Numerous materials have been used in augmentation rhinoplasty. The representative materials include silastics, Gore-Tex, autologous cartilage, and homologous materials. The use of alloplastic materials in rhinoplasty is often discouraged due to possible risk of infection and extrusion. Currently, the use of Tutoplast-processed fascia lata (TPFL) in augmentation rhinoplasty is increasing in Korea because it can avoid donor site morbidity and decrease the surgical time. However, there have been no reports of infections related to rhinoplasty using TPFL in Korea. We experienced a case of infection that occurred after rhinoplasty using TPFL. We report this case along with a brief review of the literature.
Cartilage ; Fascia ; Fascia Lata ; Humans ; Korea ; Operative Time ; Polytetrafluoroethylene ; Rhinoplasty ; Tissue Donors

Actinomycosis of the paranasal sinuses is rare and usually arises from the oral cavity after a dental procedure or trauma. Actinomycosis of the maxillary sinus is very rare and found only in isolated case reports. We report the case of a 62-year-old patient with actinomycosis accompanied by a fungal ball in the maxillary sinus.
Actinomycosis ; Humans ; Maxillary Sinus ; Middle Aged ; Mouth ; Paranasal Sinuses

In the anterior portion of the inferior turbinate, immune response originates actively from sustained allergenic stimulation. This response can lead to the development of a hyperplastic mass on the anterior portion of the inferior turbinate. The majority of such cases are benign chronic inflammatory lymphoid hyperplasia, but sometimes lymphoma occurs by malignant lymphocyte proliferation. The authors of this study evaluated seven patients who had a small mass on the inferior turbinate. As the result of excisional biopsy, MALT lymphoma was diagnosed in two patients and lymphoid hyperplasia in five. Immunohistochemistry is important for differential diagnosis. Complete excision was performed for initial diagnosis and treatment. Mucosa-associated lymphoid tissue lymphoma patients need to be evaluated for metastasis.
Biopsy ; Diagnosis, Differential ; Humans ; Hyperplasia ; Immunohistochemistry ; Lymphocytes ; Lymphoma ; Lymphoma, B-Cell, Marginal Zone ; Nasal Cavity ; Neoplasm Metastasis ; Turbinates

Natural dehiscence of the lamina papyracea is usually found in ostiomeatal unit CT images and during functional endoscopic sinus surgery. The surgery should be performed on the basis of clinical findings and ostiomeatal unit CT scans to determine the extent of disease and the structural anomalies. Preoperative awareness of dehiscence in the lamina papyracea is essential for avoiding orbital complications during surgery. Sinusitis arising from the natural dehiscence of the lamina papyracea is extremely rare. We report, with a review of the literature, a case of sinusitis due to the natural dehiscence of the lamina papyracea in a 46-year-old female, treated by endoscopic sinus surgery. The CT finding presented a huge natural dehiscence of the lamina papyracea and chronic sinusitis of the maxillary ethmoid sinus. Most of the patient's symptoms resolved without recurrence after endoscopic sinus surgery.
Ethmoid Sinus ; Female ; Humans ; Middle Aged ; Nasal Obstruction ; Orbit ; Recurrence ; Sinusitis

Organized hematoma of the maxillary sinus is a rare clinical disease. We report a case of organized hematoma of the maxillary sinus presenting with acute sinusitis. This is the first article describing such a case. Included is a review of the literatures, highlighting the diagnostic signs of organized hematoma of the maxillary sinus.
Hematoma ; Maxillary Sinus ; Sinusitis

Pneumocephalus is the presence of intracranial air, the most common cause of which is head trauma that allows contact between the intracranial cavity and the atmosphere. Pneumocephalus, commonly associated with increased intracranial pressure, causes rapid neurologic deterioration requiring emergent intervention. Recently, endoscopic sinus surgery techniques have been used in the diagnosis and repair of cerebrospinal fluid leaks. We present a case in which endoscopic techniques were used to treat pneumocephalus that occurred three years after head trauma. The procedure for and advantages of the endoscopic endonasal approach over the external approach are presented in this paper.
Atmosphere ; Craniocerebral Trauma ; Intracranial Pressure ; Pneumocephalus

