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Fang S, Rui X, Zhang Y, Yang Z, Wang W. Comparative study of nasal cavity drug delivery efficiency with different nozzles in a 3D printed model. PeerJ 2024; 12:e17227. [PMID: 38618567 PMCID: PMC11015827 DOI: 10.7717/peerj.17227] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2023] [Accepted: 03/21/2024] [Indexed: 04/16/2024] Open
Abstract
Background Nasal sprays are widely used in treating nasal and sinus diseases; however, there are very few studies on the drug delivery efficiency of nasal sprays. In this study, the drug delivery efficiency of three different nasal spray devices was evaluated in vitro using a 3D printed cast model of nasal cavity. Methods Three nasal spray devices with different nozzles and angles of administration were used in the 3D model of the nasal cavity and paranasal sinuses. The spraying area (SA), maximal spraying distance (MSD), and spraying distribution scores on the nasal septum and lateral nasal wall were recorded. Results Different nasal spray devices have their own characteristics, including volume of each spray, SA, and plume angle. The SA of the three nozzles on the nasal septum increased with an increasing angle of administration. When the angle of administration was 50°, each nozzle reached the maximal SA. There was no statistically significant difference in MSD among the three nozzles at the three angles. The total scores for each nozzle using the three different spraying angles were as follows: nozzle A, 40° > 30° > 50°; nozzle B, 30° > 40° > 50°; and nozzle C, 30° > 40° > 50°. The total scores for different nozzles using the same angle were statistically significantly different and the scores for nozzle C were the highest. Nozzle C had the minimum plume angle. None of the three nozzles could effectively delivered drugs into the middle meatus at any angle in this model. Conclusions The design of the nozzle affects drug delivery efficiency of nasal spray devices. The ideal angle of administration is 50°. The nozzle with smaller plume angle has higher drug delivery efficiency. Current nasal spray devices can easily deliver drugs to most areas of the nasal cavity, such as the turbinate, nasal septum, olfactory fissure, and nasopharynx, but not the middle meatus. These findings are meaningful for nozzle selection and device improvements.
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Affiliation(s)
- Shengjian Fang
- Department of Otolaryngology-Head and Neck Surgery, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, China
| | - Xiaoqing Rui
- Department of Otolaryngology-Head and Neck Surgery, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, China
| | - Yu Zhang
- Department of Otolaryngology-Head and Neck Surgery, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, China
| | - Zhangwei Yang
- Department of Medical Imaging, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, China
| | - Weihua Wang
- Department of Otolaryngology-Head and Neck Surgery, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, China
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2
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Ho YT, Lee LY, Fu CH. Patient With Unilateral Nasal Obstruction and a Nasal Mass. JAMA Otolaryngol Head Neck Surg 2024; 150:179-180. [PMID: 38060219 DOI: 10.1001/jamaoto.2023.3817] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/08/2023]
Abstract
A 65-year-old man presented with a 2-year history of left nasal obstruction and large tumor in the left nasal cavity. What is your diagnosis?
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Affiliation(s)
- Yan-Ting Ho
- Department of Otolaryngology-Head and Neck Surgery, Chang Gung Memorial Hospital and Chang Gung University, Taoyuan, Taiwan
| | - Li-Yu Lee
- Department of Pathology, Chang Gung Memorial Hospital and Chang Gung University, Taoyuan, Taiwan
| | - Chia-Hsiang Fu
- Department of Otolaryngology-Head and Neck Surgery, Chang Gung Memorial Hospital and Chang Gung University, Taoyuan, Taiwan
- Graduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University, Taoyuan, Taiwan
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3
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Kau-Perkins J. [Nasal obstruction? Surgery useful?]. MMW Fortschr Med 2024; 166:49-51. [PMID: 38332292 DOI: 10.1007/s15006-023-3545-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/10/2024]
Affiliation(s)
- Josephine Kau-Perkins
- Klinik und Poliklinik für Hals-Nasen-Ohrenheilkunde, Klinikum der Universität München, Marchioninistraße 15, 81377, München, Deutschland.
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4
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Hsu LF, Ratanasereeprasert N, Wang SK, Chen JT, Chen YJ, Yeh TH, Sung HH, Yao CCJ. Craniofacial and olfactory sensory changes after long-term unilateral nasal obstruction-an animal study using MMP-3-LUC transgenic rats. Sci Rep 2024; 14:2616. [PMID: 38297007 PMCID: PMC10830476 DOI: 10.1038/s41598-024-51544-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2023] [Accepted: 01/06/2024] [Indexed: 02/02/2024] Open
Abstract
Nasal obstruction exerts considerable physiological effects on the respiratory system and craniofacial morphology during the developmental stage. This study used MMP-3-LUC transgenic rats for in vivo tracking of long-term expression in the rat nasal region after unilateral nasal obstruction. Skeletal changes of the craniofacial, nasal, and sinus regions were measured through micro-computed tomography examination and analysis with 3D image processing and calculation. Matrix metalloproteinase-3 and olfactory marker protein expression were also investigated through immunohistochemistry (IHC). Unilateral nasal obstruction significantly reduced the MMP-3 signal in the nasal region of MMP-3-LUC transgenic rats, which was mainly expressed in the respiratory epithelium. Long-term obstruction also caused morphological changes of the craniofacial hard tissue, such as nasal septal deviation, longer inter-jaw distance, and increased maxillary molar dental height. It also caused compensatory growth in olfactory nerve bundles and the olfactory epithelium, as confirmed by IHC. In our study, long-term unilateral nasal obstruction caused nasal septal deviation toward the unobstructed side, hyper divergent facial development including longer molar dental height, and reduced MMP-3 production. However, further investigation is necessary to explore the mechanism in depth.
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Affiliation(s)
- Li-Fang Hsu
- Department of Dentistry, National Taiwan University Hospital, Hsin-Chu Branch, Hsin-Chu, Taiwan
- Graduate Institute of Clinical Dentistry, School of Dentistry, National Taiwan University, No. 1, Chang-Te Street, Taipei, 10048, Taiwan
| | - Nutthakarn Ratanasereeprasert
- Graduate Institute of Clinical Dentistry, School of Dentistry, National Taiwan University, No. 1, Chang-Te Street, Taipei, 10048, Taiwan
| | - Shih-Kai Wang
- Department of Dentistry, National Taiwan University School of Dentistry, Taipei, Taiwan
| | - Jung-Tsu Chen
- Graduate Institute of Clinical Dentistry, School of Dentistry, National Taiwan University, No. 1, Chang-Te Street, Taipei, 10048, Taiwan
| | - Yi-Jane Chen
- Department of Dentistry, National Taiwan University School of Dentistry, Taipei, Taiwan
- Division of Orthodontics and Dentofacial Orthopedics, Dental Department, National Taiwan University Hospital, Taipei, Taiwan
| | - Te-Huei Yeh
- Department of Otolaryngology, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan
| | - Hsiang-Hsuan Sung
- National Laboratory Animal Center, National Applied Research Laboratories, Taipei, Taiwan
| | - Chung-Chen Jane Yao
- Graduate Institute of Clinical Dentistry, School of Dentistry, National Taiwan University, No. 1, Chang-Te Street, Taipei, 10048, Taiwan.
- Division of Orthodontics and Dentofacial Orthopedics, Dental Department, National Taiwan University Hospital, Taipei, Taiwan.
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Abstract
Perforations of the nasal septum have many etiologies and occasionally result from intranasal medicated spray use. This case report describes a perforation related to the use of desmopressin nasal spray, which has not been previously reported in the literature. Clinical considerations presented in this article include appropriate technique of nasal spray application, appropriate monitoring of patients on intranasal sprays, and indications for evaluation by an otolaryngologist. Septal perforation treatment success is improved with an early diagnosis.
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Affiliation(s)
- Daniela A Brake
- Department of Otolaryngology-Head & Neck Surgery, Mayo Clinic, Phoenix, AZ, USA
| | - Grant S Hamilton
- Department of Otolaryngology-Head & Neck Surgery, Mayo Clinic, Rochester, MN, USA
| | - Stephen F Bansberg
- Department of Otolaryngology-Head & Neck Surgery, Mayo Clinic, Phoenix, AZ, USA
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Yan X, Menzel S, Zhao K, Kim K, Hummel T. Intranasal trigeminal sensitivity to mechanical stimuli is associated with the perception of nasal patency. Eur Arch Otorhinolaryngol 2023; 280:5391-5399. [PMID: 37561188 DOI: 10.1007/s00405-023-08126-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2023] [Accepted: 07/12/2023] [Indexed: 08/11/2023]
Abstract
PURPOSE The aim of this prospective study was to examine the characteristics of a clinical test for the assessment of nasal trigeminal sensitivity to mechanical stimuli and its association with the perception of nasal patency. METHODS Thirty-two normosmic healthy subjects participated (17 women and 15 men; age = 26 ± 3 years). Precisely defined air puffs were used with a flow rate of 2L/min for mechanical stimulation. They were presented to the nasal vestibule, nasal septum, and inferior turbinate with various stimulus durations. Thresholds were measured by single-staircase stimuli with changes in stimulus duration in steps of 10 ms. Trigeminal suprathreshold intensity was rated by subjects for stimulus durations of 200, 300, 400, and 500 ms. Test-retest reliability was examined by intraclass correlations (ICCs) and Bland-Altman plot with limits of agreement. Pearson's correlations were calculated between self-rated nasal patency and nasal trigeminal sensitivity. RESULTS As indicated by trigeminal threshold and suprathreshold intensities, the nasal vestibule is the most sensitive area among the three locations, followed by the nasal septum and the inferior turbinate (p < 0.001). Coefficients of correlations between test and retest were 0.76 for thresholds, and 0.56 suprathreshold intensities (p < 0.001). The Bland-Altman analysis showed a good agreement between test-retest values. In addition, significant positive associations between trigeminal suprathreshold intensities and self-rated nasal obstruction were found at the inferior turbinate (r = 0.4, p < 0.05). CONCLUSION Reliable assessment of nasal trigeminal sensitivity for air puffs appears to be possible. Nasal trigeminal suprathreshold sensitivity to mechanical stimuli is associated with the perception of nasal patency at the inferior turbinate. This opens a window into the assessment of the perception of nasal airflow in various clinical purposes, especially for patients with sinonasal diseases. LEVEL OF EVIDENCE: 3
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Affiliation(s)
- Xiaoguang Yan
- Department of Otorhinolaryngology, Smell and Taste Clinic, TU Dresden, Dresden, Fetscherstraße 74, 01307, Dresden, Germany.
| | - Susanne Menzel
- Department of Otorhinolaryngology, Smell and Taste Clinic, TU Dresden, Dresden, Fetscherstraße 74, 01307, Dresden, Germany
| | - Kai Zhao
- Department of Otolaryngology-Head and Neck Surgery, The Ohio State University, Columbus, OH, USA
| | - Kanghyun Kim
- Department of Otolaryngology-Head and Neck Surgery, The Ohio State University, Columbus, OH, USA
| | - Thomas Hummel
- Department of Otorhinolaryngology, Smell and Taste Clinic, TU Dresden, Dresden, Fetscherstraße 74, 01307, Dresden, Germany
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Hendricks H, Lypka M, Jiang S. An evaluation of the customized nasal clip protocol for bilateral cleft lip and palate presurgical infant orthopaedics. Orthod Craniofac Res 2023; 26 Suppl 1:196-203. [PMID: 37807840 DOI: 10.1111/ocr.12715] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2023] [Revised: 09/05/2023] [Accepted: 09/17/2023] [Indexed: 10/10/2023]
Abstract
OBJECTIVES Nasoalveolar moulding (NAM) has resulted in profound outcomes in the treatment of bilateral cleft lip and palate patients, including non-surgical columellar lengthening and nasal moulding. We examine an innovative alternative that is less invasive, yet provides similar results. In this study, we describe a novel approach using the Customized Nasal Clip Protocol (CNCP™) and compare the treatment outcomes of a small cohort of infants with bilateral cleft lip ± palate with published results of the Grayson nasoalveolar moulding protocol. MATERIALS AND METHODS A cohort of six bilateral-cleft-affected patients was evaluated for this study. Standardized frontal and worm's eye view photographs were obtained, and clinical measurements were utilized to garner columellar length measurements and nostril height comparisons. The initial and post-surgical results were statistically compared with a student's t-test (p < .05). Inclusion and exclusion criteria were applied to the cohort, which will be described. RESULTS The resulting columellar length and nostril height increases of the CNCP™ group were comparable to a published cohort of subjects that have undergone nasoalveolar moulding. The nasal changes were found to be significant with a p-value <.01. The CNCP™ cohort also had fewer clinic visits, no complications that led to complete pauses of active treatment, and the benefit of receiving comprehensive treatment that was initiated at their first clinical presentation, in comparison to traditional NAM patients. CONCLUSION The increase of columellar length and nostril height that resulted from utilizing the CNCP™ in bilateral cleft patients met the treatment goals of presurgical infant orthopaedics, with results on par with published results of NAM. These results, paired with the reduction in patient, family, and provider burden, further support the continued use and development of the CNCP™ for appropriate patient populations.
