A 69 year-old man, with bilateral inflamed sinonasal polyps that had been treated medically for years, referred for surgical treatment suffering from moderate progressive bilateral nasal obstruction, sinus pressure with no rhinorrhoea or other symptoms and typical bilateral inflamed polyps emerging from the middle meatus, not exceeding the level of the lower concha (Endoscopic Appearance Score ...

We report a rare case of pleomorphic adenoma arising from the lateral nasal wall which was incidentally detected at a very early stage. A 38-year-old man presented to the ophthalmology department with a 2-year history of epiphora from the left eye. He was referred to otorhinolaryngology department as a candidate for endoscopic dacryocystorhinostomy. Nasal endoscopy revealed a polypoid mass on t...

OBJECTIVES To investigate whether the insertion of a Silastic sheet between the middle turbinate and lateral nasal wall can prevent lateral synechia formation when an unstable, floppy middle turbinate results from endoscopic sinus surgery (ESS). DESIGN Prospective study. SETTING University hospital. PATIENTS Thirty patients who developed an unstable, floppy middle turbinate during ESS wer...

OBJECTIVE To assess the use of bacterial culture findings for middle meatal samples obtained via anterior rhinoscopy, in the diagnosis of adults with acute rhinosinusitis. MATERIALS AND METHODS Microbial cultures were prepared for 30 adult patients with acute rhinosinusitis and suspected bacterial involvement, using samples from the nasopharynx, and from the nasal middle meatus obtained via a...

BACKGROUND The aim of this study was to observe the pneumatization degree and adjacent structure of the posterior superior maxillary sinus (PSMS) and its effect on nasal cavity morphology. MATERIAL AND METHODS The study included a total of 103 cases whose paranasal sinus CT scans had been analyzed. The pneumatization of the PSMS and its relationship with posterior ethmoid sinus (PEs) and spheno...

Objective: Administration of intranasal steroids is considered an established first-line therapy for adults with allergic rhinitis. The aim of this study was to evaluate the effects of long-term topical intranasal steroid use on nasal bacterial flora. Methods: This study includes 54 patients (21 male, 33 female) with allergic rhinitis who received topical intanasal steroid once daily to each na...

A 55-year-old Chinese woman presented with a 3-week history of unilateral left-sided epistaxis and nasal obstruction. She had swam in a freshwater stream 1 month prior to the onset of symptoms. Endoscopic examination revealed a live leech at the left middle meatus with a large part of its body inside the left maxillary antrum. Local anaesthetic was applied to anaesthetise the leech and facilita...

We report a rare case of olfactory ensheathing cell tumor. A female presented a large soft mass extending medially to the olfactory cleft and laterally to the middle meatus in the left nasal cavity. Imaging studies confirmed a cystic mass extending superiorly into the frontal lobe, indicating that the tumor arouse from the olfactory mucosa. A subtotal resection was achieved through an endoscopi...

OBJECTIVES Although nasal polypi frequently arise from the middle meatus, they may occasionally originate from the olfactory cleft. Removal of these polypi may be difficult because of obscure location and concomitant occurrence of septal deviation. This work describes surgical management of olfactory cleft nasal polypi with a combined approach involving septoplasty and endoscopic sinus surgery....

Over a period of 2 years we reviewed the CT scans of 217 patients with recurrent sinusitis. Our findings revealed a number of cases of osteomeatal complex disease with no frontal sinus involvement. This result is difficult to reconcile with the concept of a common drainage in the middle meatus shared by the frontal and anterior ethmoid sinuses. We conclude that the frontal sinus drains separate...