scholarly journals Cavernous hemangioma of left nasal meatus

Author(s):  
Anil Hanakere Thimmaiah ◽  
Smitha Soubhagya Gangaraj ◽  
Thara Rachel Paul

<p class="abstract">Hemangiomas are benign accumulations of blood vessels which occur in any tissue that includes vascular components like skin, mucosa, muscles, glands and bones. Hemangiomas arising in the nose are rare and account for less than 20% of all benign tumors of nose. They usually arise from inferior turbinate, middle turbinate and vomer. We present a case of cavernous hemangioma of left nasal cavity arising from mucosa of left middle meatus mimicking an antrochoanal polyp. Hemangiomas arising from middle meatus are extremely rare and to our knowledge this is the second case reported in literature.</p><p> </p>

2019 ◽  
Vol 18 (3) ◽  
pp. 660-662
Author(s):  
Norsyamira Aida Mohamad Umbaik ◽  
Rosdi Ramli ◽  
Baharudin Abdullah

Schwannomas are benign tumors arising from Schwann cells of myelinated nerve sheath. Schwannomas of the nasal cavity and paranasal sinuses are rare, with only 4% occurrence. We report a case of a 48-year-old lady who presented with 1-year history of progressively worsening left nasal blockage. Rigid nasoendoscopy showed a smooth, globular mass occupying the left nasal cavity. The mass arose from the left nasal septum and impinged on the anterior part of the middle turbinate posteriorly and inferior turbinate anteriorly. Computed tomography of the paranasal sinuses showed a 3.8 × 1.8 x 3.7- cm enhancing soft tissue density in the left nostril. The mass obliterated the left nasal cavity and caused deviation of the septum to the right. The patient underwent an endoscopic excision and histopathologic examination confirmed the diagnosis of Schwannoma. Postoperative recovery was uneventful and no recurrence was seen in the follow-up period. Bangladesh Journal of Medical Science Vol.18(3) 2019 p.660-662


2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Kazuya Takeda ◽  
Yukinori Takenaka ◽  
Michiko Hashimoto

The nasal cavity harbors an enormous variety of neoplasms, including epithelial and mesenchymal tumors. Hemangioma is an infrequent mesenchymal tumor of the nasal cavity, mostly arising in the mucosa and rarely in the bones. We describe the case of a 73-year-old woman who was referred to our hospital with a tumor in her left nasal cavity. The tumor originated from the left inferior turbinate. Histological examination subsequent to complete excision revealed that the tumor was an intraosseous cavernous hemangioma. To our knowledge, this is the second case of intraosseous hemangioma of the inferior turbinate reported in the English literature.


2009 ◽  
Vol 66 (7) ◽  
pp. 583-586 ◽  
Author(s):  
Aleksandar Peric ◽  
Nenad Baletic ◽  
Snezana Cerovic ◽  
Biserka Vukomanovic-Djurdjevic

Background. Angiofibromas are histologically benign vascular tumors, originating from the nasopharynx, near by the area of sphenopalatine foramen. These neoplasms occur typically in male adolescents. Reports of primary extranasopharyngeal angiofibromas have appeared sporadically in the literature in English. We present the first case of an elderly woman with tumor arising from the middle turbinate, diagnosed as angiofibroma. Case report. A 63-year-old female presented with left-sided nasal obstruction and epistaxis. Endoscopic evaluation revealed a polypoid mass arising from the anteroinferior portion of the left middle turbinate. Computed tomography (CT) scan showed a soft-tissue opacity that filled the anterior part of the left nasal cavity. After the endoscopic excision of the mass, postoperative pathohistological and immunohistochemical analysis confirmed the diagnosis of an angiofibroma. Two years later, the patient was free of symptoms and without endoscopic evidence of recurrence. Conclusion. Extranasopharyngeal angiofibromas arising from the nasal cavity are extremely rare tumors. Immunohistochemical analysis is very important in all doubtful cases, especially in those with atypical location.


2011 ◽  
Vol 49 (1) ◽  
pp. 18-23
Author(s):  
S. Grutzenmacher ◽  
D.M. Robinson ◽  
J. Sevecke ◽  
G. Mlynski ◽  
A.G. Beule