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Affiliation(s)
- Heather Hendricks
- Division of Plastic and Reconstructive Surgery, Department of Surgery, Children's Mercy Hospital and Clinics, Kansas City, Missouri, USA
- Division of Orthodontics, Department of Dentistry, Children's Mercy Hospital and Clinics, Kansas City, Missouri, USA
| | - Michael Lypka
- Division of Plastic and Reconstructive Surgery, Department of Surgery, Children's Mercy Hospital and Clinics, Kansas City, Missouri, USA
| | - Shao Jiang
- Division of Plastic and Reconstructive Surgery, Department of Surgery, Children's Mercy Hospital and Clinics, Kansas City, Missouri, USA
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Chaikangwan I, Yodrabum N, Kusakunniran W, Tachavijijaru R, Aojanepong C. Utilization of images and three-dimensional custom-made nostril retainer fabricate for patients with cleft lip and cleft lip nose deformities at Siriraj Hospital: preliminary phase. Sci Rep 2023; 13:19109. [PMID: 37925587 PMCID: PMC10625571 DOI: 10.1038/s41598-023-46327-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2023] [Accepted: 10/30/2023] [Indexed: 11/06/2023] Open
Abstract
A prospective study utilizing image analysis to assess nostril openings in post-operative patients with cleft lip and cleft lip nose deformities. This preliminary study seeks to employ two-dimensional (2D) images to fabricate a custom-made nostril retainer. This study was performed at Faculty of Medicine, Siriraj Hospital, Mahidol University, Thailand. This study included 30 healthy volunteers and 15 patients with cleft lip and cleft lip nose deformities. The nostril opening width and height for all participants were measured, and photographs were taken. An image analysis application was used to fabricate a three-dimensional (3D) custom-made nostril retainer. The mean differences between the direct measurements of the nostril aperture and the measurements obtained through the program did not exceed 2 mm in terms of nostril height, width, or columella. Two-dimensional photographs can be used to create a custom-made, three-dimensional nostril retainer. This retainer allows post-operative patients to maintain their nares without needing to visit the hospital, thereby reducing the cost of care.
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Affiliation(s)
- Irin Chaikangwan
- Division of Plastic and Reconstructive Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, 10700, Thailand
| | - Nutcha Yodrabum
- Division of Plastic and Reconstructive Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, 10700, Thailand
| | - Worapan Kusakunniran
- Faculty of Information and Communication Technology, Mahidol University, Nakhon Pathom, Thailand
| | - Rachata Tachavijijaru
- Faculty of Information and Communication Technology, Mahidol University, Nakhon Pathom, Thailand
| | - Chongdee Aojanepong
- Division of Plastic and Reconstructive Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, 10700, Thailand.
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9
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Ritto FG, Mealy T, Canellas JV, Padwa BL, Smith KS. Piriform Rim Asymmetry in Unilateral Cleft Lip and Palate Patients Before Orthognathic Surgery. J Oral Maxillofac Surg 2023; 81:1344-1352. [PMID: 37640235 DOI: 10.1016/j.joms.2023.08.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2023] [Revised: 08/01/2023] [Accepted: 08/02/2023] [Indexed: 08/31/2023]
Abstract
BACKGROUND Complete unilateral cleft lip and palate (UCLP) creates a continuity defect on the nasal floor, which contributes to nasal asymmetry. Traditionally, piriform rim symmetry has been evaluated by comparing cleft and noncleft sides. No study has compared the magnitude of perinasal asymmetry in UCLP patients with a control group of patients without clefts. PURPOSE To address the following question: In UCLP patients, whose alveolar clefts are reconstructed with alveolar bone grafts (ABGs), is the magnitude of remaining piriform rim asymmetry similar to that of patients without UCLP? STUDY DESIGN SETTING, SAMPLE This is a retrospective cohort study that used the cone beam computed tomography of UCLP and non-UCLP patients to evaluate the piriform rim symmetry. The sample was derived from patients who presented for orthognathic surgery between January 2015 and December 2022. To be included, patients had to have a maxillary deficiency. The cleft group had ABG performed with symphyseal bone harvest and bone morphogenetic protein application. Patients were excluded from the control group if they had clinical asymmetry and nasal septum deviation. Patients from the UCLP group were excluded if they failed the first attempt of ABG or had a syndrome. Preorthognathic cone beam computed tomography was used to measure the distance from the inferior and lateral aspects of the piriform rim to reference lines. PREDICTOR VARIABLE UCLP status grouped as present or absent (control). OUTCOME VARIABLES The magnitude of piriform rim asymmetry defined as the millimetric distance from the inferior and lateral aspects of the piriform rim to reference lines. COVARIATES The covariates were age, sex, tissue thickness at the level of the alar base, and turbinate size. ANALYSIS Welch's two-sample t-test was utilized to compare means. A level of significance of 5% (P < .05) was used for all analyses. To analyze the reliability of the measurements intraexaminer and interexaminer errors were tested using the Weir method. RESULTS A total of 60 patients were included, 30 in each group. The mean age of UCLP patients was 16.76 (range 13 to 25), and the control group was 17 (range 13 to 25), P = .71. The UCLP group had 12 girls, and the control had 18 girls (P = .12). In the UCLP group, the mean discrepancy between affected and unaffected sides at the inferior aspect of the piriform rim was 3.9 mm (range 0.9 to 7 mm, P < .01), and in the control group the discrepancy between right and left sides was 0.1 mm (0-2.1 mm, P = .87). The mean discrepancy between affected and unaffected sides at the lateral aspect of the piriform rim was 3.6 mm (range 0.7 to 7.6 mm, P < .01) in the UCLP group, and in the control group the discrepancy between right and left sides was 0.1 mm (range 0.1 to 5.8 mm, P = .78) in the control group. The mean alar base soft tissue thickness discrepancy was 3.1 mm (range 0.9 to 7.9 mm, P < .01) in the UCLP group and 0 mm (range -1.8 to 1.9 mm, P = .97) in the control group. The mean difference in the turbinate area in the UCLP group was 314 mm2 (range 797 to 2,898) and in the control group 35 mm2 (range 702 to 2,302) (P = .19). CONCLUSION ABG with symphyseal bone and bone morphogenetic protein was not able to provide the same level of piriform symmetry observed in patients without a cleft. Alar base tissue was thicker on the cleft side, and the turbinate size demonstrated greater variability in the UCLP patients.
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Affiliation(s)
- Fabio G Ritto
- Professor and Program Director, Department of Oral and Maxillofacial Surgery, University of Oklahoma, Norman, OK.
| | - Tyler Mealy
- Chief Resident, Department of Oral and Maxillofacial Surgery University of Oklahoma, Oklahoma
| | - João Vitor Canellas
- Director of Research, INPLASY, Inc - International Platform of Registered Systematic and Meta-Review and Meta-analysis Protocols, Delaware
| | - Bonnie L Padwa
- Professor, Department of Plastic and Oral Surgery, Harvard School of Dental Medicine, and Oral Surgeon in Chief, Boston Children's Hospital, Boston, MA
| | - Kevin S Smith
- Professor, Department of Oral and Maxillofacial Surgery, University of Oklahoma, Norman, OK
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Katatbeh MA, Zidan M, Jum’ah Y, Al-Mashakbeh Y, Alkhatatbeh O, Khasawneh L. Subcutaneous Nasal Schwannoma in a Pediatric Patient: A Rare Case Report with Emphasis on Histopathology's Role in Differential Diagnosis. Am J Case Rep 2023; 24:e941440. [PMID: 37876157 PMCID: PMC10615111 DOI: 10.12659/ajcr.941440] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2023] [Revised: 09/12/2023] [Accepted: 08/25/2023] [Indexed: 10/26/2023]
Abstract
BACKGROUND Schwannomas are rare and benign tumors of the nerve sheath, composed of Schwann cells, and they are extremely rare in the nasal area. Here, we report a case that presented to our clinic as a growing nasal mass and was found to be a unilateral subcutaneous schwannoma. There have been a few previous cases reported of such patients having nasal obstruction, epistaxis, or other symptoms, but our patient did not. We stress the importance of considering schwannoma in the differential diagnosis of nasal masses, even in pediatric patients, and the role of histopathology differentiating it from other diagnoses such as neurofibroma. CASE REPORT Our patient was a 9-year-old girl with a painless nasal swelling on the nasal bridge that she first noticed 2 years ago, which started growing gradually and began to become firm. She was otherwise asymptomatic and had no relevant family history. Histopathology revealed an encapsulated spindle cell tumor with both hypo- and hyper-cellular areas, and immunohistochemistry showed that the tumor was strongly positive for S-100 and negative for both desmin and CD34, with blood vessels marking. A final diagnosis of schwannoma was made. CONCLUSIONS We presented a case of nasal septal schwannoma, emphasizing the importance of considering schwannoma in the differential diagnosis of nasal masses, and the role of histopathology to rule out other possible diagnoses.
