Extranodal Natural Killer/T-Cell Lymphoma Nasal Type: Detection by Computed Tomography Features
|
|
- Chad Oliver
- 5 years ago
- Views:
Transcription
1 The Laryngoscope VC 2014 The American Laryngological, Rhinological and Otological Society, Inc. Extranodal Natural Killer/T-Cell Lymphoma Nasal Type: Detection by Computed Tomography Features Yin-Ping Hsu, MD; Po-Hung Chang, MD; Ta-Jen Lee, PhD; Liang-Yueh Hung, MD; Chi-Che Huang, MD Objectives/Hypothesis: Nasal natural killer/t-cell lymphoma (NKTL) often has an infiltrative pattern in computed tomography that makes them difficult to distinguish from benign inflammatory diseases. This study aimed to design a method of measuring the thickness of the nasal floor and nasal septum, determine the critical value of mucosal thickness that may implicate these NKTL cases from benign inflammatory disease, and finally make a complete flowchart to detect NKTL with minimal mistake. Study Design: Thirty-two patients with nasal NKTL and 173 patients with severe chronic rhinosinusitis with or without polyposis were enrolled. The patients data were collected retrospectively. Methods: All patients underwent standard computed tomography of the paranasal sinuses. The coronal section near the vertical part of the ground lamina was chosen for measurement, and the thickest points along the nasal floor and septum were measured. Results: Patients with NKTL had thicker nasal floors and/or septa than those with chronic rhinosinusitis, recurrent sinusitis, or pansinusitis (P <.001). If the cutoff points of the nasal floor and nasal septum thickness were set at 2.0 mm and 2.5 mm, respectively, the probability of being thicker than the corresponding points in the CRS group was <2%, and the possibility of other diagnoses should be considered. Conclusions: Nasal floor mucosal thickness >2.0 mm or nasal septum mucosal thickness >2.5 mm may be indicators serving as one of several important hints for implicit NKTL. Finally, we established a diagnostic flowchart to include all of these important hints. Key Words: Natural killer/t-cell lymphoma, computed tomography, chronic rhinosinusitis, nasal floor, nasal septum, mucosal thickness, cutoff point. Level of Evidence: 4. Laryngoscope, 124: , 2014 INTRODUCTION Extranodal natural killer/t-cell lymphoma (NKTL) is a distinctive lymphoma that is more common in East Asia and Latin America. It accounts for 7% to 10% of all non-hodgkin s lymphomas diagnosed in East Asia and Latin America, but only 1% among Caucasians. 1,2 The imaging features of nasal NKTL are nonspecific such that distinguishing between them from chronic inflammatory diseases or other tumor-like conditions in the sinonasal cavity is regarded as close to impossible. 3,4 In more recent studies using computed tomography (CT) findings on NKTL in the head and neck region, 62.5% to 69% of cases show an infiltrative pattern without a prominent mass. 5,6 In our previous study about CT From the Department of Otolaryngology, Chang Gung Memorial Hospital and Chang Gung University, Taipei, Taiwan. Editor s Note: This Manuscript was accepted for publication July 21, This study was supported by grants CMRPG3B0151 from Chang Gung Memorial Hospital. The authors have no other funding, financial relationships, or conflicts of interest to disclose. Send correspondence to Chi-Che Huang, MD, Department of Otolaryngology, Chang Gung Memorial Hospital and Chang Gung University, No. 5, Fusing St., Gueishan Township, Taoyuan County 333, Taiwan. hcc3110@adm.cgmh.org.tw DOI: /lary findings, NKTL was usually nonenhanced (79.1%), homogenous (100%), unilateral (61.9%), infiltrative (67.4%), and without central necrosis. Only 30.2% of the patients presented with a prominent mass. If NKTL has an infiltrative pattern, it would spread as a diffuse, thin sheet of tumor along the nasal cavity walls to envelop the nasal turbinates and septum, making it difficult to be distinguished from a benign inflammatory disease such as chronic rhinosinusitis (CRS). However, our previous study has observed a different pattern regarding mucosal thickening. One disease-specific sign, different from patients with CRS, was that the mucosa of the nasal cavity was thickened without involvement of the mucosa of the paranasal sinus (40.6%). 6 If the mucosa of the nasal cavity was thickened with involvement of the mucosa of the paranasal sinus, NKTL would be more difficult to distinguish from benign inflammatory disease. However, we noticed that many patients with NKTL have thickened mucosa at the nasal floor or nasal septum, whereas those with rhinosinusitis rarely have thickened mucosa at both sites. 6 A flowchart was supplied in our previous study (Fig. 1a). 6 The accurate mucosal thickness of the nasal floor or nasal septum at which the possibility of NKTL can be determined is unknown, and no previous imaging studies have examined mucosal thickness in these two sites. 3 5,7 A possible reason is the high variability of the 2670
