scholarly journals Non-Endoscopic Endo-nasal Dacryocystorhinostomy in a Saddle shaped nose: A Case Report

2021 ◽  
Vol 13 (1) ◽  
pp. 152-156
Author(s):  
Binita Bhattarai ◽  
Koshal Shrestha ◽  
Laxmi Devi Manandhar
Keyword(s):  
Case Report ◽  
Physical Examination ◽  
Nasal Cavity ◽  
Laser System ◽  
Endoscopic Endonasal ◽  
Case Presentation ◽  
Tender Mass ◽  
Silicon Tube ◽  
Medial Canthal Tendon

Introduction: Non Endoscopic endo-nasal dacryocystorhinostomy retains the benefit of an Endo-nasal approach and can be done without using an expensive video endoscope or laser system. Case presentation: A 22 years old female presented with epiphora and medial canthal mass in her left eye, accompanied by discharge and recurrent conjunctival congestion since childhood. Physical examination revealed loss of height of the nose with discharge in her left eye, and am immobile and non-tender mass below the level of medial canthal tendon. On applying pressure over the lesion there was mucopurulent discharge from both the upper and lower punctum . The bridge of the nose was very flat and external dacryocystectomy was a challenge. A non-endoscopic endonasal dacryocystorhinostomy with silicon tube intubation was planned. During the procedure, the bone was lower than normal requiring more bone nibbling. Epiphora was resolved immediately after surgery. Conclusion: Non-Endoscopic endo-nasal dacryocystorhinostomy has the benefit of doing it through an endo-nasal approach without expensive and space consuming video-endoscope making more room for bone nibbling even in a narrow and deformed nasal cavity.

scholarly journals Nasal Epithelial Myoepithelial Carcinoma: An Unusual Cause of Epiphora, a Case Report and Review of the Literature

2015 ◽  
Vol 6 (2) ◽  
pp. ar.2015.6.0127 ◽  
Author(s):  
Juliette O. Flam ◽  
Christopher D. Brook ◽  
Rachel Sobel ◽  
John C. Lee ◽  
Michael P. Platt
Keyword(s):  
Case Report ◽  
Physical Examination ◽  
Nasal Cavity ◽  
Surgical Excision ◽  
Myoepithelial Carcinoma ◽  
Review Of The Literature ◽  
Nasal Symptoms ◽  
First Case ◽  
Nasal Tumor ◽  
Epithelial Myoepithelial Carcinoma

Introduction Epithelial myoepithelial carcinoma (EMC) of the nasal cavity is a rare tumor, and here we describe the first case of EMC of the nasal cavity presenting with epiphora. A case presentation and review of the literature is provided. Methods A case report is described of a 63-year-old man who presented with unilateral epiphora and was found via a thorough history and physical examination to have a nasal tumor. The physical examination consisted of an ocular examination, including probing and irrigation, and a detailed nasal examination (anterior rhinoscopy, nasal endoscopy). The nasal examination was prompted by the patient's report of concurrent nasal symptoms during history taking. Immunohistochemistry subsequently identified the nasal tumor as EMC. A literature search was performed to gain insights into similar malignancies of the nasal cavity. Results Eight cases of EMC of the nasal cavity were identified in the literature, none of the patients presented with epiphora. The case presented here resulted in resolution of the patient's symptoms and no evidence of disease after surgical excision. Conclusion Epithelial myoepithelial is a rare salivary gland malignancy that can arise in the nasal cavity. Unilateral epiphora with concurrent nasal symptoms should prompt nasal cavity examination for the possibility of an obstructive tumor.

scholarly journals Case report: 2 cases of cardiac arrest caused by rhino-cardiac reflex while disinfecting nasal cavity before endonasal transsphenoidal endoscopic pituitary surgery

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Wen Wang ◽  
Hongwei Cai ◽  
Huiping Ding ◽  
Xiaoping Xu
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Heart Rate ◽  
Cardiac Arrest ◽  
Case Report ◽  
Nasal Cavity ◽  
Pituitary Surgery ◽  
Case Presentation ◽  
Clinical Anesthesia ◽  
Vagus Reflex