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Affiliation(s)
- Mohammad Al Katatbeh
- Department of Special Surgery, Faculty of Medicine, Hashemite University, Zarqa, Jordan
| | - Majd Zidan
- Department of Pediatrics, New Zarqa Governmental Hospital, Zarqa, Jordan
| | - Yasmeen Jum’ah
- Department of Pediatrics, New Zarqa Governmental Hospital, Zarqa, Jordan
| | - Yazan Al-Mashakbeh
- Department of Pediatrics, New Zarqa Governmental Hospital, Zarqa, Jordan
| | | | - Laith Khasawneh
- Department of Special Surgery, Faculty of Medicine, Hashemite University, Zarqa, Jordan
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11
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Akkoca F, Yeşilova E. Assessment of the Naso-Maxilla and Related Dentoalveolar Region with Cone Beam Computed Tomography. Int J Oral Maxillofac Implants 2023; 38:885-896. [PMID: 37847830 DOI: 10.11607/jomi.10309] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2023] Open
Abstract
PURPOSE To evaluate via CBCT the anatomical variations of the maxillary teeth and associated major anatomical cavities, the maxillary sinus and nasal fossa. MATERIAL AND METHODS CBCT scans of 221 patients were used to examine maxillary sinus variations, the posterior superior alveolar artery (PSAA) course, nasal septum variations, middle and inferior concha-meatus variations, canalis sinuosus, infraorbital ethmoid cell, infraorbital canal, anterior nasal spina, and nasopalatine canal. RESULTS The incidence of anatomical variations was 32.6% for maxillary sinus septa, 50.9% for PSAA, 23.1% for nasal septum deviation, 6.3% for nasal septum spur and pneumatization, 3.6% for paradoxical middle concha, 14.9% for middle concha hypertrophy, 39.6% for middle concha bullosa, 0.45% for bifid inferior concha, 0.9% for paradoxical inferior concha, 60.1% for inferior conch hypertrophy, 1.8% for inferior concha bullosa, and 40.3% for the infraorbital ethmoid cell. The study mainly observed group 2 anterior nasal spina with a rate of 35.7%, group 1 nasopalatine canal with a rate of 37.1%, and infraorbital duct type 2 with a rate of 70%. In 20.4% and 47% of cases, canalis sinuosus was located in the right and left sides of the maxilla, respectively. CONCLUSIONS Maxillary sinus variations, PSAA prevalence and localization, nasal septum and concha variations, anterior nasal spina subgroups, nasopalatine canal subgroups, canalis sinuosus prevalence, and localization and infraorbital ethmoid cell prevalence were found to be consistent with the literature. Moreover, a rare case of the lower bifid concha was identified. The nasomaxillary complex and related dental structures, which are a multidisciplinary study area, should be carefully examined in the presence of pain of unknown origin and the planning of surgical procedures.
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12
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Ding H, Fu Q, Liu B, Xv X, Zhou G, Zheng C, Chen Z, Chen M. Concentrated Growth Factor (CGF): The Newest Platelet Concentrate and Its Application in Nasal Hyaluronic Acid Injection Complications. Aesthetic Plast Surg 2023; 47:1785-1793. [PMID: 36849662 DOI: 10.1007/s00266-023-03289-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2022] [Accepted: 01/30/2023] [Indexed: 03/01/2023]
Abstract
BACKGROUND Several cases of wounds caused by vascular compromise after facial cosmetic injection have been reported in recent years. How to promote wound healing, restore facial appearance, and avoid secondary injury in such patients have remained a clinical challenge. Our study was designed to assess the effect of concentrated growth factor (CGF) for repairing nasal wounds after nasal hyaluronic acid injection. METHODS Six women with nasal wounds after hyaluronic acid injection were enrolled from June 2019 to June 2022. The average time of the first CGF treatment from admission was 2-4 days. CGF gel was prepared from each patient's blood by using a Medifuge™ system. After debridement of the wound, the prepared CGF gel was applied on the wound surface, and the wound dressing was fixed to stabilize the CGF gel. The CGF treatment interval was 3-4 days. RESULTS The wound began to heal after the first CGF treatment. After 2-3 CGF treatments, the wound was almost completely healed. There was no deflection of the nasal columella, and nasal ventilation function was good. There was no obvious deformity in the appearance of the nose. After follow-up ranging from 2 months to 1 year, the appearance and function of the nose showed satisfactory recovery. CONCLUSIONS CGF has great potential in promoting wound healing and restoring the appearance after complications from nasal hyaluronic acid injection. The preparation of CGF gel is simple, and the clinical application is convenient and safe. In future, more clinical trials are needed to further prove the efficacy and safety of CGF in the treatment of wounds secondary to cosmetic injection. LEVEL OF EVIDENCE IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors http://www.springer.com/00266 .
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Affiliation(s)
- Hongfan Ding
- Senior Department of Burns and Plastic Surgery, the Fourth Medical Center, PLA General Hospital, No. 51 Fucheng Road, Haidian District, Beijing, 100038, China
| | - Qiang Fu
- Senior Department of Burns and Plastic Surgery, the Fourth Medical Center, PLA General Hospital, No. 51 Fucheng Road, Haidian District, Beijing, 100038, China
| | - Bing Liu
- Private Practice, Shahekou district, Dalian, Liaoning, China
| | - Xiao Xv
- Senior Department of Burns and Plastic Surgery, the Fourth Medical Center, PLA General Hospital, No. 51 Fucheng Road, Haidian District, Beijing, 100038, China
| | - Guiwen Zhou
- Senior Department of Burns and Plastic Surgery, the Fourth Medical Center, PLA General Hospital, No. 51 Fucheng Road, Haidian District, Beijing, 100038, China
| | - Can Zheng
- Senior Department of Burns and Plastic Surgery, the Fourth Medical Center, PLA General Hospital, No. 51 Fucheng Road, Haidian District, Beijing, 100038, China
| | - Zhaoyang Chen
- Senior Department of Burns and Plastic Surgery, the Fourth Medical Center, PLA General Hospital, No. 51 Fucheng Road, Haidian District, Beijing, 100038, China
| | - Minliang Chen
- Senior Department of Burns and Plastic Surgery, the Fourth Medical Center, PLA General Hospital, No. 51 Fucheng Road, Haidian District, Beijing, 100038, China.
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王 芬, 陈 亮, 金 升, 胡 波, 陈 伟, 王 洁, 张 晨. [Study on the influence of buried thread nasal augmentation on dorsal soft tissue of nose and revision rhinoplasty]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2023; 37:1127-1132. [PMID: 37718426 PMCID: PMC10505636 DOI: 10.7507/1002-1892.202306024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 06/09/2023] [Revised: 08/04/2023] [Accepted: 08/04/2023] [Indexed: 09/19/2023]
Abstract
Objective To investigate the influence of buried thread nasal augmentation on dorsal soft tissue of nose and revision rhinoplasty. Methods A clinical data of 29 patients requesting revision rhinoplasty after buried thread nasal augmentation, who were admitted between July 2017 and July 2019 and met the selection criteria, was retrospectively analyzed. All patients were female with an average age of 26.8 years (range, 18-43 years). The patiens were admitted to the hospital at 3-48 months after buried thread nasal augmentation (median, 15 months). Among them, there were 18 cases of insufficient nasal tip projection, 22 cases of insufficient nasal root projection, 7 cases of threads ectasia, 5 cases of threads exposure, 3 cases of infection, and 10 cases with two or more conditions. There were 9 cases of combined short nose deformity, 1 case of spherical hypertrophy of the nasal tip, 3 cases of deviation of the nasal columella, 3 cases of excessive width of the nasal base, and 1 case of nasal hump. Three infected patients only underwent threads removal and debridement. The rest patients underwent revision rhinoplasty, and the dorsum of the nose was made with polytetrafluoroethylene expansion; the tip of the nose was reshaped by taking autologous rib cartilage and alar cartilage in 16 cases, and by taking autologous septal cartilage and alar cartilage in another 10 cases. The threads and surrounding tissue specimens removed during operation were subjected to histologic observation. Nasal length and nasal tip projection were measured after revision rhinoplasty and the ratio was calculated to evaluate the nasal morphology; patient satisfaction was evaluated using the Likert 5-grade scale. Results Patients were followed up 12-48 months (mean, 18 months). Inflammation was controlled in 3 patients with infections caused by buried thread nasal augmentation. The remaining 26 patients had satisfactory results immediately after revision rhinoplasty. Before revision rhinoplasty and at 7 days and 6 months after revision rhinoplasty, the nasal length was (4.11±0.34), (4.36±0.25), and (4.33±0.22) cm, respectively; the nasal tip projection was (2.34±0.25), (2.81±0.18), and (2.76±0.15) cm, respectively; and the nasal tip projection/nasal length ratio was 0.57±0.08, 0.65±0.05, and 0.64±0.04, respectively. There were significant differences in the nasal length and the nasal tip projection between time points ( P<0.05). There was a significant difference in the nasal tip projection/nasal length ratio between pre- and post-operation ( P<0.05), but there was no significant difference between 7 days and 6 months after operation ( P>0.05). The Likert score for satisfaction ranged from 1.5 to 5.0 (mean, 4.05). During follow-up period of 26 patients, no nasal prosthesis was exposed, and the shape of the nose was stable, and the nasal skin of 5 patients with exposed threads could be seen with different degrees of scarring; there was no infection, cartilage resorption, and no cartilage deformation, displacement, or exposure. Histological observation showed that absorbable threads were not only absorbed after implantation, but also with the prolongation of time, the inflammatory changes in the surrounding tissues caused by decomposition and absorption of the threads showed a gradual aggravation of the first, the heaviest inflammatory reaction in 6 to 12 months, and then gradually reduce the trend. Conclusion After implantation of the absorbable thread into the subcutaneous tissue of the nasal dorsum, the nature of the thread is different from the body's own tissue, which will affect the soft tissue compliance of the nasal dorsum. The degradation and absorption of the thread will stimulate the infiltration of inflammatory cells and the proliferation of fibroblasts in the surrounding tissue and then form scar tissue, which will affect the design and effect of revision rhinoplasty.
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Affiliation(s)
- 芬芬 王
- 延边大学附属医院整形烧伤科(吉林延吉 133000)Department of Plastic and Burns Surgery, Affiliated Hospital of Yanbian University, Yanji Jilin, 133000, P. R. China
| | - 亮 陈
- 延边大学附属医院整形烧伤科(吉林延吉 133000)Department of Plastic and Burns Surgery, Affiliated Hospital of Yanbian University, Yanji Jilin, 133000, P. R. China
| | - 升元 金
- 延边大学附属医院整形烧伤科(吉林延吉 133000)Department of Plastic and Burns Surgery, Affiliated Hospital of Yanbian University, Yanji Jilin, 133000, P. R. China
| | - 波 胡
- 延边大学附属医院整形烧伤科(吉林延吉 133000)Department of Plastic and Burns Surgery, Affiliated Hospital of Yanbian University, Yanji Jilin, 133000, P. R. China
| | - 伟妍 陈
- 延边大学附属医院整形烧伤科(吉林延吉 133000)Department of Plastic and Burns Surgery, Affiliated Hospital of Yanbian University, Yanji Jilin, 133000, P. R. China
| | - 洁晴 王
- 延边大学附属医院整形烧伤科(吉林延吉 133000)Department of Plastic and Burns Surgery, Affiliated Hospital of Yanbian University, Yanji Jilin, 133000, P. R. China
| | - 晨 张
- 延边大学附属医院整形烧伤科(吉林延吉 133000)Department of Plastic and Burns Surgery, Affiliated Hospital of Yanbian University, Yanji Jilin, 133000, P. R. China
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14
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de Souza TM, Batista ST, de Souza RXS, Rezende SE, Alessi MS, Almeida TFA, Frazão DC, Pretti H, Freitas RDS, Macari S. The Effects of NAM on the Symmetry of the Face and Maxillary Arch in Babies With Unilateral Cleft. J Craniofac Surg 2023; 34:1618-1624. [PMID: 37307242 DOI: 10.1097/scs.0000000000009469] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2023] [Accepted: 04/11/2023] [Indexed: 06/14/2023] Open
Abstract
The study aimed to evaluate the effect of nasoalveolar molding (NAM) therapy through reverse engineering, or its absence, to obtain symmetry of the face and maxillary arch. Twenty-six babies with unilateral cleft lip and palate received treatment with NAM, and 12 babies with unilateral cleft lip and palate without presurgical orthopedics (control group). Patients were molded and photographed in 2-stages: the first month of life (T1/pre) and after the use of NAM/before the cheiloplasty (T2/post). In the digital models, the analyses performed were arch perimeter, arch length, and labial frenulum angle. The photographs allowed us to analyze nasal width, mouth width, columella angle, and nostril area. The results demonstrated that there was an increase in arch perimeter and arch length in control and NAM groups in the T2 period in comparison to T1. Labial frenulum angle was reduced in the NAM group compared to the NAM-T1 and control-T2 periods. Treatment with NAM yielded a reduction in nasal width in the period of T2 compared with T1. Columella angle was enhanced after NAM use in T2 and, was different from control group. The nostril area was reduced in the NAM group in T2 compared with control group. Nasoalveolar molding therapy reduced the labial frenulum angle, contributing to a reduction in the extension of the cleft. The NAM protocol improved facial symmetry, mainly through nasal effects, whereas the absence of orthopedic therapy yielded a commitment to the face and maxillary arch symmetry.