2 Fig. 1. A flowchart to detect natural killer/t-cell lymphoma (NKTL). (a) The flowchart in our previous study. (b) Newer and more complete flowchart. Every step was tagged as a fraction. Because every step was regarded as an independent step, the denominator was the total of 32 cases of NKTL. *We used mucosal patterns to divide 32 cases into four groups: prominent mass (11/32), nasal cavity thickening without sinus thickening (13/32), nasal cavity thickening with sinus involvement (5/32), and others (3/32). Of the 32 patients in the NKTL group, 31 and 30 patients had measurable nasal floor and septum, respectively. Only one case was not able to be detected by this new flowchart. CT 5computed tomography. mucosal thickness near the nasal vestibule and anterior third of the nasal cavity. The aim of this study was to design a method for measuring the thickness of the nasal floor and nasal septum, and to determine the upper limit of mucosal thickness of benign inflammatory disease, whereby a more complete flowchart would be established. MATERIALS AND METHODS Ethical Considerations The institutional review board (IRB) of Chang Gung Memorial Hospital, Taoyuan County, Taiwan approved the study protocol (IRB no B), and all participants provided informed consent. Patients Forty-three patients with nasal NKTL were diagnosed based on histopathological examinations from 2000 to 2011 at Chang Gung Memorial Hospital. Patients with nasopharyngeal or oropharyngeal involvement and those referred for residual or recurrent disease after treatment in other hospitals were excluded. Thirty-two patients with disease limited to the nasal cavity/paranasal sinuses were enrolled as the NKTL group. These cases had the most indistinguishable clinical and radiologic features compared to patients with CRS. 6 All of the patients underwent complete staging workup, including whole body enhanced CT scan, bone marrow examinations, and endoscopic examinations of the sinonasal and Waldeyer s ring areas. They were staged according to the Ann Arbor system. Of the 32 patients, 25 were male and seven were female, and their mean age was years. All of the 173 patients who received functional endoscopic sinus surgery (C.-C.H.) for severe CRS with or without polyposis between May 2011 and April 2012 were recruited into the CRS group. The underlying causes of rhinosinusitis included odontogenic sinusitis (n 5 8), unilateral maxillary sinus mycetomas (n 5 8), antrochoanal polyps (n 5 6), post Caldwell-Luc cheek cysts (n 5 6), empty nose syndrome complicated by rhinosinusitis (n 5 1), and nonspecific sinusitis (n 5 144). Patients who underwent surgery for benign or malignant nasal tumors, such as inverted papilloma, were not recruited into this group. 2671
3 Fig. 2. Measurement of nasal floor and nasal septum thickness in chronic rhinosinusitis. (a) Sagittal nonenhanced computed tomography (CT) image of a 49-year-old male with bilateral chronic rhinosinusitis with nasal polyposis and a Lund-Mackey score of 23. (b) Coronal CT image at the level of the solid black line in (c). The maximal mucosal thickness was 1.68 mm at the septum (thickest point along the white line) and 0.96 mm at nasal floor (thickest point along the black line). (c) Sagittal nonenhanced CT image of a 54-year-old male with natural killer/t cell lymphoma. (d) Coronal CT image at the level of the solid black line in (c). The mucosal thickness was 3.75 mm at the septum (thickest point along the white line) and 2.24 mm at the nasal floor (thickest point along the black line). Of the 173 patients with CRS, 106 were male and 67 were female, and their mean age was years. Forty-one cases were unilateral and 132 were bilateral. The mean Lund- Mackay score was Nine patients had previously received septoplasty (5 males, 4 females; mean age, years; mean Lund-Mackay score, ) and 96 had pansinusitis on at least one side (66 males, 30 females; mean age, years; mean Lund-Mackay score, ). Fiftysix of the 173 patients underwent revision surgery for recurrent sinusitis after previous sinus surgeries, including functional