[Endoscopic and imaging prevalance of nasal mucosal contact point and association between contact point and sinunasal symptoms]

The aim of the present study was to evaluate the prevalence of nasal mucosal contact point in rhinology patients and association between contact point and sinunasal symptoms. We compare the sinunasal problem and contact point [endoscopic and imaging] in 59 patients without [sever septal deviation,chorneal hypertrophy.large ethmoid bula and paradox turbinate] by fisher aaaaaaaa7 chi squre test and review the literature. The prevalance of nasal mucosal contact point in our study is 13/6 percent; there is no association between contact point and patients symptom such as headache, facial pain, nasal blockage. Nasal mucosal contact point occur between the septum and structure of the lateral nasal wall and contact point can be visualized either endoscopically or radiologically on CT scan.The nasal mucosal contact point in the physiological status of the nose is best detected on CT scan of paranasal sinus. As we found no association with headache, facial pain and nasal blockage and contact point, it appears unlikely that surgery is relieving these symptoms permanently by relief of contact points.

Sudden sensorineural hearing loss due to metastasis to the temporal bone in endolymphatic sac region: a case report

Metastatic carcinoma of the temporal bone is rare and its clinical presentation depends on the site of bone involvement. The most significant symptom is hearing loss, but facial paralysis, vertigo and tinnitus have also been reported. Metastasis to the Endolymphatic sac presenting as a sudden hearing loss accompanied by meniere-like symptoms has not yet been reported. Herein we report a case of sudden SNHL due to metastasis from breast carcinoma