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Affiliation(s)
- Tânia Mara de Souza
- Department of Restorative Dentistry, Faculty of Dentistry, Federal University of Minas Gerais
| | - Sabrina Tailane Batista
- Department of Restorative Dentistry, Faculty of Dentistry, Federal University of Minas Gerais
| | | | - Sérgio Edriane Rezende
- Department of Head and Neck Surgeon and Skull-Maxillofacial Surgeon, Federal University of Minas Gerais, Belo Horizonte
- Plastic Surgery Service-CENTRARE-Hospital of Baleia
| | | | | | - Diogo Campos Frazão
- Department of Science and Technology Applied to Dentistry, Institute of Science/Technology, Universidade Estadual Paulista "Júlio de Mesquita Filho" (Unesp), São José dos Campos Campus, SP
| | - Henrique Pretti
- Department of Restorative Dentistry, Faculty of Dentistry, Federal University of Minas Gerais
| | - Renato da Silva Freitas
- Department of Surgery, Plastic Surgery Unit, School of Medicine, Federal University of Parana (UFPR), Curitiba, Brazil
| | - Soraia Macari
- Department of Restorative Dentistry, Faculty of Dentistry, Federal University of Minas Gerais
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15
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Ji YJ, Yu PX, Shang YW, Dong R, Xue JM, Suo LM, Zhao CQ. [Hemophilic pseudotumor involving nasal septum: a case report]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2023; 58:792-794. [PMID: 37599241 DOI: 10.3760/cma.j.cn115330-20221123-00706] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Indexed: 08/22/2023]
Affiliation(s)
- Y J Ji
- Department of Otorhinolaryngology Head and Neck Surgery, the Second Hospital of Shanxi Medical University, Taiyuan 030001, China
| | - P X Yu
- Department of Laboratory Medicine, Shanxi Bethune Hospital, Taiyuan 030032, China
| | - Y W Shang
- Department of Pathology, the Second Hospital of Shanxi Medical University, Taiyuan 030001, China
| | - R Dong
- Department of Otorhinolaryngology Head and Neck Surgery, the Second Hospital of Shanxi Medical University, Taiyuan 030001, China
| | - J M Xue
- Department of Otorhinolaryngology Head and Neck Surgery, the Second Hospital of Shanxi Medical University, Taiyuan 030001, China
| | - L M Suo
- Department of Otorhinolaryngology Head and Neck Surgery, the Second Hospital of Shanxi Medical University, Taiyuan 030001, China
| | - C Q Zhao
- Department of Otorhinolaryngology Head and Neck Surgery, the Second Hospital of Shanxi Medical University, Taiyuan 030001, China
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16
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Yue H, Piao Z, Cao H, Chen H, Huang L. Secondary correction of nasal deformities in cleft lip patients using acellular dermal matrix grafting on the nasal tip with open rhinoplasty. Br J Oral Maxillofac Surg 2023; 61:416-421. [PMID: 37344271 DOI: 10.1016/j.bjoms.2023.04.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2022] [Revised: 03/04/2023] [Accepted: 04/20/2023] [Indexed: 06/23/2023]
Abstract
Secondary nasal deformities in patients with unilateral cleft lip represent surgical challenges. Open rhinoplasty involving repositioning of the lower lateral cartilage has been shown to be a suitable technique for patients with cleft lip and nose deformities. This study aimed to explore a particular method of rhinoplasty and to assess the aesthetic outcomes for secondary unilateral cleft lip and nose deformities following its use. Fifty-seven patients treated for secondary unilateral cleft lip nasal deformities from January 2012 to December 2018 were enrolled in the study. Open rhinoplasty combined with a reverse-U incision and acellular dermal matrix grafting on the nasal tip was performed in all patients by the same surgeon. In our follow-up study we evaluated the results by measuring angles on photographs and scoring the appearance before and after operation. Data were statistically analysed using the t test. Appearances were improved in all patients. Both the alar base-nasal tip-columellar base angle and the nostril axis angles were smaller postoperatively (p < 0.001). According to the outcome scores, most patients (53/57) agreed that there was an obvious improvement in the appearance of their noses following surgery, and overall they were satisfied with the results of the revision procedure. A distinct improvement in nasal appearance can be achieved with this rhinoplasty. Our surgical method is effective and reliable in patients with secondary unilateral cleft lip and nose deformities, and is worth promoting in the clinic.
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Affiliation(s)
- Haiqiong Yue
- Department of Oral and Maxillofacial Surgery, Affiliated Stomatology Hospital of Guangzhou Medical University, Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Guangzhou 510150, China.
| | - Zhengguo Piao
- Department of Oral and Maxillofacial Surgery, Affiliated Stomatology Hospital of Guangzhou Medical University, Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Guangzhou 510150, China.
| | - Hongfei Cao
- Department of Stomatology, The Third Affiliated Hospital, Sun Yat-sen University, Guangzhou 510630, China.
| | - Hao Chen
- Department of Oral and Maxillofacial Surgery, Affiliated Stomatology Hospital of Guangzhou Medical University, Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Guangzhou 510150, China.
| | - Luo Huang
- Department of Oral and Maxillofacial Surgery, Affiliated Stomatology Hospital of Guangzhou Medical University, Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Guangzhou 510150, China.
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17
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Tretiakow D, Tesch K, Markiet K, Przewoźny T, Kusiak A, Cichońska D, Skorek A. Numerical analysis of the ostiomeatal complex aeration using the CFD method. Sci Rep 2023; 13:3980. [PMID: 36894608 PMCID: PMC9998384 DOI: 10.1038/s41598-023-31166-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2023] [Accepted: 03/07/2023] [Indexed: 03/11/2023] Open
Abstract
We aimed to analyse ostiomeatal complex (OMC) aeration using the computational fluid dynamics (CFD) method of simulation based on human craniofacial computed tomography (CT) scans. The analysis was based on CT images of 2 patients: one with normal nose anatomy and one with nasal septal deviation (NSD). The Reynolds-Average Simulation approach and turbulence model based on linear eddy viscosity supplemented with the two-equation k-[Formula: see text] SST model were used for the CFD simulation. As a result, we found differences in airflow velocity through the ostiomeatal complex in patients with a normal nose and those with NSD. In a patient with NSD, the flow is turbulent in contrast to the normal nose (laminar flow). A faster (more intensive) airflow through the OMC was observed in the wider nasal cavity of the patient with NSD than on the narrower side. In addition, we want to emphasise the higher speed of airflow through the apex uncinate process area towards the ostiomeatal complex during exhalation, which, in the presence of secretions in the nose, predisposes to its easier penetration into the sinuses of the anterior group.
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Affiliation(s)
- Dmitry Tretiakow
- Department of Otolaryngology, Medical University of Gdansk, Gdańsk, Poland.
| | - Krzysztof Tesch
- Faculty of Mechanical Engineering and Ship Technology, Gdansk University of Technology, Gdańsk, Poland
| | - Karolina Markiet
- II Department of Radiology, Medical University of Gdansk, Gdańsk, Poland
| | - Tomasz Przewoźny
- Department of Otolaryngology, Medical University of Gdansk, Gdańsk, Poland
| | - Aida Kusiak
- Department of Periodontology and Oral Mucosa Diseases, Medical University of Gdansk, Gdańsk, Poland
| | - Dominika Cichońska
- Department of Periodontology and Oral Mucosa Diseases, Medical University of Gdansk, Gdańsk, Poland
| | - Andrzej Skorek
- Department of Otolaryngology, Medical University of Gdansk, Gdańsk, Poland
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18
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Tovmasyan AS, Polyaeva MY, Aleksanyan TA, Kolbanova IG, Kishinevskii AE, Mosin VV, Shvedov NV, Kryukova MS. [Rhinolith - diagnosis and treatment features]. Vestn Otorinolaringol 2023; 88:94-98. [PMID: 37450399 DOI: 10.17116/otorino20228803194] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/18/2023]
Abstract
Exogenous foreign bodies enter the nasal cavity through the nostrils or in some cases through the choana and usually get stuck in the lower or middle nasal meatus. An alien body that has been in the nasal cavity for a long time serves as a nucleus around which calcium and magnesium salts, organic components, are deposited from the nasal secretions, and contributes to the formation of rhinolith (nasal stone, from Greek rhino - nose, lithos - stone). Endogenous material (thick mucous secret or a blood clot drying into the crusts, desquamated epithelium, an atypically located tooth, products of cellular lysis and necrosis of the mucous membrane) can also serve as a potential nucleus for salt deposition. Narrowing of the nasal passages due to the curvature of the nasal septum, hypertrophy of the nasal conchae, violation of mucociliary transport and inflammatory changes in the mucous membrane in chronic rhinitis or rhinosinusitis can lead to a delay in the mucous discharge in the nasal cavity, pH changes, excessive saturation of the secretion with crystalloids, initiate crystallization around the nucleus and deposition of salts. This article presents the results of clinical examination and surgical treatment of a patient with rhinolith formed by prolonged inhalation of construction dust.
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Affiliation(s)
- A S Tovmasyan
- Sverzhevsky Scientific Research Clinical Institute of Otorhinolaryngology of the Department of Health of the City of Moscow, Moscow, Russia
| | - M Yu Polyaeva
- Sverzhevsky Scientific Research Clinical Institute of Otorhinolaryngology of the Department of Health of the City of Moscow, Moscow, Russia
| | - T A Aleksanyan
- Sverzhevsky Scientific Research Clinical Institute of Otorhinolaryngology of the Department of Health of the City of Moscow, Moscow, Russia
| | - I G Kolbanova
- Sverzhevsky Scientific Research Clinical Institute of Otorhinolaryngology of the Department of Health of the City of Moscow, Moscow, Russia
| | - A E Kishinevskii
- Sverzhevsky Scientific Research Clinical Institute of Otorhinolaryngology of the Department of Health of the City of Moscow, Moscow, Russia
| | - V V Mosin
- Sverzhevsky Scientific Research Clinical Institute of Otorhinolaryngology of the Department of Health of the City of Moscow, Moscow, Russia
| | - N V Shvedov
- Sverzhevsky Scientific Research Clinical Institute of Otorhinolaryngology of the Department of Health of the City of Moscow, Moscow, Russia
| | - M S Kryukova
- Sverzhevsky Scientific Research Clinical Institute of Otorhinolaryngology of the Department of Health of the City of Moscow, Moscow, Russia
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谌 祎, 胡 彬, 周 建, 肖 旭, 王 宁. [Ossification of nasal septal polyps: a case report]. Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2022; 36:719-720. [PMID: 36036076 PMCID: PMC10127628 DOI: 10.13201/j.issn.2096-7993.2022.09.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 05/07/2021] [Indexed: 06/15/2023]
Abstract
This paper reported a case of a large septal polyp with central calcification. Nasal endoscopy revealed an irregular lobular mass, yellow and smooth, extending from posterior septum to nasopharynx. CT scan revealed a large nasal and nasopharyngeal mass, closely related to the septum, with ossification in the center. This mass was excised by endoscopic surgery and proved to be typical ossification of nasal polyps.