endoscopic sinus surgeries or Caldwell-Luc operations (37 males, 19 females; mean age, years; mean Lund- Mackay score, ). Pathology The diagnosis of NKTL was verified by histologic examinations at the hospital s pathology department and confirmed by immunophenotypic studies. Imaging CT examinations were performed in all patients using one of two CT scanners (LightSpeed Plus 4, GE Healthcare, Milwaukee,WI, or Somatom Sensation 16; Siemens, Erlangen, Germany) by a standard CT protocol for the paranasal sinuses. Contiguous 3-mm scans of the paranasal sinuses were acquired in the axial plane from the upper margin of the frontal sinus to the hard palate. Then, the coronal images were reformatted at 2- to 3-mm increments. All of the images were reconstructed with a bone and soft-tissue algorithm. Patients in the NKTL group received contrast-enhanced CT examinations, whereas those in the CRS group received nonenhanced CT examinations. Nonetheless, the precontrast enhanced CT scans in the NKTL group were used for comparisons with the nonenhanced CT scans of the CRS group. Measurement of Nasal Floor and Nasal Septum The coronal section near the vertical part of the ground lamina was chosen. This section was also described as the transition from the anterior to the posterior ethmoids at which the superior turbinate began to appear (black solid line, Fig. 2a,c). The thickest point along the nasal floor and the thickest point along the nasal septum below the insertion of the inferior turbinate were the measured (Fig. 2b,d). The first priority was to measure the more severe side (right side, Fig. 3a). If the common meatus and inferior nasal meatus in the more severe side of the nose were opacified with soft tissue or fluid (right side, Fig. 3b), the thickest points in the contralateral side were measured (left side, Fig. 3b). If the thickest points could not be measured bilaterally, it was recorded as not measurable (Fig. 3c). If the more severe side was opacified and could not be measured in cases of unilateral CRS, this type was also recorded as not measurable. In cases of unilateral CRS, the contralateral side was normal and not measured. If prior septoplasty was too extensive resulting in the septum at the chosen coronal section having no bony structure to separate the left and right side, the thickest point of the septum was measured, divided by 2, and then recorded. Statistical Analysis Sex, pansinusitis, and prior operations were first used to check their effect on mucosal thickness within the CRS group using independent Student t test. Age and Lund-Mackay score were then used to check their relationship with mucosal 2672
4 Fig. 3. Measurement of nasal floor and nasal septum thickness in natural killer/t-cell lymphoma (NKTL). (a) Coronal nonenhanced computed tomography (CT) image of a 46-year-old male with NKTL. The maximal mucosal thickness was 2.42 mm at the septum (white arrow) and 3.40 mm (black arrowhead). (b) Coronal nonenhanced CT image of a 42-year-old male with NKTL. The maximal mucosal thickness was 3.65 mm at the septum (white arrow) and 3.54 mm (black arrowhead). (c) Coronal nonenhanced CT image of a 65-year-old male with NKTL. The maximal mucosal thickness was 3.65 mm at the septum (white arrow), but the maximal mucosal thickness of the nasal floor was not measurable because the bilateral inferior nasal meatuses were opacified by the tumor. thickness using a Pearson correlation coefficient. Mucosal thickness was compared between the NKTL group and CRS group by independent Student t test. Last, a receiver operating characteristic (ROC) curve was used to determine the optimal cutoff point between these two groups. All analyses were performed using the SPSS version 17.0 (SPSS Inc., Chicago, IL). RESULTS Of the 32 patients in the NKTL group, 31 and 30 patients had measurable nasal floor and septum, respectively. Of the 173 patients in the CRS group, 171 had measurable nasal floor and septum. Ensuring the determination of the thickest point of the nasal floor or nasal septum using this kind of measurement was stable, with very little variation within the CRS group. In the CRS group, sex had a significant influence on the nasal floor and nasal septum thickness (P and.005, respectively) (Table I). Prior sinus surgery influenced septal thickness (P 5.006). However, age, Lund-Mackay score, pansinusitis, and prior septoplasty had no influence on the mucosal thickness of the nasal floor or nasal septum. That is to say, the mucosal thickness of these two sites was