Abstract Background Trigeminal-cardiac reflex (TCR) is a brainstem vagus reflex that occurs when any center or peripheral branch of the trigeminal nerve was stimulated or operated on. The typical clinical manifestation is sudden bradycardia with or without blood pressure decline. The rhino-cardiac reflex which is one type of TCR is rare in clinical practice. As the rhino-cardiac reflex caused by disinfection of the nasal cavity is very rare, we report these two cases to remind other anesthesiologists to be vigilant to this situation. Case presentation This case report describes two cases of cardiac arrest caused by rhino-cardiac reflex while disinfecting nasal cavity before endoscopic transsphenoidal removal of pituitary adenomas. Their heart rate all dropped suddenly at the very moment of nasal stimulation and recovered quickly after stimulation was stopped and the administration of drugs or cardiac support. Conclusion Although the occurrence of rhino-cardiac reflex is rare, we should pay attention to it in clinical anesthesia. It is necessary to know the risk factors for preventing it. Once it occurs, we should take active and effective rescue measures to avoid serious complications.

scholarly journals Extensive nasopharyngeal angiofibroma – case report

1970 ◽  
Vol 15 (2) ◽  
pp. 75-77
Author(s):  
M Alamgir Chowdhury ◽  
Mousumi Malakar ◽  
SM Golam Rabbani ◽  
Naseem Yasmeen ◽  
Shahidul Islam
Keyword(s):  
Case Report ◽  
Physical Examination ◽  
Nasal Cavity ◽  
Neck Region ◽  
Lateral Rhinotomy ◽  
Male Population ◽  
Vascular Neoplasm ◽  
Nasopharyngeal Angiofibroma ◽  
Recurrent Epistaxis ◽  
History Of

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

scholarly journals Multiple ileo-ileal intussusception associated with duodenal atresia in a 5-day-old infant: case report

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Gilang Vigorous Akbar Eka Candy ◽  
Supangat Supangat
Keyword(s):  
Case Report ◽  
Physical Examination ◽  
Plain Radiograph ◽  
Outlet Obstruction ◽  
Duodenal Atresia ◽  
Significant Morbidity ◽  
Case Presentation ◽  
Distended Abdomen ◽  
Infant Case ◽  
Infants And Young Children

Abstract Background Intussusception is the most common intestinal obstruction among infants and young children. Most of the pediatric cases are ileo-cecal, while jejuno-jejunal and ileo-ileal combined contribute only 2.5% of the cases. Case presentation A 5-day-old child presented with recurrent non-bilious vomiting since birth. Physical examination revealed a slightly distended abdomen. A plain radiograph revealed a countable bubble appearance. The initial clinical diagnosis was gastric outlet obstruction. During surgery, we discovered multiple ileo-ileal intussusception associated with duodenal atresia. We manually reduced the intussusceptions and bypassed the duodenal atresia using Kimura’s procedure. We did not find any significant morbidity in the post-operative phase. Conclusion Multiple ileo-ileal intussusception rarely associates with duodenal atresia. In our case report, the intussusceptions might be indirectly caused by duodenal atresia through various pathophysiology. Other unusual findings also supported this suggestion.

scholarly journals Diffuse Skin Tightness in Familial Mediterranean Fever: A Case Report and Review of Literature

2015 ◽  
Vol 4 (4) ◽  
pp. 169-72
Author(s):  
Elham Behrangi ◽  
Nasrin Shayanfar ◽  
Hadi Mohagheghian Yaghoubi ◽  
Saman Aghabekloo ◽  
Zahra Azizian
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Systemic Sclerosis ◽  
Familial Mediterranean Fever ◽  
Physical Examination ◽  
Autosomal Recessive ◽  
Review Of Literature ◽  
Case Presentation ◽  
Tight Skin ◽  
Mediterranean Fever