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Affiliation(s)
- 祎玮 谌
- 湖南省人民医院(湖南师范大学附属第一医院)耳鼻咽喉头颈外科(长沙,410005)Department of Otorhinolaryngology Head and Neck Surgery, Hunan Province People's Hospital[the First Affiliated Hospital, Hunan Normal University], Changsha, 410005, China
| | - 彬 胡
- 湖南省人民医院(湖南师范大学附属第一医院)耳鼻咽喉头颈外科(长沙,410005)Department of Otorhinolaryngology Head and Neck Surgery, Hunan Province People's Hospital[the First Affiliated Hospital, Hunan Normal University], Changsha, 410005, China
| | - 建波 周
- 湖南省人民医院(湖南师范大学附属第一医院)耳鼻咽喉头颈外科(长沙,410005)Department of Otorhinolaryngology Head and Neck Surgery, Hunan Province People's Hospital[the First Affiliated Hospital, Hunan Normal University], Changsha, 410005, China
| | - 旭平 肖
- 湖南省人民医院(湖南师范大学附属第一医院)耳鼻咽喉头颈外科(长沙,410005)Department of Otorhinolaryngology Head and Neck Surgery, Hunan Province People's Hospital[the First Affiliated Hospital, Hunan Normal University], Changsha, 410005, China
| | - 宁 王
- 湖南省人民医院(湖南师范大学附属第一医院)耳鼻咽喉头颈外科(长沙,410005)Department of Otorhinolaryngology Head and Neck Surgery, Hunan Province People's Hospital[the First Affiliated Hospital, Hunan Normal University], Changsha, 410005, China
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20
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柯 小, 林 熹. [Endoscopic management and outcome of nasosinusitis in non-traumatic dehiscence of the lamina papyracea with orbital content herniation]. Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2022; 36:617-621. [PMID: 35959581 PMCID: PMC10128202 DOI: 10.13201/j.issn.2096-7993.2022.08.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 12/02/2021] [Indexed: 06/15/2023]
Abstract
Objective:To analyze the CT manifestations, clinical features, and endoscopic management and outcome of nasosinusitis in non-traumatic dehiscence of the lamina papyracea with herniation of orbital contents. Methods:From January 2019 to October 2020, a total of 686 cases with chronic nasosinusitis or nasal septum deviation were admitted to our department, including 448 male cases and 238 female cases. No patient had prior maxillofacial or orbital trauma as well as surgery related to nose and eyes. The clinical data were retrospectively analyzed. Results:Twelve patients were diagnosed as dehiscence of the lamina papyracea. Preoperative CT revealed that the location of dehiscence was only in the ethmoid sinus. Conclusion:For nasosinusitis patients with non-traumatic dehiscence of the lamina papyracea, all ethmoid cells should be opened during FESS. Precise and skillful operation, good bleeding control and clear visual field were critical. no damage to the herniated periorbital fat during the operation and appropriate cavity packing after the operation are essential, which could avoid the orbital-related complications as well as improve the symptom resolution. No recurrence was found during the follow-up period.
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Affiliation(s)
- 小英 柯
- 福建医科大学附属第一医院耳鼻咽喉头颈外科 福建省耳鼻喉研究所(福州,350005)Department of Otolaryngology Head and Neck Surgery, Fujian Institute of Otorhinolaryngology, the First Affiliated Hospital of Fujian Medical University, Fuzhou, 350005, China
| | - 熹 林
- 福建医科大学附属第一医院耳鼻咽喉头颈外科 福建省耳鼻喉研究所(福州,350005)Department of Otolaryngology Head and Neck Surgery, Fujian Institute of Otorhinolaryngology, the First Affiliated Hospital of Fujian Medical University, Fuzhou, 350005, China
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21
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Di B, Miao YH, Wang J, Li XM. [Precise resection and defect repair of external nose malignant tumor]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2022; 57:15-21. [PMID: 35090204 DOI: 10.3760/cma.j.cn115330-20210630-00399] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Objective: To explore the methods for the accurate resection of malignant tumors of the external nose, and the accurate evaluation and repair of tissue defects. Methods: We collected 48 cases with nasal malignant tumors treated in 980 Hospital, Joint Support Force of the People's Liberation Army from January 2010 to June 2020, including 28 males and 20 females, aged 36-86 years. The pathological types of tumors included basal cell carcinomas (n=29), squamous cell carcinomas (n=11), trichilemmal carcinomas(n=6), denoid cystic carcinoma (n=1) and non-Hodgkin lymphoma (n=1). Tumor resection was mainly based on the traditional extended resection determined by the safety margin, and Mohs surgery was used to minimize the scope of resection, for the margin that significantly affected the repairing results, such as the lesion adjacent to the nasal alar margin, nasal columella or deep easy-penetrating margin. All cases obtained tumor resection and primary/secondary defect reconstruction. Results: According to the pathological type and tumor size, the safe resection margin was mainly 4-10 mm, and Mohs surgery was used in 24 cases. Limited-size defects in 38 cases were repaired with double-leaf flaps, kite flaps, nasal dorsum brow flaps, nasolabial flaps or free tissues. Among 10 cases with compound defects, 8 cases were repaired with frontal flaps, including 4 cases with single frontal flaps, 2 cases with additional titanium mesh stent reconstruction and 2 cases with over and out frontal flaps. During follow-up of 1 to 10 years, all the flaps survived without flap necrosis, and the postoperative nasal contour and ventilation were satisfactory. One patient had tumor recurrence 18 months after operation, 2 patients died of cardiovascular and cerebrovascular diseases, and other patients survived without tumors. Conclusions: Mohs surgery can basically meet the requirements for precise resection of external nasal malignant tumors. Individualized application of adjacent tissue flaps and various frontal flaps is a reasonable choice to achieve the satisfactory outcome of external nasal repair and to take into account the complexity of operation.
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Affiliation(s)
- B Di
- Department of Otorhinolaryngology Head and Neck Surgery, No. 980 Hospital/Bethune International Peace Hospital of Joint Logistic Supportive Force of People's Liberation Army, Shijiazhuang 050082, China
| | - Y H Miao
- Department of Otorhinolaryngology Head and Neck Surgery, No. 980 Hospital/Bethune International Peace Hospital of Joint Logistic Supportive Force of People's Liberation Army, Shijiazhuang 050082, China
| | - J Wang
- Department of Otorhinolaryngology Head and Neck Surgery, No. 980 Hospital/Bethune International Peace Hospital of Joint Logistic Supportive Force of People's Liberation Army, Shijiazhuang 050082, China
| | - X M Li
- Department of Otorhinolaryngology Head and Neck Surgery, No. 980 Hospital/Bethune International Peace Hospital of Joint Logistic Supportive Force of People's Liberation Army, Shijiazhuang 050082, China
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àWengen DF. Commentary on: Balanced Cantilever Graft for Supporting the Cartilaginous Side Wall of Nose. Aesthet Surg J 2022; 42:28-30. [PMID: 34286826 DOI: 10.1093/asj/sjab283] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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23
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Yi L, Liu H. Thyroid-like low-grade nasopharyngeal papillary adenocarcinoma with squamous differentiation in the posterior nasal septum: A rare case report. Medicine (Baltimore) 2021; 100:e28349. [PMID: 34941144 PMCID: PMC8702276 DOI: 10.1097/md.0000000000028349] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/16/2021] [Accepted: 12/01/2021] [Indexed: 01/05/2023] Open
Abstract
RATIONALE Thyroid-like low-grade nasopharyngeal papillary adenocarcinoma (TL-LGNPPA) is a rare neoplasm characterized by papillary epithelial proliferation and abnormal expression of thyroid transcription factor-1. To our knowledge, squamous differentiation in TL-LGNPPA is an unusual phenomenon, and only 1 case has been reported to date. The tumor occurs mainly on the roof of the nasopharynx. Herein, we report a case of TL-LGNPPA with squamous differentiation located on the posterior nasal septum. PATIENT CONCERNS A 45-year-old Chinese women presented to our hospital with a complaint of nasal obstruction for 10 years and the symptom has been getting worse for recent 3 years. DIAGNOSES Microscopic examination of the tumor tissue revealed findings typical of TL-LGNPPA, and in addition to the typical components, squamous differentiation could be found in some areas within the fibrovascular cores of the papillary components. Immunohistochemically, the squamous cells were positive for P40 and P63 but negative for thyroid transcription factor-1. INTERVENTIONS The patient underwent complete resection of the tumor. OUTCOMES Follow up results showed that the patient had no recurrence 41 months after removal of the tumor. LESSONS Our report anticipates that, although TL-LGNPPA with squamous differentiation in the posterior nasal septum is rare, this report will expand the existing knowledge associated with TL-LGNPPA.
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Affiliation(s)
- Li Yi
- Department of Pathology, Second Hospital of Hebei Medical University, Shijiazhuang, China
| | - Honglei Liu
- Department of Neurosurgery, Shijiazhuang Third Hospital, Shijiazhuang, China
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Abou Sleiman R, Saadé A. Effect of septal deviation on nasomaxillary shape: A geometric morphometric study. J Anat 2021; 239:788-800. [PMID: 34148243 PMCID: PMC8450481 DOI: 10.1111/joa.13479] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2021] [Revised: 05/14/2021] [Accepted: 05/18/2021] [Indexed: 11/27/2022] Open
Abstract
Nasal cavities in their primitive stage communicate with the oral cavity until the 8th week of intrauterine life where the posterior palate initiates its development. Hence, starting from the initial growth phases, a significant connection lays between the nasal structures and the maxillary bone and witnessing key functional roles, among which the respiration. Proper nasal breathing has been proven to be a crucial factor for the maturity of the craniofacial complex, and obstruction of the respiratory airway due to nasal septum deviation can generate clinically significant reduction of the nasal airflow. This situation will imply irreversible repercussions that hinders the harmonious development of the craniofacial complex. In order to understand such potential impacts of septal deviation, our first objective was to materialize the relation between septum deviation, and both nasal cavity and maxillary structures. For the second objective, we used Procrustes analysis to assess the shape variation of these two anatomical regions, the bivariate plots of Principal Components to evaluate their shape space, and a two-block Partial Least Square (PLS) to explore their covariation. We analysed, in this cross-sectional study, 62 posteroanterior cephalometric radiographs of adult subjects from both sexes (23 males, 39 females; mean age 25.3 years) collected from the database of the Department of Orthodontics at Lebanese University. Landmarks were plotted and variables were calculated and divided into nasal septum, nasal cavity and maxillary ones. The sample was further divided into two groups based on septal deviation severity (a septal deviation is considered minor if <6). The results suggested that nasal septum deviation was correlated to reduced nasal cavity area and a reduced maxillary area. Moreover, the comparison of the two groups concluded that the difference between all variables was statistically significant with higher scores in the minor septal deviation group. These findings were corroborated with the shape analysis where the mean centroid size of nasal cavity and that of the maxilla in the group of reduced septal deviation were significantly greater than those of the group with increased angle of deviation. Results of PLS analysis concluded to a strong covariation between nasal septum and nasomaxillary complex. These conclusions support the early septoplasty in growing patients as a solution to redirect the normal course of growth and re-establish a good function of the nasomaxillary complex.
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Affiliation(s)
- Roni Abou Sleiman
- Department of Orthodontics and Dentofacial OrthopedicsLebanese UniversityBeirutLebanon
| | - Antoine Saadé
- Department of Orthodontics and Dentofacial OrthopedicsLebanese UniversityBeirutLebanon
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Li J, Tao Y, Shi X. A Case Report of Spontaneous Nasal Septal Abscess in a Child. Ear Nose Throat J 2021; 102:NP195-NP198. [PMID: 33734887 DOI: 10.1177/01455613211000613] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
We describe a case of spontaneous nasal septal abscess (NSA) in a 9-year-old child. We also reviewed the literatures in recent years and summarized the characteristics of NSA, such as gender, age, inducement, pathogenic bacteria, treatment, and prognosis. We found that this boy reported by us has the most extensive abscess. May be the delay of treatment was related to the recent fluctuation of COVID-19 epidemic in China. Fortunately, with the help of surgery and anti-infection treatment, the boy was discharged from the hospital without septal perforation or saddle nose.
