ABSTRACT
Fibrous dysplasia is a benign pathological condition of bone in which fibrous tissue gradually expands and replaces normal bone. Histologically, it shows various degrees of osseous metaplasia. Fibrous dysplasia frequently affects the maxilla, frontal bone, and mandible. The sign and symptoms of fibrous dysplasia of head and neck vary and are related to the location and extent of bony abnormalities. Facial asymmetry is the most common sign of fibrous dysplasia, while pain and ocular proptosis are the next most frequent symptoms. Fibrous dysplasia is rare in the nasal cavity, especially involving the turbinate and nasal septum. So we report a case of fibrous dysplasia, which extensively involves the middle turbinate and nasal septum, with a review of literature.
Subject(s)
Exophthalmos , Facial Asymmetry , Frontal Bone , Head , Mandible , Maxilla , Metaplasia , Nasal Cavity , Nasal Septum , Neck , TurbinatesABSTRACT
Infestation of tissue by fly larvae is termed myiasis, and it is unusual in humans. Nasal myiasis is common in low socioeconomic status individuals due to poor nasal hygiene. It commonly affects the skin and rarely the nasal and paranasal sinuses. Recently an 82-year-old female was admitted to the emergency department because of discharge of live maggots from the nasal cavity. She had been diagnosed with brain infarction and Alzheimer's disease several years previous. We successfully removed all the maggots from the patient's nasal cavity and sinuses via endoscopic surgery under local anesthesia. Subsequently, the patient's nasal problem resolved completely.
Subject(s)
Aged, 80 and over , Female , Humans , Alzheimer Disease , Anesthesia, Local , Brain Infarction , Cerebral Infarction , Diptera , Emergency Service, Hospital , Hygiene , Larva , Myiasis , Nasal Cavity , Paranasal Sinuses , Skin , Social ClassABSTRACT
BACKGROUND AND OBJECTIVES: The purpose of this study was to share our clinical experience on the use of bioresorbable poly L-/DL-lactide 70/30 implant to repair blow out fracture. SUBJECTS AND METHOD: The medical records of 130 patients with orbital fractures that were treated surgically from June 2006 to February 2011 were reviewed retrospectively. Patients who had diplopia or limited extraocular motion, significant Enophthalmos (>2 mm), or a large orbital wall fracture on a computed tomographic scan were enrolled for the study. We investigated diplopia, limited extraoacular motion, enophthalmos before and after surgery. RESULTS: The mean postoperative follow-up was 28 months. There was no evidence of sinus infection related to the implant. However, six patients showed dislocation of orbital implant in the nasal cavity. After six postoperative months, diplopia was seen in 1 (2%) patient, and significant enophthalmos was seen 2 (2%) patients. We carried out re-operation on six cases and the main cause was incomplete reduction or over reduction. CONCLUSION: Bioresorbable poly L-/DL-lactide 70/30 implants are safe and reliable for the reduction for blowout fracture.
Subject(s)
Humans , Diplopia , Joint Dislocations , Enophthalmos , Follow-Up Studies , Medical Records , Nasal Cavity , Orbit , Orbital Fractures , Orbital Implants , Retrospective StudiesABSTRACT
Fungus ball is commonly found in the paranasal sinus, mostly in the maxillary, followed by sphenoid, ethmoid and frontal sinuses in order of frequency. However, fungus ball in the nasal cavity is extremely rare. In the present case, fungus ball in the nasal cavity was so large that it destroyed the nasal septum and caused nasal septal perforation. We report a rare case of fungus ball in the nasal cavity in a 60-year-old woman, who was successfully treated by nasal endoscopic surgery.