ABSTRACT
Isolated sphenoid sinus mucoceles are rare. Patients who have these lesions can present with several different symptoms and signs such as headache, nasal symptoms, and cranial nerves 2, 3, 4, and 6 palsies. Isolated oculomotor nerve palsy is not a common presenting symptom of sphenoid sinus mucocele. However, exclusion of sphenoid sinus mucocele should be made when the patient presents with isolated oculomotor nerve palsy. A case of sphenoid sinus mucocele with isolated oculomotor nerve palsy is presented with review of the literature. The oculomotor nerve function in this patient completely recovered after endoscopic sphenoidectomy.
Subject(s)
Diagnosis, Differential , Endoscopy , Female , Follow-Up Studies , Humans , Magnetic Resonance Imaging , Middle Aged , Mucocele/diagnosis , Oculomotor Nerve Diseases/diagnosis , Sphenoid Sinus/pathology , Tomography, X-Ray Computed , Treatment OutcomeABSTRACT
Toxic shock syndrome (TSS) is a severe, potentially life-threatening multisystem disease. It is rather rare with the incidence estimated to be 16.5/100,000 of nasal surgery performed in the United States. A milder degree of TSS may be more common. Surgeons who perform sino-nasal surgery should be aware of this disease, although certain criteria for definite TSS are absent. Early recognition and prompt intervention is important to minimize the morbidity and mortality associated with this disease. This paper presents the first reported case of a milder degree of TSS after anterior-posterior nasal packing in Thailand. The criteria for diagnosis, the pathogenesis, and the management of TSS were reviewed.
Subject(s)
Bandages/adverse effects , Epistaxis/therapy , Humans , Male , Middle Aged , Shock, Septic/etiologyABSTRACT
Osseous choristoma represents the dense, mature, bony tissue in an abnormal location. We reported three cases of lingual osseous choristoma, herein, a year after the report of eight cases in 1998. All three lesions were at or close to the foramen caecum. The lesions were smooth, round or lobulated and pedunculated in shape and stony hard in consistency. All of them were preoperatively diagnosed, based on the above unique clinical findings without any radiography. The lesions were simply excised without local recurrence.