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Affiliation(s)
- Jing Li
- Department of Otolaryngology, Head and Neck Surgery, The Affiliated Jiangning Hospital of Nanjing Medical University, Nanjing, People's Republic of China
| | - Yuejin Tao
- Department of Otolaryngology, Head and Neck Surgery, The Affiliated Jiangning Hospital of Nanjing Medical University, Nanjing, People's Republic of China
| | - Xinyi Shi
- Department of Otolaryngology, Head and Neck Surgery, The Affiliated Jiangning Hospital of Nanjing Medical University, Nanjing, People's Republic of China
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26
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Urata S, Maruyama J, Kishimoto-Urata M, Sattler RA, Cook R, Lin N, Yamasoba T, Makishima T, Paessler S. Regeneration Profiles of Olfactory Epithelium after SARS-CoV-2 Infection in Golden Syrian Hamsters. ACS Chem Neurosci 2021; 12:589-595. [PMID: 33522795 PMCID: PMC7874468 DOI: 10.1021/acschemneuro.0c00649] [Citation(s) in RCA: 27] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
Olfactory dysfunction is one of the most frequent and specific symptoms of coronavirus disease 2019 (COVID-19). Information on the damage and repair of the neuroepithelium and its impact on olfactory function after COVID-19 is still incomplete. While severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) causes the ongoing worldwide outbreak of COVID-19, little is known about the changes triggered by SARS-CoV-2 in the olfactory epithelium (OE) at the cellular level. Here, we report profiles of the OE after SARS-CoV-2 infection in golden Syrian hamsters, which is a reliable animal model of COVID-19. We observed severe damage in the OE as early as 3 days postinoculation and regionally specific damage and regeneration of the OE within the nasal cavity; the nasal septal region demonstrated the fastest recovery compared to other regions in the nasal turbinates. These findings suggest that anosmia related to SARS-CoV-2 infection may be fully reversible.
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Affiliation(s)
- Shinji Urata
- Department of Otolaryngology, University of Texas Medical Branch, Galveston, Texas, USA
- Department of Otolaryngology, Graduate School of Medicine, the University of Tokyo, Tokyo, Japan
| | - Junki Maruyama
- Department of Pathology, University of Texas Medical Branch, Galveston, Texas, USA
| | - Megumi Kishimoto-Urata
- Department of Pathology, University of Texas Medical Branch, Galveston, Texas, USA
- Department of Otolaryngology, Graduate School of Medicine, the University of Tokyo, Tokyo, Japan
| | - Rachel A. Sattler
- Department of Pathology, University of Texas Medical Branch, Galveston, Texas, USA
| | - Rebecca Cook
- Department of Otolaryngology, University of Texas Medical Branch, Galveston, Texas, USA
| | - Nantian Lin
- Department of Otolaryngology, University of Texas Medical Branch, Galveston, Texas, USA
| | - Tatsuya Yamasoba
- Department of Otolaryngology, Graduate School of Medicine, the University of Tokyo, Tokyo, Japan
| | - Tomoko Makishima
- Department of Otolaryngology, University of Texas Medical Branch, Galveston, Texas, USA
| | - Slobodan Paessler
- Department of Pathology, University of Texas Medical Branch, Galveston, Texas, USA
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Shkorbotun Y. EVALUATION OF THE UKRAINIAN VERSION OF SNOT-22 QUESTIONNAIRE VALIDITY FOR ASSESSING THE QUALITY OF LIFE IN PATIENTS WITH CHRONIC RHINOSINUSITIS AND NASAL SEPTUM DEVIATION. Georgian Med News 2020:43-47. [PMID: 33395639] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
One of the world's most widely recognized and widely used questionnaires for assessing the impact of nasal diseases on the quality of life is sinonasal outcome test 22 (SNOT-22). The objective of the study was to develop the Ukrainian version of SNOT-22 questionnaire and to study its effectiveness while evaluating the impact of nasal diseases on quality of life of patients. The validity of the results obtained by using the Ukrainian version of SNOT-22 questionnaire was calculated by comparing the results obtained in the survey of patients with chronic rhinosinusitis (50), and patients with nasal septum deviation (50) with impaired nasal breathing, and two control groups (30 persons each): people with non-sinonasal symptoms and practically healthy people. The average results of SNOT-22 questionnaire for patients with chronic rhinosinusitis was 39.89 (SD=15.3), for patients with the nasal septum deviation it was 31.23 (SD=11.9). At the same time nonsinonasal patients, and control group representatives had the average SNOT-22 results 12.43(SD=4.5) and 10.34(SD=3,8), respectively. The Ukrainian version of SNOT-22 questionnaire is an effective statistical tool that can be used to study the impact of such a pathology as chronic rhinosinusitis and the nasal septum deviation on the quality of life of patients.
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Affiliation(s)
- Y Shkorbotun
- State Institution of Science "Research and Practical Center of Preventive and Clinical Medicine "State Administrative Department, Department of Miniinvasive Surgery; Shupyk National Medical Academy of Postgraduate Education, Department of Otolaryngology, Kiev, Ukraine
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28
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Celik NA. Invited Discussion on: "Counter-autografting of the Dorsal Septum of the Crooked Nose". Aesthetic Plast Surg 2020; 44:1716-1717. [PMID: 32632622 DOI: 10.1007/s00266-020-01837-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2020] [Accepted: 06/09/2020] [Indexed: 11/25/2022]
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29
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Gubisch W. Invited Discussion on: Anterior Nasal Spine Relocation for Caudal Septal Deviation: A Case Series and Discussion of Common Scenarios. Aesthetic Plast Surg 2020; 44:508-510. [PMID: 31940072 DOI: 10.1007/s00266-019-01601-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2019] [Accepted: 12/24/2019] [Indexed: 11/26/2022]
Affiliation(s)
- Wolfgang Gubisch
- Marienhospital Stuttgart, Clinic for Facial Plastic Surgery, Böheimstr. 37, 70199, Stuttgart, Germany.
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30
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Keustermans W, Huysmans T, Schmelzer B, Sijbers J, Dirckx JJ. The effect of nasal shape on the thermal conditioning of inhaled air: Using clinical tomographic data to build a large-scale statistical shape model. Comput Biol Med 2020; 117:103600. [PMID: 32072966 DOI: 10.1016/j.compbiomed.2020.103600] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2019] [Revised: 12/16/2019] [Accepted: 01/01/2020] [Indexed: 11/19/2022]
Abstract
In this paper, we investigate the heating function of the nasal cavity qualitatively, using a high-quality, large-scale statistical shape model. This model consists of a symmetrical and an asymmetrical part and provides a new and unique way of examining changes in nasal heating function resulting from natural variations in nasal shape (as obtained from 100 clinical CT scans). Data collected from patients suffering from different nasal or sinus-related complaints are included. Parameterized models allow us to investigate the effect of continuous deviations in shape from the mean nasal cavity. This approach also enables us to avoid many of the compounded effects on flow and heat exchange, which one would encounter when comparing different patient-specific models. The effects of global size, size-related features, and turbinate size are investigated using the symmetrical shape model. The asymmetrical model is used to investigate different types of septal deviation using Mladina's classification. The qualitative results are discussed and compared with findings from the existing literature.
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Affiliation(s)
- William Keustermans
- Physics Department, University of Antwerp, Laboratory of Biophysics and Biomedical Physics, Groenenborgerlaan 171, 2020, Antwerp, Belgium.
| | - Toon Huysmans
- Section on Applied Ergonomics and Design, Faculty of Industrial Design Engineering, Delft University of Technology, Landbergstraat 15, 2628, CE Delft, Netherlands
| | - Bert Schmelzer
- ENT Department, ZNA Middelheim Hospital, Lindendreef 1, 2020, Antwerp, Belgium
| | - Jan Sijbers
- Physics Department, University of Antwerp, Imec-Vision Lab, Universiteitsplein 1, 2610, Antwerp, Belgium
| | - Joris Jj Dirckx
- Physics Department, University of Antwerp, Laboratory of Biophysics and Biomedical Physics, Groenenborgerlaan 171, 2020, Antwerp, Belgium
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31
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Shcherbakov DA, Kokareva VV, Cheremnykh NI, Aleksanyan TA. [CFD simulation study of aerodynamics in nasal cavity in a case of septal perforation]. Vestn Otorinolaringol 2020; 85:64-67. [PMID: 32241992 DOI: 10.17116/otorino20208501164] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Perforation of the nasal septum remains an actual problem. The success of surgical closure of perforation of the nasal septum depends not only on the surgeon's skill, but also on the degree of disturbance of the nasal cavity physiology. Traditionally, CFD studies of nasal septal perforations are dedicated to the analysis of changes in speed value of the inhaled air depending on the size and localization of perforation of the nasal septum. But there is a lack of studies about warming and moistening of the inhaled air in a case of nasal septal perforation. These studies are necessary not only for studying the pathophysiology of perforation of the nasal septum, but also for planning surgery.
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Affiliation(s)
- D A Shcherbakov
- Federal State Institution Russian Eye and Plastic Surgery Center, Ufa, Russia, 450075
| | - V V Kokareva
- Federal State Institution Russian Eye and Plastic Surgery Center, Ufa, Russia, 450075
| | - N I Cheremnykh
- Omsk State Medical University of the Ministry of Health of Russia, Omsk, Russia, 644099
| | - T A Aleksanyan
- Sverzhevsky Research Clinical Institute of Otorhinolaryngology of the Moscow Healthcare Department, Moscow, Russia, 117152
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Zhou F, Lin W, Du Y, Li S, Jiang H, Wan L, Yuan H. Single-stage repair of secondary unilateral cleft lip-nose deformity in adults. J Craniomaxillofac Surg 2019; 48:83-89. [PMID: 31882233 DOI: 10.1016/j.jcms.2019.12.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2019] [Revised: 11/05/2019] [Accepted: 12/02/2019] [Indexed: 11/17/2022] Open
Abstract
Correction of cleft lip-nose deformity in adult patients is different from that in children. One-stage correction has proved to be a suitable technique for patients with cleft-lip nose deformity. This study aimed to explore a particular single-stage method and evaluate the effect of simultaneous reparation of secondary unilateral cleft lip-nose deformities. Cleft lip patients who had previously undergone nasolabial surgery with residual poor nasal/lip appearance were included. The alveolar bone defect was repaired with granular costal cortical bone. Lip revision and rhinoplasty were performed using diced costal cartilage. The lip, nose, and alveolar deformities were corrected in one stage. From 2011 to 2017, 53 cases were treated. The vermilion discrepancy was corrected in all cases. Fifty-one patients were successfully treated, with primary healing in the bony recipient area. Cancellous bone exposure occurred in two cases. The wounds were healed after debridement and drainage. Appearances were improved in all patients. The mean change in columella-labial angle ranged from 82.50 to 92.78° (p < 0.001). This one-stage correction appears to have led to a distinct improvement in the nasal tip projection and lip. The method is considered to be effective and reliable in patients with secondary unilateral cleft lip-nose deformities.