stable and not progressively thicker with age or severity of sinusitis. Only one of the 173 patients in the CRS group had a thickness >3 mm at the nasal floor, and only two cases had a thickness >3 mm at the nasal septum. Both of these cases were male with a history of sinus surgery, but not septoplasty. The mean thickness of the nasal floor in the NKTL group (3.21 mm) was thicker than that of the CRS group (0.98 mm) (P <.001). Moreover, the mean thickness of the nasal septum in the NKTL group (2.98 mm) was thicker than that in the CRS group (1.37 mm) (P <.001). Although patients with more severe sinusitis (pansinusitis and recurrent sinusitis groups) were chosen, the NKTL group still had significantly thicker nasal floor and nasal septum (P <.001) (Table II). Because there was thicker mucosa in the NKTL group, the next step was to determine the thickness by which the NKTL group could be distinguished from the CRS group. According to the ROC curve, the optimal cutoff points for the nasal floor and nasal septum thickness were mm and mm, respectively (Table III). If the cutoff points of the nasal floor and nasal septum thickness were set at 2.0 mm and 2.5 mm, respectively, the probability of being thicker than the corresponding points in the CRS group was <2% (1.2% and 1.8%, respectively). DISCUSSION The optimal point for measurement in a healthy subject or a patient with CRS should be thin with little variability. In addition, it should be frequently involved in cases of NKTL, and there should be an obvious measurable difference between NKTL and CRS. The mucosa of the nasal floor near the nasal vestibule is relatively thicker, with significant variability in thickness from person to person. There is a rhomboid thickening of the nasal septum near the nasal vestibule called the nasal septal body. 8,9 This is a widened area composed of septal cartilage located superior to the inferior turbinate and anterior to the middle turbinate. The septal cartilage is thicker there than in other parts of the nasal septum, and the mucosal cover of the septal body is thicker than in other portions of the nasal septum. As a result, the mucosa of the nasal floor and septum are thicker near the nasal vestibule. There is no bony floor at the nasal floor near the posterior nasal choana and the nasal floor here is directly connected to the soft palate. Thus, the measurement of nasal floor thickness at this location cannot be separated from the soft palate. Furthermore, the mucosa of the nasal septum near the posterior nasal choana may be thickened in healthy subjects or those with CRS. Mucosal thickness near the nasal vestibule and nasal septal body, or near the posterior nasal choana, varies more widely and is thicker. This is why the coronal section near the vertical part of the ground lamina has been chosen in this study, as this coronal section avoids the most variable areas (nasal vestibule and postnasal choana). Only sex and prior sinus surgery have an obvious influence on mucosal thickness at this coronal section. Age and Lund-Mackay score, pansinusitis, and prior septoplasty have no influence on the nasal floor or septum thickness. Mucosal thickness at these two sites is stable 2673
5 TABLE I. Comparisons Within the Chronic Rhinosinusitis Group. Nasal Floor Nasal Septum Size, mm P Value Size, mm P Value Sex, M/F 1.04/ * 1.46/ * Pansinusitis, 1/2 1.01/ / Status post-sinus 1.05/ / * surgery, 1/2 Status postseptoplasty, 1/2 1.12/ / Pearson r P Value Pearson r P Value Age Lund-Mackay score *Sex influenced the nasal floor and septal thickness (P and.005, respectively). Prior sinus surgery also influenced nasal septal thickness (P 5.006). Age, Lund-Mackay score, pansinusitis, and prior septoplasty had no influence on the mucosal thickness in these two areas. Status post-sinus surgery group meant that these patients received revised surgery for their recurrent sinusitis after previous sinus surgeries, including functional endoscopic sinus surgeries or Caldwell-Luc operations. This group also meant the recurrent sinusitis group. Status postseptoplasty meant that these patients had previously received septoplasty before coming to the department. F5 female; M 5 male. and does not progressively thicken with age or severity of sinusitis. It is therefore reasonable to use this coronal section for the measurements. In patients in Western countries, NKTL is more common in elderly men and is more commonly located in the paranasal sinuses. 