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Rhinosinusitis and Lacrimal Disorders
Published in R James A England, Eamon Shamil, Rajeev Mathew, Manohar Bance, Pavol Surda, Jemy Jose, Omar Hilmi, Adam J Donne, Scott-Brown's Essential Otorhinolaryngology, 2022
Figure 102.1 shows the anatomy of the pediatric lacrimal system. The lacrimal glands, accessory lacrimal glands, Meibomian glands, and goblet cells secrete tear film, which is drained via lacrimal puncta, canaliculi, the lacrimal sac, and the nasolacrimal duct sequentially to the inferior nasal meatus (Hasner's valve).
Rhinolaryngoscopy for the Allergist
Published in Pudupakkam K Vedanthan, Harold S Nelson, Shripad N Agashe, PA Mahesh, Rohit Katial, Textbook of Allergy for the Clinician, 2021
Jerald W Koepke, William K Dolen
The superior turbinate is a short, oblique structure located superior and posterior to the middle turbinate. The posterior ethmoid sinuses drain into the superior meatus (Fig. 11.5). A supreme turbinate medial to the superior turbinate is occasionally noted.
Ear, Nose, and Paranasal Sinus
Published in Swati Goyal, Neuroradiology, 2020
The paranasal sinuses are air-filled spaces between the bones around the nasal cavity. Draining ostia connect four distinct sinuses with the nasal cavity. The anterior ethmoid cells, the frontal sinus, and maxillary sinus drain into the middle meatus. The posterior ethmoid cells and sphenoid sinus drain into the superior meatus. The nasolacrimal duct drains into the inferior nasal meatus.
Specific imaging findings in the course of sinus fungus ball progression to chronic invasive fungal rhinosinusitis
Published in Acta Oto-Laryngologica Case Reports, 2023
Tomotaka Hemmi, Kazuhiro Nomura, Mika Watanabe, Yuki Numano, Risako Kakuta, Mitsuru Sugawara
Thirteen days after the patient’s visit to our department, transnasal endoscopic sinus surgery was performed under general anesthesia. Endoscopic modified medial maxillectomy helped reach the lesion and secure the surgical field [6]. The maxillary sinus was filled with a gray, clay-like material compatible with a fungus ball, and Aspergillus fumigatus was detected in cultivation survey (Figure 3(a)). There was no evidence of allergic mucin, suggestive of allergic fungal rhinosinusitis. When all of the material was removed, granulation formation was seen at the posterior wall of the maxillary sinus (Figure 3(b)). The mucosa of the maxillary sinus aside from that at the posterior wall was pale, thickened edematous mucosa, as commonly seen in SFBs. Granulation tissue was excised as much as possible and submitted for a rapid histological examination, the results of which showed fungal mucosal infiltration but no malignant findings (Figure 4). The maxillary sinus was opened into the middle and inferior meatus.
A novel technique C-conchoplasty in canal wall down tympnomastoidectomy
Published in Acta Oto-Laryngologica, 2023
Qin Luo, Yingchao Zheng, Dazhi Shi, Zhiqiang Luo
Our technique can effectively enlarge the meatal cross-sectional S. The postoperative V/S is closer to the normal ears than that without conchoplasty and the greater the difference from the normal V/S, the longer the ear drying time. We have managed to achieve a dry, auto-cleaning ear with very good cosmetic results in all cases. We have not had any cases of stenosis or troublesome granulation, cholesteatoma recurrence, perichondritis, auricular deformity and other complications. Epithelialization of the cavity and cosmetically successful outcomes were achieved in all cases. Perichondritis secondary to cartilage excision, although theoretically possible, has not been observed in our cases. This is consistent with many authors’ reports [5 and 6,15–17]. We believe that strict aseptic operation, careful dressing changes and rational use of antibiotics can avoid auricular perichonditis as much as possible [18]. In addition, the cartilage removed during we performed C-conchoplasty may be used as a good material for tympanoplasty and mastoid obliteration. The good cosmetic appearance of the concha postoperative is shown in Figures 5 and 6. No patients performed with our technique have complained about poor cosmesis on follow-up. In the end, a large external auditory meatus allows ventilation of the mastoid cavity as well as easy access for examination and debridement of the entire cavity.
Orbital Complications of Chronic Rhinosinusitis: Two Years’ Experience in a Tertiary Referral Hospital
Published in Ocular Immunology and Inflammation, 2023
Dina Tadros, Mohamed O Tomoum, Heba M. Shafik
We included patients with orbital manifestations of complicated rhinosinusitis (e.g., proptosis, limitation of ocular motility, periorbital swelling and pain, and visual acuity affection). All patients were diagnosed with rhinosinusitis according to the European Position Paper on Rhinosinusitis and Nasal Polyps (EPOS) 2020 criteria7 which stated that diagnosis of rhinosinusitis requires two or more symptoms, one of which should be either nasal blockage or nasal discharge: ± facial, pain/pressure ± reduction or loss of smell. In addition to endoscopic signs of nasal polyps, mucopurulent discharge, and mucosal obstruction of the middle meatus. The diagnosis of RS was confirmed by computed tomographic scan of the nose and paranasal sinuses. We excluded patients with orbital inflammation that did not fulfill the EPOS diagnostic criteria of RS.