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Affiliation(s)
- Fan Zhou
- Department of Oral and Maxillofacial Surgery, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China
| | - Wen Lin
- Department of Oral and Maxillofacial Surgery, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China
| | - Yifei Du
- Department of Oral and Maxillofacial Surgery, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China
| | - Sheng Li
- Department of Oral and Maxillofacial Surgery, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China
| | - Hongbing Jiang
- Department of Oral and Maxillofacial Surgery, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China
| | - Linzhong Wan
- Department of Oral and Maxillofacial Surgery, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China.
| | - Hua Yuan
- Department of Oral and Maxillofacial Surgery, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China; Jiangsu Key Laboratory of Oral Diseases, Nanjing Medical University, Nanjing, China.
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Affiliation(s)
- Tirbod Fattahi
- Department of Oral and Maxillofacial Surgery, University of Florida College of Medicine - Jacksonville, 653-1 West 8th Street, Jacksonville, FL 32209, USA.
| | - Salam Salman
- Department of Oral and Maxillofacial Surgery, University of Florida College of Medicine - Jacksonville, 653-1 West 8th Street, Jacksonville, FL 32209, USA
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Turhan B, Kervancioglu P, Yalcin ED. The radiological evaluation of the nasal cavity, conchae and nasal septum volumes by stereological method: A retrospective cone-beam computed tomography study. ADV CLIN EXP MED 2019; 28:1021-1026. [PMID: 30986003 DOI: 10.17219/acem/98960] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
BACKGROUND The nasal cavity (NC) is the entrance to the respiratory system. Many studies have been conducted on the structure, function and volume of the NC. Only a few studies were performed assessing the volumetric values of NC and conchae. OBJECTIVES The aim of this study was to evaluate the volumetric measurements of the NC, conchae and nasal septum using the stereological method. MATERIAL AND METHODS Cone-beam computed tomography (CBCT) images of 200 individuals (100 females and 100 males) aged 8-59 years were retrospectively evaluated. Inferior nasal concha and middle nasal concha, NC and nasal septum volumes were measured on these images. Measurements were made using point counting method, which is based on the Cavalieri principle. The mean values of the measured structures for 2 age groups and for each gender were obtained. Differences between the groups and genders of all parameters were examined. The volume fractions of measured volumes were calculated. RESULTS The mean volumes of the nasal septum, left and right NC, left and right inferior nasal conchae, and left and right middle nasal conchae were 4.99 ±1.51 cm³, 7.44 ±2.93 cm³, 7.68 ±2.99 cm³, 3.10 ±1.11 cm³, 3.04 ±1.02 cm³, 1.32 ±0.56 cm³, and 1.28 ±0.49 cm³, respectively. Gender and age differences were statistically significant in all volumes (p < 0.05). CONCLUSIONS The data obtained in this study may assist clinicians in planning treatment, assessing the treatment results of pathological conditions within the NC, and help surgeons in preoperational and postoperational evaluations, especially in dentistry, otorhinolaryngology and plastic surgery.
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Affiliation(s)
- Begumhan Turhan
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hasan Kalyoncu University, Gaziantep, Turkey
| | | | - Eda Didem Yalcin
- Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Gaziantep University, Turkey
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Affiliation(s)
- Fabian Sommer
- Department of Otorhinolaryngology, Head and Neck Surgery University Hospital Ulm, Ulm 89081, Germany
| | - Thomas K Hoffmann
- Department of Otorhinolaryngology, Head and Neck Surgery University Hospital Ulm, Ulm 89081, Germany.
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Garzaro M, Dell'Era V, Brucoli M, Boffano P, Benech A, Aluffi Valletti P. Endoscopic septoplasty as a routine approach: Our experience on 647 patients. J Craniomaxillofac Surg 2019; 47:1530-1534. [PMID: 31387832 DOI: 10.1016/j.jcms.2019.07.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2019] [Revised: 07/10/2019] [Accepted: 07/14/2019] [Indexed: 11/19/2022] Open
Abstract
INTRODUCTION A variety of surgical techniques of septoplasty have been described. The aim of the present study was to assess the feasibility of endoscopic septoplasty as a routine approach both alone and during other sinonasal - skull base endoscopic procedures. METHODS A retrospective study of all patients admitted for endoscopic septoplasty that were performed between January 2011 and December 2017 was conducted. Patients that performed septoplasty either alone or in combination with sinus surgery or skull base surgery were included. Data regarding postoperative major complications such post-operative hemorrhage, synechiae, and septal tears or perforation were collected. RESULTS 647 patients were included. Postoperative hemorrhage was observed in 0,3% of patients, synechiae in 5,2% of cases, and septal tears and/or perforations in 6,2% of the whole study population. An incomplete septal correction was observed in 27 patients (4,2%). CONCLUSIONS The endoscopic technique provides a better visualization allowing to observe fewer complications. It can also be considered as an excellent and effective teaching tool.
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Affiliation(s)
- Massimiliano Garzaro
- ENT Division, University Hospital "Maggiore della Carità", University of Eastern Piedmont, Novara, Italy
| | - Valeria Dell'Era
- ENT Division, University Hospital "Maggiore della Carità", University of Eastern Piedmont, Novara, Italy
| | - Matteo Brucoli
- Division of Maxillofacial Surgery, University Hospital "Maggiore della Carità", University of Eastern Piedmont, Novara, Italy
| | - Paolo Boffano
- Division of Maxillofacial Surgery, University Hospital "Maggiore della Carità", University of Eastern Piedmont, Novara, Italy.
| | - Arnaldo Benech
- Division of Maxillofacial Surgery, University Hospital "Maggiore della Carità", University of Eastern Piedmont, Novara, Italy
| | - Paolo Aluffi Valletti
- ENT Division, University Hospital "Maggiore della Carità", University of Eastern Piedmont, Novara, Italy
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Riedel F, Wähmann M, Bran GM, Conder M, Bulut OC. [Quality of life after functional aesthetic septorhinoplasty in primary surgery vs. revision surgery-a monocentric study]. HNO 2019; 67:192-198. [PMID: 30132128 DOI: 10.1007/s00106-018-0554-x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND Subjective assessments of quality of life (QOL) as an important aspect of outcome research have gained in importance over the past few decades. The number of prospective studies on postoperative QOL in septorhinoplasty using disease-specific instruments is sparse. The aim was to assess and compare patient QOL after primary and revision septorhinoplasty performed by a single surgeon in an ENT center. MATERIAL AND METHODS All patients completed two disease-specific QOL instruments preoperatively and at least 1 year postoperatively: the Rhinoplasty Outcome Evaluation (ROE) and the Nasal Obstruction Symptoms Evaluation (NOSE) scores. General demographic and clinical information (age, gender, medical and surgical history) were collected from all patients. All operations were performed by a single surgeon (F. R.). RESULTS A total of 237 patients were included in the study, 208 (87.8%) female and 29 (12.2%) male. The average age was 30.3 ± 8.9 years. The average observation period was 19.3 ± 7.4 months. Using the measurement tool NOSE there was a significant improvement in obstruction in the overall collective (preoperative 49.8 ± 26.2, postoperative 19.1 ± 21.3; p < 0.001) with no significant difference in primary versus revision surgery. The ROE score showed a significant improvement and both collectives (primary and secondary surgery) showed a significant improvement after the intervention. The patients with a primary intervention had a significantly higher postoperative QOL (p < 0.001). CONCLUSION The disease-specific QOL showed a significant increase after primary septorhinoplasty as well as after revision surgery. The NOSE score increased significantly in both intervention groups postoperatively.
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Affiliation(s)
- F Riedel
- HNO-Zentrum Rhein-Neckar, Stresemannstr. 22, 68165, Mannheim, Deutschland.
| | - M Wähmann
- HNO-Zentrum Rhein-Neckar, Stresemannstr. 22, 68165, Mannheim, Deutschland
| | - G M Bran
- HNO-Zentrum Rhein-Neckar, Stresemannstr. 22, 68165, Mannheim, Deutschland
| | - M Conder
- HNO-Zentrum Rhein-Neckar, Stresemannstr. 22, 68165, Mannheim, Deutschland
| | - O C Bulut
- Abteilung für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie, plastische Gesichtschirurgie, Klinikum am Gesundbrunnen, SLK-Kliniken Heilbronn, Heilbronn, Deutschland
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Robotti E. Invited Commentary on Caudal Septal Extension Graft Sutured with Absorbable Material and Not Fixed to the Nasal Spine Region Compared with the Conventional Fixation Method: A Retrospective Study. Aesthetic Plast Surg 2019; 43:768-770. [PMID: 30805686 DOI: 10.1007/s00266-019-01332-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2019] [Accepted: 02/05/2019] [Indexed: 11/24/2022]
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Maruccia M, Elia R, Nacchiero E, Giudice G. Microsurgical reconstruction of the isolated columellar defect with a prelaminated radial forearm free flap. A case report and a review of the literature. Microsurgery 2019; 40:241-246. [PMID: 31112632 DOI: 10.1002/micr.30472] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2019] [Revised: 04/16/2019] [Accepted: 05/10/2019] [Indexed: 11/07/2022]
Abstract
The columella is one of the smallest subunits of the nose, but the loss of this structure has important aesthetic and structural implications. Few papers in literature present microsurgical techniques for the reconstruction of an isolated columellar defect. This report describes the use of a prelaminated radial forearm free flap (RFFF) for the reconstruction of an isolated columellar defect and reviews the current literature. A 45-year-old woman presented to our Unit with a history of palate squamous cell carcinoma and severe nasal deformity with an almost complete loss of the columella. A prelaminated RFFF with the fifth rib was used for a two-staged reconstruction of the isolated columellar defect. The radial pedicle was anastomosed to the facial vessels and the postoperative course was uneventful. Complete survival of the flap was achieved and, 10 months postoperatively, the patient had bilateral nasal patency, with an increased tip projection and a good aesthetic result. A prelaminated RFFF can be considered a valuable reconstructive option in cases of a large composite defect of the columella and limited availability of adjacent tissues.
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Affiliation(s)
- Michele Maruccia
- Division of Plastic and Reconstructive Surgery, Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy
| | - Rossella Elia
- Division of Plastic and Reconstructive Surgery, Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy
| | - Eleonora Nacchiero
- Division of Plastic and Reconstructive Surgery, Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy
| | - Giuseppe Giudice
- Division of Plastic and Reconstructive Surgery, Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy
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Morawska-Kochman M, Nelke K, Nienartowicz J, Pawlak W, Bochnia M. Technical aspects of nasal cavity surgery through the Le Fort I down-fracture approach: An otolaryngologist's point of view based on 90 patients' experience. ADV CLIN EXP MED 2019; 28:203-210. [PMID: 30085426 DOI: 10.17219/acem/80746] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
BACKGROUND The downfracture access to septoand turbinoplasty during maxillary osteotomy may be recommended in many cases. One or both of these laryngological interventions may be necessary when, after the patient's clinical evaluation, either an impaired function of nasal breathing or a deviated septum are present. The main postsurgical risk of the procedure is the destabilization of the cartilaginous septum position and its relation to adjacent anatomical structures, a change in the shape of the nose and the presence of a supratip break. OBJECTIVES In this paper, the authors present their own experience in intranasal procedures, the relevant surgical techniques and possible complications, based on their own clinical findings and on a literature review. MATERIAL AND METHODS The general aim of the study was to describe the key points and differences between septoand turbinoplasty performed classically and during Le Fort I osteotomy based on 90 orthognathic surgery patient cases. The procedures have been evaluated and compared regarding their advantages and disadvantages. RESULTS Intraoperative downfracture of the maxilla facilitates the performance of various subsequent procedures in the regions of the nasal cavities and sinuses. Due to a very convenient access to the nasal cavities, it is possible to perform septoor turbinoplasty in patients with nasal airway breathing problems, a deviated septum, and in others. CONCLUSIONS A combined effort of an otolaryngologist and a maxillofacial team improves the overall nasal breathing with a limited amount of complications. Endoscopy with low-dose computed tomography (CT) is a valuable diagnostic tool for measuring any breathing improvements in nasal capacity. Objective patient nasal breathing problems should be always investigated.