10 However, the manifestations of this disease differ in patients in East Asia (including Taiwan), present at a younger age, and are usually in the nasal cavity. 10 The most common sites of involvement in the nasal cavity are the inferior turbinate (81.3%), nasal floor (62.5%), septum (56.3%), and middle turbinate (34.4%). 6 Although the inferior turbinate is most commonly involved, many benign diseases, such as chronic hypertrophic rhinitis, chronic sinusitis, and nasal polyposis, are associated with thickening of the inferior turbinate. Thus, inferior turbinate thickening is relatively nonspecific for NKTL. In this study, the optimal cutoff point by the ROC curve is mm at the nasal floor and mm at the nasal septum. However, a lower value of 1-specificity means a better cutoff point, and that fewer patients in the CRS group will have mucosa thicker than this cutoff point. In a previous study, the frequency of involvement by NKTL in the nasal cavity is 62.5% in the nasal floor and 56.3% in the septum. 6 Therefore, the sensitivity of the cutoff point for the nasal floor and the nasal septum is limited and reasonably around 60%. Furthermore, the optimal cutoff point should have the lowest 1-specificity but still have sensitivity close to 60%. If the cutoff points were defined >2.0 mm for the nasal floor or >2.5 mm for the nasal septum as a positive test, then sensitivity is 61.3% and 56.7%, respectively. This is similar to results of a previous study. 6 TABLE II. Comparison Between the and Chronic Rhinosinusitis Groups. Chronic Rhinosinusitis P Nasal floor thickness <.001 Septum thickness <.001 Pansinusitis Nasal floor thickness <.001 Septum thickness <.001 Status Post-Sinus Surgery Nasal floor thickness <.001 Septum thickness <.001 Status Postseptoplasty Nasal floor thickness Septum thickness No. 5 measurable number; NK/T 5 natural killer/t cell; SD 5 standard deviation. 2674
6 TABLE III. Best Cutoff Points to Differentiate Natural Killer/T-Cell Lymphoma From Chronic Rhinosinusitis. Nasal Floor Nasal Septum Sen. Spec. Sen. Spec. >1.5 mm 67.7% 91.2% 66.7% 67.3% >2.0 mm 61.3% 98.8% 63.3% 87.1% >2.5 mm 61.3% 99.4% 56.7 % 98.2% >3.0 mm 51.6% 99.4% 50.0% 98.8% Optimal cutoff* 67.7% 93.0% 63.3% 94.2% *The optimal cutoff points (by receiver operating characteristic curve) of nasal floor and nasal septum thickness were mm and mm, respectively. Sen. 5 sensitivity; Spec. 5 specificity. Furthermore, 1-specificity at these points was 1.2% and 1.8%, respectively, which means that the probabilities of the CRS group being thicker than these points are only 1.2% and 1.8%, respectively. A diagnosis other than CRS must be considered if the nasal floor thickness is >2.0 mm or the nasal septum thickness is >2.5 mm. Diseases such as NKTL, autoimmune granulomatous diseases, and atypical infections may involve thickening of the mucosa in these areas. 6 Study Limitations This method of measurement has limitations because not all of the patients with NKTL have nasal floor or nasal septal involvement. Thus, if the nasal floor is thinner than 2.0 mm and the nasal septum is thinner than 2.5 mm, the possibility of NKTL cannot be excluded. Although these cutoff points do not constitute a screening test for NKTL, they should raise the appropriate concern. NKTL has various presentations, and is difficult to be diagnosed by any single factor. So we used many steps to distinguish this disease from benign inflammatory disease. A more complete flowchart was established (Fig. 1b). Every step was tagged as a fraction. Because every step was regarded as an independent step, the denominator would be the total 32 cases of NKTL. Using this flowchart, there would be only one case of our group not able to meet the flowchart of NKTL. This patient had mucosal erosion, severe crusting, bleeding to touch only on his left inferior turbinate, and received biopsy, but his CT was negative in our every step. CONCLUSION NKTL has various presentations and is difficult to be diagnosed by a any single factor. Traditional radiological features of NKTL, such contrast enhancement, bone erosion, and adjacent soft tissue extension, must be noticed. If no prominent mass is noted, the presence of nasal cavity mucosal thickening without sinus wall thickening may indicate NKTL. 6 For patients with nasal cavity mucosal thickening with sinus wall thickening, a diagnosis other than CRS must be considered if the nasal floor thickness is >2.0 mm or the nasal septum thickness >2.5 mm. Figure 1b shows differentiating features. This might lead to earlier detection and treatment. BIBLIOGRAPHY 