ABSTRACT
Mucoceles are relatively common cystic lesions of the paranasal sinuses. However, mucocele of the nasal septum is extremely rare. We report a case of a mucocele present in this unusual location. Mucocele of the nasal septum should be considered in the differential diagnosis of a mass of the nasal septum and/or median canthal region. Nasal septal mucocele can be effectively treated with endoscopic marsupialization or complete excision.
Subject(s)
Diagnosis, Differential , Mucocele , Nasal Septum , Paranasal SinusesABSTRACT
Amyloidosis is a condition of abnormal deposition of extracellular insoluble fibrillar proteins, termed amyloid, in tissue and organs throughout the body. Systemic amyloidosis, consisting of light amyloid protein (AL protein), the spectrum of multiple myeloma and plasmacytoma, is categorized as a primary amyloidosis; secondary amyloidosis consists of an acute phase reactant serum amyloid A protein (AA protein), which is associated with neoplasm. Amyloid involvement of the tongue is almost always secondary to systemic AL amyloidosis. Macroglossia due to amyloid depositions can lead to serious airway obstruction. We report a case of a 68-year-old woman suffering from dyspnea due to macroglossia. She was diagnosed with amyloidosis associated with multiple myeloma.
Subject(s)
Female , Humans , Airway Obstruction , Amyloid , Amyloidosis , Dyspnea , Light , Macroglossia , Multiple Myeloma , Plaque, Amyloid , Plasmacytoma , Proteins , Serum Amyloid A Protein , Stress, Psychological , TongueABSTRACT
Guillain-Barre syndrome (GBS) presenting as bilateral vocal cord paralysis is extremely rare. We report an unusual case of GBS in which the patient manifested hoarseness resulting from bilateral vocal cord paralysis. In conclusion, GBS needs to be considered as possible causes of new onset bilateral vocal cord paralysis. We emphasize that early recognition of atypical presentations of GBS warrants further evaluation and appropriate management.
Subject(s)
Humans , Guillain-Barre Syndrome , Hoarseness , Vocal Cord Paralysis , Vocal CordsABSTRACT
We present a case of huge nasal polyp with metaplastic ossification, which obstructed left nasal cavity and nasopharynx, and provoked both nasal obstruction and sleep apnea. The patient had a history of previous sinus surgery at local hospital 30 years ago. Nasal polyp with metaplstic ossification was removed by endoscopic sinus surgery. This case highlights the importance of including metaplastic ossification of nasal polyp in the differential diagnosis of nasal cavity mass.
Subject(s)
Humans , Diagnosis, Differential , Metaplasia , Nasal Cavity , Nasal Obstruction , Nasal Polyps , Nasopharynx , Sleep Apnea SyndromesABSTRACT
We present a case of huge nasal polyp with metaplastic ossification, which obstructed left nasal cavity and nasopharynx, and provoked both nasal obstruction and sleep apnea. The patient had a history of previous sinus surgery at local hospital 30 years ago. Nasal polyp with metaplstic ossification was removed by endoscopic sinus surgery. This case highlights the importance of including metaplastic ossification of nasal polyp in the differential diagnosis of nasal cavity mass.
Subject(s)
Humans , Diagnosis, Differential , Metaplasia , Nasal Cavity , Nasal Obstruction , Nasal Polyps , Nasopharynx , Sleep Apnea SyndromesABSTRACT
Leiomyoma is a benign neoplasm that are thought to originate from the vascular smooth muscle. Leiomyoma more commonly found in the uterus, gastrointestinal tract, and skin. The nasal cavity is an uncommon site for a leiomyoma. We experienced a case of leiomyoma originating in the left nasal vestibule in a 64-year-old female. It was successfully removed by endoscopic surgery, and we report this case with a review of the related literatures.