Background: Knowledge of airflow in animal noses is sparse. Such knowledge could be important for selection of animal models used in environmental studies. From the phylogenetic and ontogenetic point of view, a comparison between the animal and human nose is interesting. Method: Nose models of 5 even-toed ungulate species (he-goat, sheep, cow, roebuck, wild boar) and two humans (new born infant and adult) were examined. Anatomical and physiological features of the nasal cavities of all species were compared. All models were rinsed with water and the flow was visualized for observation. Geometric and rhinoresistometric measurements were then performed. Results and conclusions: Even-toed ungulates have two turbinates directly in the main part of the nasal airflow (respiratory turbinates) and a different number of turbinates in a so-called dead space of the nasal airflow above the nasopharyngeal duct (ethmoidal turbinates). The latter correspond with the upper and middle turbinate in analogy to the human nose. Respiratory turbinates of even-toed ungulates insert immediately behind the external nasal ostium. Thus, the whole nasal cavity acts as a functional area with the exception of a small area acting as dead space only detectable in ruminants, possibly indicating a small evolutionary progress from suinae to bovidae. The shape of the animal nasal cavity is stretched and flat. The airflow runs nearly completely turbulent through the nose. The nasal cavity in the adult human is relatively short and high. The area between the external nasal ostium and the head of the inferior turbinate is called inflow area. It distributes the airflow over the whole nasal cross section and generates a turbulent flow. So the airflow is prepared to contact the mucosa in the functional area (turbinate area). The morphology of the inflow area is approximately formed by the shape of the external nose. The nasal cavity of a newborn child is also stretched and flat and more similar to the nasal shape of the investigated animals. The inflow area in the newborn nose is not yet developed and corresponds with the growing external newborn nose. One can hypothesize that the inflow area in human noses is a morphological adaptation in the changed length-height-ratio of the nasal cavity.


Author(s):  
Sushil Natthuji Panbude ◽  
Amrita Harish Guha ◽  
Abhishek Mahajan ◽  
Nilesh Pandurang Sable ◽  
Supreeta Arya

<p class="abstract"><span lang="MT">Cavernous hemangioma of the nasal cavity is extremely rare with only case reports in the literature highlighting the imaging findings on CT and MRI. Haemangioma are benign vascular tumours, which originate in the skin, mucosa and deep structures such as bones, muscles and glands. Exact etiopathogenesis of the haemangioma is not known, although they are divided into two types depending on the dominant vessel size at microscopy, capillary and cavernous. When these neoplasms arise in the nasal cavity, they are predominantly capillary and are found to arise from the nasal septum and are more common in the children. On the other hand, Cavernous haemangiomas are more likely to be found on the lateral wall of the nasal cavity and are more commonly seen in elderly. Also, inverted pappiloma also more commonly arise from the lateral wall of the nasal cavity, from the middle turbinate and also has the same demographics as the cavernous hemangioma. So, the distinction between the two should be carefully made based on the imaging findings so as to give the appropriate treatment to the patient. We have presented a rare case cavernous haemangioma arising from the mucosa of the middle nasal meatus, in a 37-year-old male which is mimicking as an inverted pappiloma based on the imaging features; however on histopathology proved to be cavernous hemangioma and also on the multimodal imaging that helps in early diagnosis and advocating appropriate and timely treatment</span><span lang="EN-IN">.</span></p>


2017 ◽  
Vol 25 (2) ◽  
pp. 111-114
Author(s):  
KN Salimath ◽  
N Ramakrishnan ◽  
JR Galagali

The nasal cavity presents with various types of neoplasms, including epithelial and mesenchymal tumors. Cavernous hemangioma of nasal cavity is quite rare. It usually presents as a unilateral mass arising from mucosa of nasal cavity. Case Report                                       We describe here, a case of 25-year-old serving soldier, who was referred to our hospital with a mass in both nasal cavities with bilateral nasal obstruction. On examination, the mass originated from the inferior aspect of inferior turbinate of both sides. Subsequently on histological examination after complete endoscopic excision revealed that the mass was a cavernous hemangioma arising from both inferior turbinates. Discussion To our knowledge, this is the first case of cavernous hemangioma arising from both inferior turbinate reported in literature.


2009 ◽  
Vol 23 (3) ◽  
pp. 244-249 ◽  
Author(s):  
Neil Bailie ◽  
Brendan Hanna ◽  
John Watterson ◽  
Geraldine Gallagher

Background A friction force is generated when moving air contacts the nasal walls, referred to as wall shear stress. This interaction facilitates heat and mass transfer between the mucosa and air, i.e., air-conditioning. The objective of this research was to study the distribution of wall shear stress within the nasal cavity to identify areas that contribute significantly to air-conditioning within the nasal cavity. Methods Three-dimensional computational models of the nasal airways of five healthy subjects (three male and two female subjects) were constructed from nasal CT scans. Numerical simulations of nasal airflow were conducted using the commercial computational fluid dynamics code Fluent 6 (Ansys, Inc., Canonsburg, PA). Wall shear stress was derived from the numerical simulation. Air-conditioning was simulated to confirm the relationship with wall shear stress. Results Nasal airflow simulations predicted high wall shear stress along the anterior aspect of the inferior turbinate, the anteroinferior aspect of the middle turbinate, and within Little's area. Conclusion The airflow simulations indicate that the inferior and middle turbinates and Little's area on the anterior nasal septum contribute significantly to nasal air-conditioning. The concentration of wall shear stress within Little's area indicates a desiccating and potentially traumatic effect of inhaled air that may explain the predilection for spontaneous epistaxis at this site.