1. Au WY, Ma SY, Chim CS, et al. Clinico-pathologic features and treatment outcome of mature T-cell and natural killer-cell lymphomas diagnosed according to the World Health Organization classification scheme: a single center experience of 10 years. Ann Oncol 2005;16: Armitage JO. A clinical evaluation of the International Lymphoma Study Group classification of non-hodgkin s lymphoma. Blood 1997;89: Ou CH, Chen CC, Ling JC, et al. Nasal NK/T-cell lymphoma: computed tomography and magnetic resonance imaging findings. J Chin Med Assoc 2007;70: Ooi GC, Chim CS, Liang R, et al. Nasal T-cell/natural killer cell lymphoma: CT and MR imaging features of a new clinico-pathologic entity. Am J Roentgenol 2000;174: Kim J, Kim EY, Lee SK, et al. Extra-nodal nasal-type NK/T-cell lymphoma: computed tomography findings of head and neck involvement. Acta Radiol 2010;51: Hung LY, Chang PH, Lee TJ, et al. Extra-nodal natural killer/t-cell lymphoma, nasal type: clinical and computed tomography findings in the head and neck region. Laryngoscope. 2010;122: King AD, Lei KI, Ahuja AT, et al. MR imaging of nasal T-cell/natural killer cell lymphoma. Am J Roentgenol 2000;174: Wexler D, Braverman I, Amar M. Histology of the nasal septal swell body (septal turbinate). Otolaryngol Head Neck Surg 2006;134: Costa DJ, Sanford T, Janney C, Cooper M, Sindwani R. Radiographic and anatomic characterization of the nasal septal swell body. Arch Otolaryngol Head Neck Surg 2010;136: Quraishi MS, Bessell EM. Non-Hodgkin s lymphoma of the sino-nasal tract. Laryngoscope 2000;110:
Radiological anatomy of frontal sinus By drtbalu
2009 Radiological anatomy of frontal sinus By drtbalu Anatomy of frontal sinus is highly variable. Precise understanding of these variables will help a surgeon to avoid unnecessary complications during
More informationTransnasal Endoscopic Medial Maxillary Sinus Wall Transposition With Preservation of Structures
The Laryngoscope VC 2015 The American Laryngological, Rhinological and Otological Society, Inc. Transnasal Endoscopic Medial Maxillary Sinus Wall Transposition With Preservation of Structures Alice Z.
More informationReview Article The Prevalence of Concha Bullosa and Nasal Septal Deviation and Their Relationship to Maxillary Sinusitis by Volumetric Tomography
Hindawi Publishing Corporation International Journal of Dentistry Volume 2010, Article ID 404982, 5 pages doi:10.1155/2010/404982 Review Article The Prevalence of and Nasal Septal Deviation and Their Relationship
More informationCanine Fossa Puncture for Severe Maxillary Disease in Unilateral Chronic Sinusitis With Nasal Polyp
The Laryngoscope VC 2013 The American Laryngological, Rhinological and Otological Society, Inc. Canine Fossa Puncture for Severe Maxillary Disease in Unilateral Chronic Sinusitis With Nasal Polyp Jang
More informationSpheno-Ethmoidectomy
Diagnostic and Therapeutic Endoscopy, Vol. 5, pp. 1-8 Reprints available directly from the publisher Photocopying permitted by license only (C) 1998 OPA (Overseas Publishers Association) N.V. Published
More informationORIGINAL ARTICLE RELATIONSHIP OF CONCHA BULLOSA WITH OSTEOMEATAL UNIT BLOCKAGE. TOMOGRAPHIC STUDY IN 200 PATIENTS.
RELATIONSHIP OF CONCHA BULLOSA WITH OSTEOMEATAL UNIT BLOCKAGE. TOMOGRAPHIC STUDY IN 200 PATIENTS. Shrikrishna B H 1, Jyothi A C 2, Sanjay G 3, Sandeep Samson G 4. 1. Associate Professor, Department of
More informationOSTEITIS IN CRS. Rhinology Chair Meeting presented by Amal Binhazza a
OSTEITIS IN CRS Rhinology Chair Meeting presented by Amal Binhazza a ROAD MAP Definition. pathophysiology. Diagnosis. Grading systems. Clinical implications. Management. OSTEITIS Presence of new bone formation,
More informationDr.Adel A. Al Ibraheem
Rhinology Chair Weekly Activity Dr.Adel A. Al Ibraheem www.rhinologychair.org conference@rhinologychair.org Rhinology Chair Introduction: It is important to classify and stage nasal polyposis. ( decide
More informationThe Relation between Anatomical Variations of Osteomeatal Complex & Nasal Structures and Chronic Sinusitis by Computed Tomography
International Journal of Medical Imaging 2015; 3(2): 16-20 Published online March 6, 2015 (http://www.sciencepublishinggroup.com/j/ijmi) doi: 10.11648/j.ijmi.20150302.12 ISSN: 2330-8303 (Print); ISSN:
More informationCase Report IgG4-Related Nasal Pseudotumor
Case Reports in Otolaryngology Volume 2015, Article ID 749890, 4 pages http://dx.doi.org/10.1155/2015/749890 Case Report IgG4-Related Nasal Pseudotumor L. K. Døsen, 1 P. Jebsen, 2 B. Dingsør, 3 and R.