Introduction: Familial Mediterranean Fever (FMF) is an autosomal recessive inherited disorder that has skin presentations like vasculitis and paniculitis. There has not been shown any association between systemic sclerosis and FMF in studies. Hence, we report a case of FMF with diffuse skin tightness. Case Presentation: An 18-year-old girl known as a case of FMF for 3 years presents to our department with tight skin since childhood. The stiffness of skin appeared when she was about 7 years old. In physical examination, tight skin with general induration in all surfaces of skin, sclerodactyly and beaked nose microstomia are noticed. The findings of all hematological, biochemical and pathological studies were normal. Conclusion: Finally, it may be concluded that FMF should be considered as a differential diagnosis in patients attending with skin tightness and the possible etiology is cytokines. [GMJ.2015;4(4):169-72]

scholarly journals Fournier’s gangrene following an ant bite in a healthy man: A very rare case report

2020 ◽  
Vol 6 (2) ◽  
pp. 115-117
Author(s):  
Abbas Edalatkhah ◽  
Mohammad Ali Jafari ◽  
Sima Valizadeh ◽  
Alireza Esmaeili ◽  
Ehsan Zarepur
Keyword(s):  
Case Report ◽  
Physical Examination ◽  
Antibiotic Therapy ◽  
Rare Case ◽  
Saline Solution ◽  
Fournier’S Gangrene ◽  
Fournier's Gangrene ◽  
Case Presentation ◽  
Rare Case Report ◽  
Extensive Necrosis

Objective: Necrotizing fasciitis of the perinea, referred to as Fournier’s gangrene, is a necrotizing infection of the perinea. To the best of our knowledge, there is no report on the Fournier’s gangrene following an ant bite and this is a rare case report of this type. Case Presentation: In this rare case report we describe a 20-year-old man who developed Fournier’s gangrene following an ant bite which resulted in his death. He sustained numerous ant bites in the perinea. Subsequently, he suffered from itching of the area and had scratched the area frequently leading to dermal ulcers and laceration, pain, and swelling of the scrotal area followed by fever and diminished consciousness. Finally, he presented to the emergency room (ER) after 72 hours of ant bites with a shock. Physical examination revealed extensive necrosis of scrotum. The primary treatments including antibiotic therapy, normal saline solution, and dopamine were not effective. Conclusion: Even a simple nonpoisonous insect bite can lead to Fournier’s gangrene and death. Paying greater attention to the site of bite, especially in the perinea which is anatomically more susceptible to infection, observing hygienic principles, and quick access to healthcare centers may prevent the patient’s death.

scholarly journals Giant vulva fibroma presenting as a genital mass: a case report

2020 ◽  
Vol 21 (2) ◽  
pp. 1-6
Author(s):  
Edgar Ndaboine ◽  
Dismas Matovelo ◽  
Arnold Itemba ◽  
Cosmas Mbulwa
Keyword(s):  
Case Report ◽  
Physical Examination ◽  
Spinal Anesthesia ◽  
Surgical Excision ◽  
Well Being ◽  
Hormonal Changes ◽  
Case Presentation ◽  
Limited Mobility ◽  
The Right ◽  
Unusual Finding

Introduction: Even though vulva fibroma is rare, it is among the solid tumors of the vulva. Its cause is unknown although it has been associated with physiological hormonal changes. We report a patient with a unique vulva fibroma which has grown to the extent of interfering with her gait and urination. Case presentation: A 22-year-old woman presented with a genital mass which had been present for the duration of 2 years and felt embarrassed to report to the hospital early as the growth was in the genital area, with the perception of it being a sexually related illness, despite having not yet started engaging in sexual activity. On physical examination, a palpable pendulous mass of about [30 x 22] cm was seen originating from the right labia and extending to the right perineum. The mass was firm, nodulated, non-tender and had limited mobility. Surgical excision was performed under spinal anesthesia. Histologically, features suggestive of mixoid fibroma were reached after the mass was excised.  No recurrence has been observed. Conclusion: Clinicians should be aware of this rare disease which can be associated with recurrence if there is incomplete excision. Again, the unusual finding of the genital mass can be very embarrassing to the patient affecting her psychosocial well-being. It needs to be treated immediately upon diagnosis.  

