYA ◽

Hideki TANZAWA ◽

...

Keyword(s):

Squamous Cell Carcinoma ◽

Case Report ◽

Cell Carcinoma ◽

Maxillary Sinus ◽

Squamous Cell ◽

The Right

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Virilization in a Girl with Adrenocortical Adenoma: A Case Report

Ibrahim Medical College Journal ◽

10.3329/imcj.v6i2.14736 ◽

2013 ◽

Vol 6 (2) ◽

pp. 70-72

Author(s):

Tahniyah Haq ◽

SM Ashrafuzzaman ◽

Zafar A Latif

Keyword(s):

Case Report ◽

Soft Tissue ◽

Adrenal Gland ◽

Ct Scan ◽

Dehydroepiandrosterone Sulfate ◽

Adrenocortical Adenoma ◽

Adrenal Carcinoma ◽

Mass Size ◽

The Right ◽

Androgen Levels

We present a case of Cushings syndrome and virilization in a 15 year old girl which was suspected to be due to an adrenal carcinoma. She presented with features of virilization in addition to those of hypercortisilism. Her high androgen levels especially dehydroepiandrosterone sulfate (DHEAS) were also in favor of an adrenal carcinoma. An unenhanced computerized tomography (CT) scan showed a mass (size: 5.3 cm) in the right adrenal gland with a soft tissue intensity of more than 10 HU which was suggestive of adrenal carcinoma. But, histopathology of the resected mass revealed a benign adrenocortical adenoma. DOI: http://dx.doi.org/10.3329/imcj.v6i2.14736 Ibrahim Med. Coll. J. 2012; 6(2): 70-72

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Case Report: retained gutta-percha as a cause for persistent maxillary sinusitis and pain

F1000Research ◽

10.12688/f1000research.3791.2 ◽

2014 ◽

Vol 3 ◽

pp. 81 ◽

Cited By ~ 1

Author(s):

Benjamin L. Hodnett ◽

Berrylin Ferguson

Keyword(s):

Case Report ◽

Oral Cavity ◽

Maxillary Sinus ◽

Chronic Sinusitis ◽

Maxillary Sinusitis ◽

Gutta Percha ◽

Sources Of Infection ◽

Chronic Maxillary Sinusitis

Dental sources of infection can produce acute and chronic maxillary sinusitis. In some cases, the source of the infection may be related to the presence of endodontic materials in the oral cavity. In this article, we report a case of retained gutta-percha in the maxillary sinus resulting in chronic sinusitis.

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Surviving a Self-inflicted Transorbital Pen Intrusion to the Cerebellum: Case Report

Journal of Neurological Surgery Part A Central European Neurosurgery ◽

10.1055/s-0041-1735859 ◽

2021 ◽

Author(s):

David Breuskin ◽

Ralf Ketter ◽

Joachim Oertel

Keyword(s):

Case Report ◽

Ct Scan ◽

Foreign Bodies ◽

Routine Procedure ◽

Low Velocity ◽

Foreign Objects ◽

Surgical Exposure ◽

The Right ◽

The Brain ◽

Do So

Abstract Background Although intracranial traumas by penetrating foreign objects are not absolute rarities, the nature of trauma, the kind of object, and its trajectory make them a one of a kind case every time they occur. Whereas high-velocity traumas mostly result in fatalities, it is the low-velocity traumas that demand an individualized surgical strategy. Methods We present a case report of a 33-year-old patient who was admitted to our department with a self-inflicted transorbital pen injury to the brain. The authors recall the incident and the technique of the pen removal. Results Large surgical exposure of the pen trajectory was considered too traumatic. Therefore, we opted to remove the pen and have an immediate postoperative computed tomography (CT) scan. Due to its fragility, the pen case could only be removed with a screwdriver, inserted into the case. Post-op CT scan showed a small bleeding in the right peduncular region, which was treated conservatively. The patient was transferred back to intensive care unit and woken up the next day. She lost visual function on her right eye, but suffered from no further neurologic deficit. Conclusion Surgical management of removal of intracranial foreign bodies is no routine procedure. Although some would favor a large surgical exposure, we could not think of an approach to do so without maximum surgical efforts. We opted for a minimal surgical procedure with immediate CT scan and achieved an optimal result. We find this case to be worth considering when deciding on a strategy in the future.