2009 ◽  
Vol 48 (173) ◽  
Author(s):  
Urmila Gurung ◽  
B Gurung ◽  
A Jha

Leiomyoma is a benign tumor showing smooth muscle differentiation. Leiomyoma in the nasal cavity is a rare entity which can present with common nasal symptoms. We report a case of 19 years old male patient with nasal leiomyoma. The patient presented with recurrent episodes of nasal obstruction and epistaxis. On nasoendoscopy, there was a single grayish polypoidal mass in the right middle meatus which bled on touch. CT-scan of nose and paranasal sinus showed homogenous opacity indistinguishable from the right middle turbinate. The mass was excised endoscopically. There is no recurrence a year after the endoscopic excision of the nasal leiomyoma. Nasal leiomyoma carries a good prognosis after complete excision.Key words: endoscopic excision, leiomyoma, nasal cavity


2021 ◽  
Vol 37 (1) ◽  
Author(s):  
Kamal Ebeid ◽  
Mohamed H. Askar

Abstract Background The concha bullosa is a pneumatized nasal turbinate commonly middle turbinate but that of the inferior turbinate is an uncommon entity. A giant inferior conchal pneumatization with mucocele formation is not reported in the literature till now. Case presentation A 17-year-old female patient presented with bilateral severe nasal obstruction. Anterior rhinoscopy and endoscopic examination revealed a giant mass which filled the left nasal cavity completely, pushing the septum to the contralateral side. The paranasal sinus CT showed a mass in the left nasal cavity ballooning the whole nasal cavity with compression of the nasal septum to the right side. MRI was done and the lesion was hyperintense in T2 MRI sequences and hypointense in T1 sequences consistent with a cystic lesion. The patient was consented and prepared for endoscopic resection under general anesthesia. The lesion was completely separated from the nasal septum and the orbit but attached to the lateral nasal wall at the site of origin of the inferior turbinate. Conchoplasty was done and patient follow-up for 9 years is excellent with complete disappearance of all patient symptoms. Conclusions Concha bullosa of the inferior turbinate should be considered in the differential diagnosis of nasal tumors, nasal cystic lesions, and preoperative evaluation of endoscopic sinus surgery. Also, a systematic approach for dealing with nasal lesions with thorough examination and radiological review will be of great value in decision-making. The anatomy of the paranasal should be thoroughly examined prior to endoscopic sinus surgery to develop treatment strategies and to prevent possible complications.


2021 ◽  
Vol 19 (4) ◽  
Author(s):  
О.О. Minaiev

Purpose – to study the prevalence of endonasal pathology in patients with chronicdacryocystitis (CD) and to justify the expediency of simultaneous operations in suchpatients.Material and methods. The study included 109 patients with CD, who were examinedand operated on in 2004-2014 at the Department of Otorhinolaryngology Faculty ofInternship and Postgraduate Education "Donetsk National Medical University of theMinistry of Health of Ukraine". Examination of patients included consultation with anophthalmologist, lavage of the lacrimal ducts, endoscopy of the nasal cavity, computedtomography. All patients underwent tearing by performing endonasal endoscopicdacryocystorhinostomy (EEDCR).Results. Endonasal pathology was detected in 85.3% of patients: curvature of the nasalseptum - in 71.6% of patients, hypertrophy of the inferior turbinate - in 59.6%, bulloushypertrophy of the middle turbinate - in 5.5%, hypertrophy of the uncinate process- in 6.4%, hyperpneumatization of Agger nasi cells - in 14.7% of patients. The mostcommon combination was curvature of the nasal septum and hypertrophy of the inferiorturbinates - in 56.0% of cases. Inflammatory pathology in the paranasal sinuses wasin 38.5% of cases: ethmoiditis - in 26.6% of patients, maxillary sinusitis - in 13.8%,sphenoiditis - in 1.8% of patients. In 94.6% of patients, the correction of intranasalpathology was performed simultaneously with EEDCR. In 6.4% of these patients therewere complications - nosebleeding after removal of tampons. Simultaneous operationsdid not significantly increase the percentage and variants of complications comparedwith isolated endonasal operations.Conclusion. The vast majority of patients with chronic dacryocystitis have pathologyof the nasal cavity and paranasal sinuses, which may contribute to the developmentof dacryocystitis and relapse of the disease after operation. Surgical correction ofconcomitant endonasal pathology in patients with chronic dacryocystitis should beperformed simultaneously with endonasal endoscopic dacryocystorhinostomy.


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