PURPOSE To describe the clinical features and to present results of new diagnostic methods to help define the cause of the clinical syndrome of intrapapillary hemorrhage with adjacent peripapillary subretinal hemorrhage (IHAPSH). DESIGN Retrospective review of patients with IHAPSH at presentation seen in 3 centers in Hawaii and Japan. METHODS We analyzed data including patient demographics,...

OBJECTIVE To investigate the clinical features of epistaxis in the posterior fornix of the inferior nasal meatus and compare the treatment outcomes of endoscopic surgery and conventional nasal packing for this intractable form of epistaxis. METHODS Between August 2011 and August 2014, the medical records of 53 adult patients with idiopathic epistaxis in the posterior fornix of the inferior na...

for many years, it was thought that nasal polyps are small tumors of the nasal or sinus mucosa. however, it is now believed that nasal polyps are formed as a result of frequent local swelling of nasal or sinus mucosa, which enlarge by increasing sub-mucosal edema and then expose to the air pipe and cause some symptoms. however, the main cause of polyp formation is not exactly understood. the pr...

BACKGROUND Life-threatening facial hemorrhage in Maxillofacial Surgery (MFS) has an approximate incidence of 1% in the trauma patient and in elective surgery. The treatment of acute life-threatening hemorrhage in MFS to prevent hypovolemic shock or airway obstruction forms the basis of emergency care and necessitates the need for further analysis given the multitude of options proposed for trea...

Background: Nasal intermittent positive pressure ventilation (NIPPV) is a non-invasive ventilatory mode, which delivers mechanical ventilation via nasal tubes or prongs. The present study was conducted to compare the efficacy of NIPPV and nasal continuous positive airway pressure ventilation (NCPAP) in reducing the need for intubation in preterm infants with respiratory distress syndrome (RDS)....

BACKGROUND Wegener's granulomatosis is a systemic vasculitis of the small- and medium-sized vessels, produced by the action of ANCA, which involves the respiratory tract, kidneys, and eyes, with a potential for lethal evolution in the first year after diagnosis. Its association with chronic lymphocytic leukemia is rarely described in the literature, and it may be difficult to diagnose and to tr...

Abstract Objective To report a case of abducens nerve palsy with associated retinal involvement due to rickettsia typhi infection. Material and methods A single documented multimodal imaging. Results 18-year-old woman history high-grade fever was initially diagnosed typhoid treated fluoroquinolone. She presented 5-day diplopia headaches. Her best-corrected visual acuity 20/20 in both eyes. Ocul...

background the efficiency of nasal surgeries can be determined by objective or subjective methods. we have assessed the effect of nasal obstruction after different nasal surgeries using acoustic rhinometry (ar) and nasal obstruction symptom evaluation (nose) scale. methods between may 2011 and may 2012, 40 young adult patients and 10 healthy volunteers as control group who referred to otorhinol...

conclusions small dose of clopidogrel (75 mg) may lead to rare, life-threatening dah, so physicians should be aware of the possibility of dah after neurointervention in patients who have respiratory distress, worsening alveolar infiltrates accompanied by hemoptysis. introduction diffuse alveolar hemorrhage (dah) is a very rare complication but acute and life-threatening event. clopidogrel has g...

conclusions premedication with clonidine to decrease intraoperative blood loss can be more effective in patients with opium addiction than the ones without addiction. results intraoperative blood loss in clonidine recipient groups, patients with and without addiction, was less than that of the placebos (both p values < 0.01) and the difference magnitude was higher in patients with opium addicti...