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A prickly situation: an attempted Caterpillar ingestion - case report

Journal of Otolaryngology - Head and Neck Surgery ◽

10.1186/s40463-020-00470-1 ◽

2020 ◽

Vol 49 (1) ◽

Author(s):

Amar K. Bhardwaj ◽

Naif Fnais ◽

Christopher J. Chin

Keyword(s):

Emergency Department ◽

Case Report ◽

Foreign Body ◽

Oral Cavity ◽

Direct Laryngoscopy ◽

Effective Technique ◽

Efficient Manner ◽

Case Presentation ◽

Tussock Moth ◽

Initial Method

Abstract Background Foreign body ingestion is a common problem in pediatrics. Each foreign body can present its’ own unique challenges during removal, and we present the management of an ingested Spotted Tussock Moth (Lophocampa maculata), more commonly known as a caterpillar. Case presentation An 18-month-old boy presented to the emergency department with difficulty handling secretions and odynophagia. It was reported he had placed a caterpillar in his mouth and then spat it out. On examination, hundreds of miniscule filaments (setae) were seen embedded in his lips and tongue. Our service was consulted out of concern for airway involvement. The patient was taken to the operating room where a direct laryngoscopy under general anesthesia with spontaneous ventilation was performed to confirm the setae were confined to the anterior tongue and lips. Once we were satisfied the airway was stable, the airway was secured, and we then began to remove the setae. The initial method used was to use Adson-Brown forceps to remove the setae, however this proved difficult and time-consuming given the volume of setae and how thin the setae were. Ultimately, a more effective technique was developed: a 4 × 4 AMD-RITMES® gauze was applied to the mucosa in order to dry up any secretions and then a piece of pink, waterproof BSN medical® tape was applied to the mucosa. After 3 s of contact it was removed. This technique was then repeated and was used to remove the vast majority of the setae. Conclusion To our knowledge, we have described the first technique to remove the caterpillar setae from the oral cavity mucosa in a fast, safe and efficient manner.

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Apicotomy as Treatment for Failure of Orthodontic Traction

Case Reports in Dentistry ◽

10.1155/2013/168232 ◽

2013 ◽

Vol 2013 ◽

pp. 1-5 ◽

Cited By ~ 2

Author(s):

Leandro Berni Osório ◽

Vilmar Antonio Ferrazzo ◽

Geraldo Serpa ◽

Kívia Linhares Ferrazzo

Keyword(s):

Case Report ◽

Maxillary Sinus ◽

Dentigerous Cyst ◽

Dental Arch ◽

Effective Technique ◽

Presumptive Diagnosis ◽

Tooth Position ◽

Sinus Infection ◽

Vitality Test ◽

The Right

Objective.The purpose of this study was to present a case report that demonstrated primary failure in a tooth traction that was subsequently treated with apicotomy technique.Case Report.A 10-year-old girl had an impacted upper right canine with increased pericoronal space, which was apparent on a radiographic image. The right maxillary sinus showed an opacity suggesting sinusitis. The presumptive diagnosis was dentigerous cyst associated with maxillary sinus infection. The plan for treatment included treatment of the sinus infection and cystic lesion and orthodontic traction of the canine after surgical exposure and bonding of an orthodontic appliance. The surgical procedure, canine position, root dilaceration, and probably apical ankylosis acted in the primary failure of the orthodontic traction. Surgical apical cut of the displaced teeth was performed, and tooth position in the dental arch was possible, with a positive response to the pulp vitality test.Conclusion.Apicotomy is an effective technique to treat severe canine displacement and primary orthodontic traction failure of palatally displaced canines.

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Vallecular cyst in an infant with stridor: a case report

Janaki Medical College Journal of Medical Science ◽

10.3126/jmcjms.v6i1.20578 ◽

2018 ◽

Vol 6 (1) ◽

pp. 58-62

Author(s):

Nabin Lageju ◽

Rajendra Prasad Sharma Guragain

Keyword(s):

Case Report ◽

Ct Scan ◽

Cystic Lesion ◽

Failure To Thrive ◽

Surgical Excision ◽

Infants And Children ◽

Solid Component ◽

Feeding Difficulties ◽

The Right ◽

In Infants And Children

Background and Objectives: Vallecular cysts are rare and generally asymptomatic. In infants and children they present with stridor, feeding difficulties, failure to thrive. Treatment is surgical excision with cautery or laser.Presentation of Case: We discuss the clinical, radiological presentation of a 7 months old child with vallecular cyst which was surgically treated with deroofing and marsupialisation with elecrocautery. There was no recurrence even up 2 years of follow-up.Discussion: Flexible nasopharyngolaryngoscopic examination was done which showed present of swelling in the left vallecula pushing the epiglottis posteriorly and to the right with narrowed normal endolarynx. Radiological investigations with CT scan showed cystic lesion noted in left side of neck with no septation and solid component. The lesion was extending to ipsilateral vallecula and paraglottic region with narrowing of endolarynx.Conclusion: Vallecular cyst is rare cause of noisy breathing in infants and children. In adults it is usually asymptomatic. Treatment of choice is marsupialization with electrocautery or laser.

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