More informationDestructive Giant Maxillary Sinus Mucocele: A Case Report
Destructive Giant Maxillary Sinus Mucocele: A Vahit Mutlu 1, Ozgur Yoruk 1, Ozalkan Ozkan 2 1 Atatürk University Faculty of Medicine, Department of Ears, Nose and Throat, Erzurum, Turkey 2 Erzincan University
More informationHistopathology of Nasal Masses
ORIGINAL ARTICLE Histopathology of Nasal Masses 1 Hemant Chopra, 2 Kapil Dua, 3 Neha Chopra, 4 Vikrant Mittal AIJCR Histopathology of Nasal Masses 1 Professor and Head, Dayanand Medical College, Ludhiana,
More informationImaging of the Paranasal Sinuses
14. Sommerschule Imaging of the Paranasal Sinuses Bettlach 24.08.2018 Christoph Schlegel Conventional Radiology NNH-Status: okzipito-frontal: frontal sinus, anterior ethmoid okzipito-nasal : maxillary
More informationORIGINAL ARTICLE. Computed Tomographic Findings in Patients With Invasive Fungal Sinusitis
ORIGINAL ARTICLE Computed Tomographic Findings in Patients With Invasive Fungal Sinusitis John M. DelGaudio, MD; Ron E. Swain Jr, MD; Todd T. Kingdom, MD; Susan Muller, DMD; Patricia A. Hudgins, MD Objective:
More informationMRI appearances of stage I E /II E extranodal. NK/T-cell lymphoma, nasal type, in the. the upper aerodigestive tract
European Review for Medical and Pharmacological Sciences MRI appearances of stage I E /II E extranodal NK/T-cell lymphoma, nasal type, in the upper aerodigestive tract Y. GU, B. WU, Y. ZHANG, Y. GUO 1,
More informationReasons for Failure and Surgical Revisions. Stil Kountakis, MD, PhD Professor and Chief, Division of Rhinology
Reasons for Failure and Surgical Revisions Stil Kountakis, MD, PhD Professor and Chief, Division of Rhinology Medical College of Georgia of Georgia Regents University Department of Otolaryngology / Head
More informationRelationship of the Optic Nerve to the Posterior Paranasal Sinuses: A CT Anatomic Study
Relationship of the Optic Nerve to the Posterior Paranasal Sinuses: A CT Anatomic Study Mark C. DeLano, F. Y. Fun, and S. James Zinreich PURPOSE: To delineate the relationship between the optic nerves
More informationNasal region. cartilages: septal cartilage (l); lateral nasal cartilage (2); greater alar cartilages (2); lesser alar cartilages (?
Nasal region skull bones: nasal and frontal processes of maxilla cartilages: septal cartilage (l); lateral nasal cartilage (2); greater alar cartilages (2); lesser alar cartilages (?) 1 Nasal cavity Roof
More informationNasal Polyposis. DEPARTMENT OF ENT K.S.Hegde Medical Academy Deralakatte, Mangalore
Nasal Polyposis DEPARTMENT OF ENT K.S.Hegde Medical Academy Deralakatte, Mangalore Def: INTRODUCTION Chronic inflammatory disease of the mucous membrane in the nose & PNS, presenting as pedunculated smooth
More informationNASAL SEPTUM ADENOID CYSTIC CARCINOMA: A CASE REPORT
NASAL SEPTUM ADENOID CYSTIC CARCINOMA: A CASE REPORT Shu-Yu Tai, 1 Chen-Yu Chien, 2 Chih-Feng Tai, 2,4 Wen-Rei Kuo, 2,4 Wan-Ting Huang, 3 and Ling-Feng Wang 2,4 Departments of 1 Family Medicine, 2 Otolaryngology
More informationReview Article The Prevalence of Concha Bullosa and Nasal Septal Deviation and Their Relationship to Maxillary Sinusitis by Volumetric Tomography
Hindawi Publishing Corporation International Journal of Dentistry Volume 2010, Article ID 404982, 5 pages doi:10.1155/2010/404982 Review Article The Prevalence of and Nasal Septal Deviation and Their Relationship
More informationClinical and imagistic correlations in the inflammatory pathology of nasosinusal cavities
