Effect Analysis of Ice Pack Cold Compress Time on Relieving Pain of Patients with Nasal Cavity Tamponade after Nasal Endoscopy

Severe atrophy of the maxillary anterior region may make implant placement difficult and as a result, iatrogenic complications such as nasal floor perforation may occur. The purpose of this case report is to present radiographic and nasal endoscopic features in the anterior nasal floor when dental implants were inadvertently perforated into nasal cavities. Between 2003 and 2018, four patients recorded with anterior nasal floor perforation with dental implants were followed and reviewed with panoramic radiographs and cone-beam computed tomography. Also, nasal endoscopic examinations were performed by one otolaryngologist. Four implants in four patients were included in this case report. All implants achieved osseointegration and survived for 5-23 years without clinical complications. Three implants did not show any mucosal thickening and only one had minor mucosal thickening as visible on the radiographs. Nasal endoscopy examinations revealed that three implants were covered with mucosa and one had threads exposed. Intraorally, only one had clinical signs of peri-implant mucositis. Dental implants that perforated into the anterior nasal floor did not show clinical, radiographic, and nasal endoscopic complications during the long-term follow-up period. Nasal endoscopy was a better diagnostic tool to evaluate the implants perforated into the nasal cavity than conventional panoramic or cone-beam computed tomography.

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Sphenochoanal polyp

IP Journal of Otorhinolaryngology and Allied Science ◽

10.18231/j.ijoas.2021.025 ◽

2021 ◽

Vol 4 (3) ◽

pp. 127-129

Author(s):

Ankita Yadav ◽

Ginni Datta ◽

Amarjeet

Keyword(s):

Nasal Cavity ◽

Nasal Obstruction ◽

Sphenoid Sinus ◽

Sinus Surgery ◽

Nasal Endoscopy ◽

Antrochoanal Polyp ◽

Polypoidal Mass ◽

Rare Tumours ◽

Sphenochoanal Polyp ◽

The Right

Sphenochoanal polyp are rare tumours arising from sphenoid sinus. The main presenting complain is gradually progressing nasal obstruction. Sphenochoanal polyp mimics antrochoanal polyp clinically. To differentiate it from antrochoanal polyp, diagnostic nasal endoscopy, computer tomography and magnetic resonance imaging of the paranasal sinuses are the investigation of choice. Functional endoscopic sinus surgery is the line of treatment.: A 33years old female presented with right nasal obstruction since 2 years. On Diagnostic nasal endoscopy polypoidal mass was seen partially obliterating the right nasal cavity not arising from middle meatus. CT scan showed polypoidal mass obliterating the nasal cavity, choana and Sphenoid sinus. It was completely excised by functional endoscopic surgery.We present this rare case to highlight the use of diagnostic nasal endoscopy and Computed Tomography in the diagnosis and treatment of Sphenochoanal polyps

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Surgery with Post-Operative Endoscopy Improves Recurrence Detection in Sinonasal Malignancies

Annals of Otology Rhinology & Laryngology ◽

10.1177/00034894211011449 ◽

2021 ◽

pp. 000348942110114

Author(s):

Gurston Gordon Nyquist ◽

Prachi N. Patel ◽

Swar Vimawala ◽

Chandala Chitguppi ◽

Tawfiq Khoury ◽

...

Keyword(s):

Nasal Cavity ◽

Paranasal Sinuses ◽

Tumor Recurrence ◽

Retrospective Chart Review ◽

Physical Exam ◽

Nasal Endoscopy ◽

Radiologic Evaluation ◽

Time To Recurrence ◽

Sinonasal Malignancies ◽

Operative Endoscopy

Objective: The mainstay of treatment in sinonasal malignancy (SNM) is surgery, and when combined with chemoradiation therapy, often leads to the best overall prognosis. Nasal endoscopy is essential for post-treatment surveillance along with physical exam and radiologic evaluation. The ability to directly visualize the sinus cavities after surgery may also improve early detection of tumor recurrence and is another reason to potentially advocate for surgery in these patients. Methods: A retrospective chart review of medical records of patients with pathologically proven SNM was conducted from 2005 to 2019. Results: The nasal cavity and maxillary sinus were the most common primary tumor sub-sites. The most common pathology was squamous cell carcinoma (42%). The median time to recurrence was 9.8 months. Recurrence was initially detected endoscopically in 34.3% patients, by imaging in 62.7% patients, and by physical exam in 3.0% patients. 67 (29%) total recurrences were detected on follow-up, of which 46 (68.7%) were local. Twenty-three of the local recurrences were identified via nasal endoscopy. Thirteen recurrences were identified via endoscopic surveillance within the surgically patent paranasal sinuses while 13 were identified within the nasal cavity; 5 patients had multiple sites of recurrence. Conclusion: Local recurrence of SNM is the most common site for recurrent disease and nasal endoscopy identified half of these cases. 50% of these recurrences were within the paranasal sinuses and would not have been easily identified if the sinuses were not open for inspection. Thus, open sinus cavities aid in the detection of tumor recurrence and is another advantage of surgery in the management of SNM.