scholarly journals Fabricating A Maxillofacial Prosthesis with A Novel Suspension Technique for A Person with Exenteration: A Case Report

2021 ◽  
Keyword(s):  
Case Report ◽  
Nasal Cavity ◽  
New Method ◽  
Significant Problem ◽  
Clinical Report ◽  
Lesion Area ◽  
Case Presentation ◽  
Maxillofacial Prosthesis ◽  
The Face ◽  
Frontal Sinuses

Introduction: Making a prosthesis is challenging for people who have lost an eye and parts of their cheekbones and nasal tissues. Suspending the prosthesis is a significant problem because of the open nasal cavity and the vast lesion area on the face. Case Presentation: This case report describes a new suspension technique used for a maxillofacial prosthesis on a person who had an exenterated left eye and parts of his maxillary and frontal sinuses had been removed due to infection. Since the sinus and nasal cavities were exposed, we could not use the conventional methods (anatomical, mechanical, chemical, and surgical) for suspending the prosthesis. Therefore, a new prosthetic suspension technique was used to solve this problem. Conclusion: In this clinical report, we used an optimal and effective method to make a prosthesis that can be used in similar cases of eye loss and extensive loss of the face. This new method does not need adhesives and minimizes the donning and doffing time of the prosthesis.

scholarly journals Is orchiectomy avoidable in testicular tuberculosis mimicking malignancy? A case report

2021 ◽  
Vol 27 (1) ◽  
Author(s):  
Youssef Kharbach ◽  
Youssef Retal ◽  
Abdelhak Khallouk
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Family History ◽  
Physical Examination ◽  
Testicular Cancer ◽  
Testicular Tumor ◽  
Pathologic Examination ◽  
Case Presentation ◽  
Scrotal Swelling ◽  
Firm Mass

Abstract Background Isolated testicular tuberculosis (TB) is extremely uncommon. It has non-specific presentation; thus, diagnosis is challenging and is often discovered on pathology examination after orchiectomy. Case presentation We report herein the case of a 73-year-old male, with no significant medical or family history, who presented with left scrotal swelling, physical examination revealed a left testicular firm mass measuring 3 cm and ultrasound was suggestive of testicular tumor. Left inguinal orchiectomy was performed and the pathologic examination revealed testicular TB. The presentation was typically mimicking a testicular cancer with no evocative evidence of TB; this can lead to a dilemma and highlights the need to consider TB in differential diagnosis of testicular tumor, especially in areas endemic for the disease. Conclusions The aim of our presentation is to argue if orchiectomy was avoidable. It also illustrates the probable hematogenous or lymphatic spread of Mtb to the testicle.

scholarly journals Endoscopic endonasal resection of a nasal meningoencephalocele - Case report

2017 ◽  
Vol 7 (28) ◽  
pp. 235-239
Author(s):  
Vlad Budu ◽  
Tatiana Decuseara ◽  
Andreea Nicoleta Costache ◽  
Loredana Ghiuzan ◽  
Monica Hodor ◽  
...  
Keyword(s):  
Case Report ◽  
Nasal Cavity ◽  
Skull Base ◽  
Nasal Obstruction ◽  
Surgical Excision ◽  
Normal Closure ◽  
Endoscopic Endonasal ◽  
Skull Base Defect ◽  
Mild Headache

AbstractNasal meningoencephaloceles are rare findings, represented by protrusions of intracranial contents into the nasal cavity. They present as unilateral masses, and commonly determine unilateral nasal obstruction, rhinorrhea and non-characteristic headaches.We present the case of a 34-year-old patient diagnosed with a posttraumatic transethmoidal meningoencephalocele. The patient presented with unilateral nasal obstruction, mild headache and episodic watery rhinorrhea. The treatment was endoscopic endonasal surgical excision and repair of the skull base defect, in a mixt ENT-neurosurgical team. Patient follow-up showed no remaining mass or symptoms and normal closure of the skull base defect.

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