BACKGROUND AND OBJECTIVES: Isolated sphenoid sinus disease is rare and difficult to diagnosis. Due to the close proximity of the sphenoid sinus to important structures, serious complications can develop. The aim of this study is to evaluate the clinical characteristics of isolated sphenoid sinusitis. SUBJECTS AND METHOD: Thirty-four patients with isolated sphenoid sinusitis were analyzed. A retrospective chart review was performed with respect to the symptoms, radiologic findings, treatment outcomes, and complications. RESULTS: Twenty-one of 34 cases were bacterial sphenoid sinusitis, and 13 cases were fungal sinusitis. Headache was the most common symptom (76.9%), followed by visual disturbance and diplopia. Endoscopic sphenoidotomy was performed, and symptoms completely improved in 88.5% of the patients. CONCLUSIONS: Inflammatory diseases commonly involve the sphenoid sinus, but the presenting symptoms can be nonspecific. Early diagnosis and endoscopic surgical treatment can be successfully employed to treat the majority of patients with isolated sphenoid sinusitis.
Diplopia ; Early Diagnosis ; Headache ; Humans ; Retrospective Studies ; Sinusitis ; Sphenoid Sinus ; Sphenoid Sinusitis

BACKGROUND AND OBJECTIVES: Paranasal sinus fungus balls occur usually in a single sinus, most frequently the maxillary sinus. The goal of this study was to delineate the clinical features of a bilateral paranasal sinus fungus ball. MATERIALS AND METHODS: We retrospectively reviewed seven patients who presented with a bilateral sinus fungus ball and who received endoscopic sinus surgery between July 2004 and January 2009. We analyzed age, gender, chief complaint, associated symptoms, nasal endoscopic findings, ostiomeatal unit (OMU) computed tomography (CT) results, and surgical findings. RESULT: The male to female ratio was 1:6, and the age range was from 40 to 76 years. The chief complaints were nasal obstruction in three patients, foul odour in two, postnasal dripping in one, and cheek pain in one patient. Calcification of the paranasal sinus upon CT was observed in three cases (43%). A fungus ball was found in the maxillary sinus or middle meatus in all cases. CONCLUSION: Bilateral paranasal sinus fungus balls usually involve the bilateral maxillary sinus or middle meatus and often invade the anterior ethmoid sinus or frontal sinus.
Cheek ; Ethmoid Sinus ; Female ; Frontal Sinus ; Fungi ; Humans ; Male ; Maxillary Sinus ; Nasal Obstruction ; Retrospective Studies

OBJECTIVES: Contact point headache is caused by contact between the nasal septum and the lateral nasal wall, resulting in referred pain involving the trigeminal nerve. We aimed to assess the benefits of surgical correction in patients with endoscopic and radiographic evidence of a contact point in the nasal cavity. MATERIALS AND METHODS: A prospective study was performed on patients who met the following criteria:) history of chronic headache, 2) lack of acute or chronic inflammatory findings, 3) presence of a contact point upon nasal endoscopy and CT scan, 4) relief of headache within five minutes after applying topical anesthesia to the contact point. The severity of pain was assessed preoperatively and postoperatively using a visual analogue scale (VAS). The duration and frequency of headaches were also assessed using a questionnaire. RESULT: The patients whose headaches were believed to result from an intranasal contact point underwent surgical management. According to the same pain questionnaire given preoperatively and postoperatively, severity, duration, and frequency of headache were significantly reduced. CONCLUSION: A contact point headache must be considered in patients who have no other obvious causes of headache. Significant relief can be obtained by surgery in patients with endoscopic and radiographic evidence of a contact point in the nasal cavity.
Anesthesia ; Endoscopy ; Headache ; Headache Disorders ; Humans ; Nasal Cavity ; Nasal Septum ; Pain, Referred ; Prospective Studies ; Trigeminal Nerve ; Surveys and Questionnaires

BACKGROUND AND OBJECTIVES: The management of allergic rhinitis includes allergen avoidance, pharmacotherapy, and immunotherapy. Only a few studies have compared the clinical efficacy of the two treatments. We conducted a study to compare the efficacy of immunotherapy (IT), a topical steroid (TS), and combined therapy (IT+TS) in allergic rhinitis. MATERIALS AND METHODS: The three groups (IT:11 patients, TS:ten patients, IT+TS:ten patients) were treated for six months and were evaluated using questionnaires and a physical exam before and after treatment. RESULT: Overall symptoms were reduced after six months of treatment in all groups. In the IT+TS group, signs and symptoms diminished more than those in the IT or TS groups. Difference in skin test sensitivity among the groups was not statistically significant. CONCLUSION: Combined use of immunotherapy and a topical steroid was more effective than either therapy alone in reducing the signs and symptoms of allergic rhinitis.
Humans ; Immunotherapy ; Quality of Life ; Rhinitis ; Rhinitis, Allergic, Perennial ; Skin Tests ; Surveys and Questionnaires