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Affiliation(s)
- Monika Morawska-Kochman
- Department and Clinic of Otolaryngology, Head and Neck Surgery, Faculty of Medicine, Faculty of Postgraduate Medical Training, Wroclaw Medical University, Poland
| | - Kamil Nelke
- Department of Maxillofacial Surgery, 4th Military Hospital, Wrocław, Poland
- Department of Maxillofacial Surgery, University Teaching Hospital, Wrocław, Poland
| | - Jan Nienartowicz
- Department of Maxillofacial Surgery, Faculty of Dentistry, Wroclaw Medical University, Poland
| | - Wojciech Pawlak
- Department of Maxillofacial Surgery, Faculty of Dentistry, Wroclaw Medical University, Poland
| | - Marek Bochnia
- Department and Clinic of Otolaryngology, Head and Neck Surgery, Faculty of Medicine, Faculty of Postgraduate Medical Training, Wroclaw Medical University, Poland
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Abstract
RATIONALE Osteoma with actinomycosis is a very rare disease in the nasal cavity. PATIENT CONCERNS We report a case of a 17-year-old female student who presented with nasal obstruction and rhinorrhea for 6 months. DIAGNOSES The preoperative finding was osteoma covered with yellowish polypoid material. INTERVENTIONS We performed endoscopic sinus surgery, which included excision of the tumor and medication with oral penicillin for 8 weeks. OUTCOMES Postoperative recovery was uneventful. There was no evidence of tumor recurrence during the 1-year period after surgery. CONCLUSION Anaerobic conditions as a result of allergic rhinitis and narrowed nasal cavity because of osteoma can be the cause of formation of actinomycosis. Clinicians should note that osteoma with actinomycosis can be treated with surgical removal of the tumor and short-term antibiotic therapy.
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Affiliation(s)
- Jong Seung Kim
- Department of Otolaryngology-Head and Neck Surgery, Chonbuk National University
- Research Institute of Clinical Medicine of Chonbuk National University—Biomedical Research Institute of Chonbuk National University Hospital
| | - Sang Jae Noh
- Research Institute of Clinical Medicine of Chonbuk National University—Biomedical Research Institute of Chonbuk National University Hospital
- Department of Forensic Science, College of Medicine, Chonbuk National University, Jeonju
| | - Soon Ho Ryu
- Plus I Mi Ko clinic, Suncheon, Chonnam, Korea
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Muszalska J, Zatoński T. [Inverted papilloma of the nasal cavity - a case report]. Pol Merkur Lekarski 2017; 42:87-89. [PMID: 28258684] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Inverted papilloma is a rare, benign sinonasal tumor. Its etiology is the most likely related to HPV infection. Inverted papilloma originates from the ciliated respiratory epithelium, typically from the lateral nasal wall. The tumor is characterized by endophytic growth inwards the stroma with adjacent tissues destruction. The clinical symptoms are non-specific, such as: unilateral obstruction of the nasal duct, rhinorrhoea, epistaxis and anosmia. The treatment consists in a complete surgical excision of the tumor. Inverted papilloma has a tendency to recurrence with incomplete resection and a potential to malignant transformation to squamous cell carcinoma. This manuscript presents a case of a young woman who suffered from recurrent epistaxis from ulceration of the mucous of the anterior part of the nasal septum. The patient in the interview had indicated the symptoms since six months and unsuccessful treatment with cetirizine. The woman was qualified to a surgical removal of the lesion with a transnasal approach. The histopahtological examination of the sample revealed Papilloma inversum. One-year follow up did not disclose the recurrence of the tumor.
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Affiliation(s)
- Jadwiga Muszalska
- Clinical Department of Otolaryngology, 4th Military Clinical Hospital with Outpatients Unit in Wroclaw, Poland
| | - Tomasz Zatoński
- Chair and Department of Otolaryngology, Head and Neck Surgery, Medical University of Wroclaw, Poland
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Litu MA, Bhuiyan MR, Mahmud S, Masud MK, Khan MA, Rahman MA, Ferdouse F, Arafat MS. Structural Variations of Nose and Paranasal Sinuses in Various Sinonasal Pathologies: Tomographic Study of 50 Cases in Bangladeshi People. Mymensingh Med J 2016; 25:686-690. [PMID: 27941731] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The aim of this study was to determine the frequency of structural variations in nose & paranasal sinuses in computed tomography in Bangladeshi people. This retrospective study was done at the Sir Salimullah Medical College Mitford Hospital and Apollo Hospitals, Dhaka, Bangladesh. Fifty (50) CT scan of Nose and Para nasal sinuses were collected from the patients presented with different sinonasal pathologies in OPD, IPD of both hospitals from July 2013 to June 2014. The scans were reviewed for the presence of different structural variations of nose and paranasal sinuses. The age range of the patients was 25 to 65 years. The most common anatomical variation in this study was hypertrophied inferior turbinate (82%) followed by ethmoidal bulla (70%), deviated nasal septum (64%), agar nasi cell (40%), concha bullosa (38%). In most of the patients we found more than one variation. There is wide range of anatomical variations in nose and paranasal sinuses which might be regarded as the aetiological factors of different sinonasal pathologies. To maximize patients' benefit and to avoid unexpected situations during surgeries as well as dreadful complications, individualized pre-planning through tomographic study should be considered.
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Affiliation(s)
- M A Litu
- Professor Manilal Aich Litu, Professor, Department of Otolaryngology & Head Neck Surgery, Sir Salimulla Medical College & Mitford Hospital (SSMCMH), Mitford, Dhaka, Bangladesh
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Karki S, Pokharel M, Suwal S, Poudel R. Prevalence of Anatomical Variations of the Sinonasal Region and their Relationship with Chronic Rhinosinusitis. Kathmandu Univ Med J (KUMJ) 2016; 14:342-346. [PMID: 29336423] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Background Precise knowledge of anatomic variations of nose and paranasal sinus complex is essential for achieving best surgical results during endoscopic sinus surgery. Computed tomography is the gold standard investigation for evaluation of paranasal sinuses and adjacent structures. Objective To study prevalence of anatomical variations of nose, paranasal sinuses and osteomeatal complex and to identify a probable association between anatomical variations and chronic rhinosinusitis. Method Prospective, analytical study conducted in 218 patients with Chronic rhinosinusitis in Department of Radiology, Dhulikhel Hospital, Kathmandu University Hospital between January 2015 to January 2016. Volumetric axial CT scan was done in 128 slice CT scanner in 3mm thickness from frontal sinus to floor of maxillary sinus with thin multiplanar reconstruction. Radiological findings were reviewed and obtained data analyzed with SPSS version 16. Pearson chi square test and Pearson correlation coefficient were used for statistical analysis. Result The most common anatomical variation was pneumatized agger nasi cells followed by concha bullosa and deviated nasal septum respectively. Statistical significance were seen between ipsilateral agger nasi cell and frontal sinusitis (p< 0.001), ipsilateral haller cell and concha bullosa with maxillary sinusitis (p<0.001) and onodi cell with sphenoid sinusitis (p<0.001), However, no obvious statistical correlation was noted between deviated nasal septum with ipsilateral maxillary sinusitis. Conclusion Precise knowledge of anatomic variations of the paranasal sinuses is important in chronic rhinosinusitis to prevent possible complications during surgery. Computed tomography is the modality of choice in evaluation of paranasal sinuses and adjacent structures.
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Affiliation(s)
- S Karki
- Department of Radiology, Dhulikhel Hospital, Kathmandu University Hospital, Dhulihel, Kavre, Nepal
| | - M Pokharel
- Department of Otorhinolaryngology and Head and Neck Surgery, Dhulikhel Hospital, Kathmandu University Hospital, Dhulihel, Kavre, Nepal
| | - S Suwal
- Department of Radiology, Dhulikhel Hospital, Kathmandu University Hospital, Dhulihel, Kavre, Nepal
| | - R Poudel
- Department of Radiology, Dhulikhel Hospital, Kathmandu University Hospital, Dhulihel, Kavre, Nepal
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Hanege FM, Uzun L, Yavuz C, Ozkanli S, Kurtgoz S. Epithelioid hemangioendothelioma of the nasal septum. B-ENT 2016; 12:155-157. [PMID: 29553622] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023] Open
Abstract
UNLABELLED Epithelioid hemangioendothelioma of the nasal septum. BACKGROUND Epithelioid hemangioendothelioma is a tumour of vascular origin and unknown aetiology, which occurs in all age groups. The most common locations are the liver, bone, lungs, and brain, with less common occurrence in head and neck regions, and no prior reports of origination from nasal septum. CASE REPORT Here we report a case of epithelioid hemangioendothelioma of the nasal septum. A 62-year-old male patient attended our clinic with epistaxis and congestion in his left nasal cavity. Endoscopic examination revealed a mass within the left nasal passage. Clinical and histopathological examinations showed that the mass was a septum-originated epithelioid hemangioendothelioma. The mass was removed endoscopically using a transnasal approach. CONCLUSIONS No recurrence was observed over 36 months of follow-up. Here we discussed this uncommon case along with a literature review.
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Stewart MG, Witsell DL, Smith TL, Weaver EM, Yueh B, Hannley MT. Development and Validation of the Nasal Obstruction Symptom Evaluation (NOSE) Scale. Otolaryngol Head Neck Surg 2016; 130:157-63. [PMID: 14990910 DOI: 10.1016/j.otohns.2003.09.016] [Citation(s) in RCA: 712] [Impact Index Per Article: 89.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVE The study goal was to validate a disease-specific health status instrument for use in patients with nasal obstruction.Design, settings, and patients The study consisted of a prospective instrument validation conducted at 4 academic medical centers with 32 adults with nasal septal deformity. METHODS Prospective instrument validation occurred in 2 stages. Stage 1 was the development of a preliminary (alpha-version) instrument of potential items. Stage 2 was a test of the alpha-version for item performance, internal consistency, and test-retest reliability; construct, discriminant, criterion validity, and responsiveness; and creation of the final instrument. RESULTS Items with poor performance were eliminated from the alpha-version instrument. In testing the final instrument, test-retest reliability was adequate at 0.702; internal consistency reliability was also adequate at 0.785. Validity was confirmed using correlation and comparison analysis, and response sensitivity was excellent. CONCLUSIONS The Nasal Obstruction Symptom Evaluation Scale is a valid, reliable, and responsive instrument that is brief and easy to complete and has potential use for outcomes studies in adults with nasal obstruction.
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Affiliation(s)
- Michael G Stewart
- Bobby R Alford Department of Otorhinolaryngology and Communicative Sciences, Baylor College of Medicine, Houston, TX 77030, USA
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50
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Mustafa SF, Hopkins C, Roberts DN. Columella-stabilising suture: a simple adjunct to nasal septal surgery. Br J Oral Maxillofac Surg 2016; 54:1038-1039. [PMID: 26795573 DOI: 10.1016/j.bjoms.2015.12.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2015] [Accepted: 12/17/2015] [Indexed: 11/19/2022]
Affiliation(s)
- Shakir F Mustafa
- Consultant Oral & Maxillofacial Surgeon, Maxillofacial Unit, Cwm Taf University Health Board, South Wales, UK.
| | - Claire Hopkins
- Consultant ENT Surgeon, Guys & St Thomas NHS Foundation Trust
| | - David N Roberts
- Consultant ENT Surgeon, Guys & St Thomas NHS Foundation Trust
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