Rhinolith Arising from Fungus Ball in the Nasal Cavity

A rhinolith is a mineralized and calcareous mass that arise secondarily to the complete or partial encrustation of intranasal foreign bodies. The foreign body is usually exogenous in origin. Less commonly, endogenous foreign material can form the nidus of the rhinolith. Only one case of rhinolith originating from fungus ball that acts as the nidus has been reported in the nasal cavity. We recently experienced a case of rhinolith arising from fungus ball in the nasal cavity. A 14-year-old female suffered from left purulent and bloody rhinorrhea. An irregular, hard, and dark-brown pigmented lesion was observed in the left nasal cavity. It was removed by endoscopic surgery and pathologically revealed the rhinolith and confirmed the presence of a coexistent fungal nidus. Therefore, we present this rare case of rhinolith arising from fungus ball and discuss its disease entity.

Simultaneous Subperiosteal and Subdural Abscesses Occurred as Complications of Acute Sinusitis

Acute sinusitis is a common medical problem which can result in serious complications if it is not managed appropriately. The most common complication of acute sinusitis is orbital complication, followed by intracranial complications. Concomitant involvement of the orbit and the brain as complications of acute sinusitis is very rare. We were presented with a case of a 27-year-old woman who suffered from subperiosteal abscess in the orbit and subdural abscess in the frontal area. Endoscopic sinus surgery, drainage of the subperiosteal abscess through eyebrow incision and drainage of the subdural abscess through craniotomy were performed. The postoperative course was uneventful, and the patient was free of ocular and neurologic symptoms at the eight month follow-up.

A Case of Traumatic Pseudoaneurysm of the Internal Carotid Artery Found Incidentally during Endoscopic Repair of Cerebrospinal Fluid Rhinorrhea / 대한이비인후과학회지

Posttraumatic pseudoaneurysm of the internal carotid artery (ICA) is uncommon but potentially becomes a fatal cause of epistaxis. Because the onset of delayed bleeding from the time of injury is variable, a prompt diagnosis of cavernous ICA pseudoaneurysm is often a clinical challenge. Optimal management demands rapid recognition and prompt treatment to give the best functional outcome. Although there are many reports of posttraumatic pseudoaneurysm, most of those cases were presented with epistaxis. We experienced a case of 24-year old female who visited our hospital with complaints of rhinorrhea after traffic accident. During exploration of nasal cavity and sinuses for repairing cerebrospinal fluid (CSF) leakage, a huge pseudoaneurysm of left ICA was found in sphenoid sinus. She was successfully treated with endovascular embolization techniques that included detachable balloons. The clinical and radiologic findings in this case are presented.