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The inhalation antibioticotherapy of acute bacterial rhinosinusitis

Medical Council ◽

10.21518/2079-701x-2018-20-50-54 ◽

2018 ◽

pp. 50-54 ◽

Cited By ~ 1

Author(s):

I. B. Angotoeva ◽

D. S. Pshennikov

Keyword(s):

Antibiotic Therapy ◽

Nasal Cavity ◽

Paranasal Sinuses ◽

Hospital Admissions ◽

Treatment Options ◽

Nasal Endoscopy ◽

Inhalation Therapy ◽

Systemic Antibiotic Therapy ◽

Acute Bacterial Rhinosinusitis ◽

Active Anterior Rhinomanometry

Epidemiological studies conducted throughout the world show that the inflammatory diseases of the nasal cavity and paranasal sinuses are the leading cause of otorhinolaryngology (ENT) hospital admissions and outpatient clinic referral. Although the most common cause of acute rhinosinusitis is viral infection, antibiotics are prescribed in more than 80% of cases, which may lead to the development of antimicrobial resistance. The topical inhalation therapy with the inhalation Complex «PARI SINUS device» (сompressor and nebulizer) may provide better treatment options for patients who suffer from the diseases of the nasal cavity and paranasal sinuses. Purpose of the study is to evaluate the efficacy of topical inhalation treatment of acute bacterial rhinosinusitis using pulsating aerosol in comparison with systemic antibiotic therapy. Materials and methods. 60 adult patients at the age from 19 to 62 years with the diagnosis uncomplicated moderate acute bacterial rhinosinusitis has been included in opened randomized controlled trial. 30 patients have been with the inhalation therapy by the combined drug Fluimucil® antibiotic IT (thiamphenicol glycinate acetylcystein, Zambon) using PARI SINUS device during 7 days. Controls – 30 patients have been treated with antibiotic therapy of acute bacterial rhinosinusitis using 875/125 mg oral amoxicillin/clavulanate twice daily for 7 days. The result was evaluated by the dynamics of the symptoms of acute bacterial rhinosinusitis (nasal congestion, blockage, facial pain and reduction of smell), active anterior rhinomanometry and nasal endoscopy. Results. For main symptoms of acute bacterial rhinosinusitis was no significant benefit of antibiotic therapy as compared to topical inhalation therapy using pulsating aerosol. Both treatment options were effective against acute bacterial rhinosinusitis, which is confirmed by the improvement of symptoms, active anterior rhinomanometry and nasal endoscopy. Conclusion. The topical nebulizer therapy of acute bacterial rhinosinusitis may provide better treatment options, because systemic antibiotics can be associated with different adverse effects.

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Endoscopic evaluation of bleeding points in epistaxis: a cross sectional study

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20173131 ◽

2017 ◽

Vol 3 (4) ◽

pp. 923

Author(s):

Baneesh A. B.

Keyword(s):

Nasal Cavity ◽

Middle Turbinate ◽

Lateral Wall ◽

Cross Sectional Study ◽

Vital Role ◽

Nasal Endoscopy ◽

Nasal Endoscope ◽

Cross Sectional ◽

Bleeding Point ◽

The Common

Background: Epistaxis is one of the most common emergencies that come to casualty department and of which some are difficult to treat. Rigid nasal endoscopy plays a paramount role in managing epistaxis. The present study was done to map bleeding points with regard to its location, to identify the common areas and to discover the hidden areas. Methods: 56 patients with epistaxis were examined using nasal endoscope under local anaesthesia. Only those patients in whom, the cause for epistaxis could not be made out on anterior and posterior rhinoscopy were included in the study. Results: 18 (32%) patients had bleeding point in right side and 24 (42.8%) patients it was in left side. 51.7% patients had bleeding point located on medial wall of nasal cavity and 19.6% patients had bleeding points on lateral wall of nasal cavity. Conclusions: Nasal endoscopy plays a vital role in management of epistaxis. Most common bleeding point locations are on septum, near middle turbinate area.

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