<strong>Introduction:</strong> Unilateral nasal mass can be benign or malignant. Very rarely we will find benign salivary gland tumor in nasal cavity. Pleomorphic adenoma is still the most common pathologi...<strong>Introduction:</strong> Unilateral nasal mass can be benign or malignant. Very rarely we will find benign salivary gland tumor in nasal cavity. Pleomorphic adenoma is still the most common pathological variety either in major or minor salivary gland tumors. In the nasal cavity, even though most of the accessory salivary glands are present in the lateral wall of nose, nasal septum remains the most common site of origin. <strong>Case Report:</strong> A 40-year-old female presented with right-sided nasal obstruction and epistaxis. CT scan of Nose and Paranasal sinuses found a lesion involving the anterior third of the right nasal cavity. The patient underwent complete surgical resection of the tumor via an endonasal approach. Histological examination found a mixed cellular component (epithelial and myoepithelial) and mesenchymatous tissue with chondromyxoid stroma, enabling diagnosis of a typical pleomorphic adenoma. <strong>Conclusion:</strong> Pleomorphic adenoma is the most common salivary gland tumor but rare to find in the nasal cavity with only few cases reported in the literature. Although benign, the risk of local recurrence, malignant transformation and metastasis requires close long-term follow-up.展开更多
Chondrosarcoma of the nasal septum is extremely rare. In some cases, it may be diff icult to preoperatively differentiate low grade chondrosarcoma from benign cartilaginous tumors such as chondroma. We report a case o...Chondrosarcoma of the nasal septum is extremely rare. In some cases, it may be diff icult to preoperatively differentiate low grade chondrosarcoma from benign cartilaginous tumors such as chondroma. We report a case of low grade chondrosarcoma of the nasal septum with characteristic radiologic f indings. Characteristic radiologic f indings such as calcif ications on computed tomography scan and a ring-and-arc pattern on enhanced T1 weighted image were useful in the preoperative diagnosis of low grade chondrosarcoma of the septum. Awareness of radiologic f indings of low grade chondrosarcoma can help to make an accurate diagnosis and perform appropriate excision, leading to successful local control.展开更多
Deviated nasal septum is a frequently occurring condition that can cause nasal obstruction in an individual. It may result in permanent changes in the nasal and sinus mucosa because of altered ventilation of the nasal...Deviated nasal septum is a frequently occurring condition that can cause nasal obstruction in an individual. It may result in permanent changes in the nasal and sinus mucosa because of altered ventilation of the nasal cavity. The present study makes an attempt to review its incidence and its associated pathology. Our study involves two groups of patients with 100 patients in each group. The first group consists of patients who are having nasal obstruction as a chief complaint and have deviated nasal septum. The second group consists of patients with either ear or throat complaints without any nasal symptoms, but were noted to have deviation of nasal septum on examination. An analysis was made to determine whether any particular type of deviation is more prone to develop pathology than other types. Our study shows that an “S” shaped deviation is more prone to be associated with ear, nose and throat pathology.展开更多
BACKGROUND Currently,there have been no reports on foreign bodies found in the nasal septum after dental root canal therapy.Herein,we present an unusual case of a foreign body found in the nasal septum,which occurred ...BACKGROUND Currently,there have been no reports on foreign bodies found in the nasal septum after dental root canal therapy.Herein,we present an unusual case of a foreign body found in the nasal septum,which occurred after dental root canal therapy and two unsuccessful surgeries.CASE SUMMARY A 55-year-old man was referred to our department due to slight nasal discomfort that persisted for about 1 wk.Before consulting our department,the patient visited three different hospitals/clinics and underwent two surgeries that were not successful in removing a foreign body completely.A computed tomography scan was performed to detect the shift of the foreign body from dental root to the nasal septum,which resulted in the healing of oral inflammation and nasal septum discomfort.An endoscopic foreign body extraction surgery(3rd removal surgery)was then successfully performed,using a needle as the reference.No nasal reconstruction was required after the operation.Postoperative healing was uneventful.CONCLUSION Medical healthcare professionals should consider past medical history when dealing with foreign body cases.During septal foreign body extraction surgery,a needle could be used as a helpful reference.展开更多
文摘<strong>Introduction:</strong> Unilateral nasal mass can be benign or malignant. Very rarely we will find benign salivary gland tumor in nasal cavity. Pleomorphic adenoma is still the most common pathological variety either in major or minor salivary gland tumors. In the nasal cavity, even though most of the accessory salivary glands are present in the lateral wall of nose, nasal septum remains the most common site of origin. <strong>Case Report:</strong> A 40-year-old female presented with right-sided nasal obstruction and epistaxis. CT scan of Nose and Paranasal sinuses found a lesion involving the anterior third of the right nasal cavity. The patient underwent complete surgical resection of the tumor via an endonasal approach. Histological examination found a mixed cellular component (epithelial and myoepithelial) and mesenchymatous tissue with chondromyxoid stroma, enabling diagnosis of a typical pleomorphic adenoma. <strong>Conclusion:</strong> Pleomorphic adenoma is the most common salivary gland tumor but rare to find in the nasal cavity with only few cases reported in the literature. Although benign, the risk of local recurrence, malignant transformation and metastasis requires close long-term follow-up.
文摘Chondrosarcoma of the nasal septum is extremely rare. In some cases, it may be diff icult to preoperatively differentiate low grade chondrosarcoma from benign cartilaginous tumors such as chondroma. We report a case of low grade chondrosarcoma of the nasal septum with characteristic radiologic f indings. Characteristic radiologic f indings such as calcif ications on computed tomography scan and a ring-and-arc pattern on enhanced T1 weighted image were useful in the preoperative diagnosis of low grade chondrosarcoma of the septum. Awareness of radiologic f indings of low grade chondrosarcoma can help to make an accurate diagnosis and perform appropriate excision, leading to successful local control.
文摘Deviated nasal septum is a frequently occurring condition that can cause nasal obstruction in an individual. It may result in permanent changes in the nasal and sinus mucosa because of altered ventilation of the nasal cavity. The present study makes an attempt to review its incidence and its associated pathology. Our study involves two groups of patients with 100 patients in each group. The first group consists of patients who are having nasal obstruction as a chief complaint and have deviated nasal septum. The second group consists of patients with either ear or throat complaints without any nasal symptoms, but were noted to have deviation of nasal septum on examination. An analysis was made to determine whether any particular type of deviation is more prone to develop pathology than other types. Our study shows that an “S” shaped deviation is more prone to be associated with ear, nose and throat pathology.
文摘BACKGROUND Currently,there have been no reports on foreign bodies found in the nasal septum after dental root canal therapy.Herein,we present an unusual case of a foreign body found in the nasal septum,which occurred after dental root canal therapy and two unsuccessful surgeries.CASE SUMMARY A 55-year-old man was referred to our department due to slight nasal discomfort that persisted for about 1 wk.Before consulting our department,the patient visited three different hospitals/clinics and underwent two surgeries that were not successful in removing a foreign body completely.A computed tomography scan was performed to detect the shift of the foreign body from dental root to the nasal septum,which resulted in the healing of oral inflammation and nasal septum discomfort.An endoscopic foreign body extraction surgery(3rd removal surgery)was then successfully performed,using a needle as the reference.No nasal reconstruction was required after the operation.Postoperative healing was uneventful.CONCLUSION Medical healthcare professionals should consider past medical history when dealing with foreign body cases.During septal foreign body extraction surgery,a needle could be used as a helpful reference.