Relationship between plasma cyclin-dependent kinase 5 levels and local immunoglobulin levels in patients with nasal polyps

Nasal polyps are the most common benign nasal tumors that can lead to nasal obstruction and other annoying problems for the patient. Several hypotheses have been proposed as the basic mechanism of nasal polyps. In order to investigate one of the possible causes that can be a disorder in the regulation of systemic immune responses, the present study was designed to investigate the relationship between plasma cyclin-dependent kinase 5 (CDK5) levels and local immunoglobulin levels in patients with nasal polyps. A cross-section study was used to evaluate concentrations of local immunoglobulin levels (IgE, IgM, IgA, and IgG) on blood and polyp specimens from 60 patients with nasal polyps, and 60 control groups. Western Blot Analysis was done for CDK5 in plasma cells. IgA, IgG and IgE concentrations were significantly higher in polyp tissue specimens, but not in blood, of nasal polyp patients compared to the control group. Furthermore, plasma CDK5 levels were significantly higher in nasal polyp tissue compared with control. The difference in IgA, IgE and IgG expression between nasal polyp tissue and blood, supported by increased numbers of plasma cells, suggests a local production of these local immunoglobulins in nasal polyps in response to chronic antigens. Among local immunoglobulins, only there was a significant correlation between CDK5 with IgG (positive correlation) and IgE (negative correlation). The exact explanation for the relationship between plasma CDK5 and local immunoglobulins in nasal polyps needs further studies.

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

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.

Endoscopic Resection of a Massive Pleomorphic Adenoma of the Nasal Septum

Pleomorphic adenoma is a benign tumor that commonly arises from the major salivary glands, such as the parotid and submandibular glands. However, they rarely originate from the nasal cavity. Herein, we describe the case of a 49-year-old woman who presented with nasal obstruction. Preoperative evaluation revealed a giant pleomorphic adenoma attached to the nasal septum. Transnasal endoscopic removal was successfully performed using a specimen retrieval bag. We performed an endoscopic complete en-bloc resection of a large pleomorphic adenoma in the nasal cavity, using a specimen retrieval bag. There were no complications seen, no local recurrences after 2 years of follow-up, and the patient satisfaction was high. We therefore recommend that this technique of using specimen retrieval bags can be favorably utilized for endoscopic removal of large nasal tumors like pleomorphic adenoma.

Reconstruction after big nasal tumors

This article comes as a presentation of the clinical experience in the plastic surgery department. Gather the experience of 3 clinical cases, more representative, with different histopathological tumors, of important dimensions that occupied a large part of the facial anatomical unit, the nose. The article is structured by presenting the risk factors that are the causes of malignant lesions and by recalling the therapeutic options and general principles of addressing large lesions. Malignant lesions that occur most frequently in the nose are reviewed. We consider that it is a serious health problem, with various consequences, of a functional nature, which can affect the airways and aesthetically that can lead to a reconsideration of self-respect and the perception of the affected person towards his peers. The approach of the cases was done sequentially. The first surgical stage involved the excision of the lesion with the oncological safety limit, the defect being larger than the lesion and the more elaborate therapeutic options on the reconstruction scale. The first operative stage ended each time with covering the defect with a graft to have the confirmation of the histopathological examination, free of the tumor. The second stage of the treatment involved lifting the flap and accommodating it. The last surgical stage involved the sectioning of the pedicle and its reintegration into the donor area.

Abatement of formaldehyde with photocatalytic and catalytic oxidation: a review

Formaldehyde is one of the vital chemicals produced by industries, transports, and domestic products. Formaldehyde emissions adversely affect human health and it is well known for causing irritation and nasal tumors. The major aim of the modern indoor formaldehyde control study is in view of energy capacity, product selectivity, security, and durability for efficient removal of formaldehyde. The two important methods to control this harmful chemical in the indoor environments are photocatalytic oxidation and catalytic oxidation with noble metals and transition metal oxides. By harmonizing different traditional photocatalytic and catalytic oxidation technologies that have been evolved already, here we give a review of previously developed efforts to degrade indoor formaldehyde. The major concern in this article is based on getting the degradation of formaldehyde at ambient temperature. In this article, different aspects of these two methods with their merits and demerits are discussed. The possible effects of operating parameters like preparation methods, support, the effect of light intensity in photocatalytic oxidation, relative humidity, etc. have been discussed comprehensively.

Extramedullary Plasmacytoma of Nasal Cavity: A Case Report and Literature Review

Extramedullary plasmacytoma (EMP) is a tumor characterized by plasma cell proliferation in organs or tissues outside the bone marrow. It originates from B lymphocytes and can occur in all extramedullary tissues and organs of the body. Primary EMPs of the nasal cavity are relatively rare and mostly presented as case reports. Nasal EMP usually manifests as nasal obstruction, epistaxis, and progressive dyspnea. A 64-year-old man was admitted to our hospital because of rhinorrhagia with nasal obstruction. Computed tomography (CT) revealed a mass in the right nasal passage, which we resected under nasal endoscopy. At the 2-year follow-up, positron emission tomography/CT showed osteolytic bone destruction in the third cervical vertebra and its accessories, accompanied by increased metabolism. We considered the possibility of progression to myeloma, but the patient refused another puncture biopsy. We reviewed the literature for the clinical characteristics and CT findings of 14 patients pathologically confirmed with EMPs of the nasal cavity. All patients had nonspecific clinical manifestations, such as nasal obstruction and epistaxis. Computed tomography mostly showed a uniform-density polypoid mass in the nasal cavity. Therefore, nasal EMP should be included in the differential diagnosis of nasal polyps and other nasal tumors.

Radiographic, Computed Tomographic and Cellular Phenotypic Features of Primary Nasal Transmissible Venereal Tumors in Four Dogs

Primary nasal canine transmissible venereal tumor (CTVT) is a rare disease, developed by allografted transmission of neoplastic cells in the nasal cavity. The disease reported quite uncommonly in free roaming dogs with social behaviour of excessive licking and vigorously sniffing the affected parts of the other dogs in an endemic community. A non-resolving chronic epistaxis and/or serosanguinous discharge from nares is a common historical complaint. Usually, cytology of the nasal discharge/epistaxis or fine-needle aspiration (FNA) of nasal tissue is sufficient for definitive diagnosis. Currently, computed tomography scan (CT-scan) is the best modality to check the invasiveness of the disease and perform modified Adams staging of canine nasal tumors. In present study, all four dogs have stage-4 nasal tumors, due to the complete or partial lysis of the cribriform plate and lymphocytoid plasmacytoid (mixed) phenotype of the neoplastic cells based on the cellularity of cytological samples. All four dogs responded well to five cycles of vincristine sulphate and recovered completely from presented clinical signs. Prognosis is good based on the findings of present study.

Pain relief in a patient with massive sino-nasal tumor

Maxillofacial neoplasms, though relatively rare, are potentially devastating tumors, that may require medical or surgical intervention. Among all the head and neck tumors, sino-nasal tumors make up 3%. Such tumors can be very vascular as well as extremely painful. Conventional analgesic treatment in a cascading manner usually proves to be inadequate and unsatisfactory