Romanian Journal of Rhinology, Volume 8, No. 29, January-March 2018 ORIGINAL STUDY DOI: 10.2478/rjr-2018-0003 Clinical and imagistic correlations in the inflammatory pathology of nasosinusal cavities Emilia
More informationNASAL OBSTRUCTION. Andy Whyte PERTH RADIOLOGICAL CLINIC UNIVERSITY OF MELBOURNE UNIVERSITY OF WA
NASAL OBSTRUCTION Andy Whyte PERTH RADIOLOGICAL CLINIC UNIVERSITY OF MELBOURNE UNIVERSITY OF WA INTRODUCTION sinonasal imaging focuses on structural abnormalities of the POSTERIOR (BONY 3/4 ) of the nose
More informationDepartment of Otorhinolaryngology, Toho University, Omori-Nishi, Ota-ku, Tokyo , Japan
Case Reports in Otolaryngology Volume 2015, Article ID 952923, 6 pages http://dx.doi.org/10.1155/2015/952923 Case Report Endoscopic Modified Medial Maxillectomy for Resection of an Inverted Papilloma Originating
More informationThe Role of Computed Tomography in the Evaluation of Paranasal Sinuses Lesions
ORIGINAL ARTICLE The Role of Computed Tomography in the Evaluation of Paranasal Sinuses Lesions Bhumikaben P. Suthar 1 *, Divya Vaidya 2, Pukhraj P. Suthar 3. 1 Assistant Professor, 2 Third Year Resident,
More informationThe Role of Computed Tomography in the Evaluation of Paranasal Sinuses Lesions
ORIGINAL ARTICLE The Role of Computed Tomography in the Evaluation of Paranasal Sinuses Lesions Bhumikaben P. Suthar 1 *, Divya Vaid 2, Pukhraj P. Suthar 3. 1 Assistant Professor, 2 Third Year Resident,
More informationCrista galli sinusitis a radiological impression or a real clinical entity
Romanian Journal of Rhinology, Vol. 6, No. 23, July - September 2016 ORIGINAL STUDY Crista galli sinusitis a radiological impression or a real clinical entity Claudiu Manea 1,2, Ranko Mladina 3 1 CESITO
More informationFungal ball.. Clinical and radiological features DR. AHMED ALTUWAIJRI 1/5/2017
Fungal ball.. Clinical and radiological features DR. AHMED ALTUWAIJRI 1/5/2017 Fungal Rhinosinusitis (FRS) Rhinosinusitis, is a common disorder affecting approximately 20% of the population at some time
More informationTomographical Findings in Adult Patients Undergoing Endoscopic Sinus Surgery Revision
THIEME Original Research 73 Tomographical Findings in Adult Patients Undergoing Endoscopic Sinus Surgery Revision Jan Alessandro Socher 1 Jonas Mello 2 Barbara Batista Baltha 2 1 Department of Otorhinolaryngology,
More informationSeptal turbinates: An entity with physiological importance
Case Report Brunei Int Med J. 0; 7 (3): 68-7 Septal turbinates: An entity with physiological importance Mawaddah AZMAN, Balwant Singh GENDEH Department of Otorhinolaryngology-Head and Neck Surgery, Faculty
More informationNational Imaging Associates, Inc. Clinical guidelines/considerations SINUS & MAXILLOFACIAL AREA CT 70486, 70487, 70488
National Imaging Associates, Inc. Clinical guidelines/considerations SINUS & MAXILLOFACIAL AREA CT 70486, 70487, 70488 Date: September 1997 Page 1 of 5 LIMITED OR LOCALIZED FOLLOW UP - SINUS CT 76380 Guideline
More informationInverted papilloma of the nasal cavity and paranasal sinuses: a study of 20 cases
Original article: Inverted papilloma of the nasal cavity and paranasal sinuses: a study of 20 cases 1 Dr. Vijay Kumar Kalra, 2 Dr. Samar Pal Singh Yadav, 3 Dr. Swati 1Assistant Professor, 2 Senior Professor
More informationCommen Nose Diseases
Commen Nose Diseases Symptoms List: Nasal obstruction. Nasal discharge: Anterior (Rhinorrhea). Posterior (Postnasal discharge). Epistaxis. Hyposmia and Anosmia. Headache. Snoring. Nasal Obstruction Definition:
More informationMalignant Non-Hodgkin's Lymphomas of the Nose and Paranasal Sinuses
Mcd, J. Malaysia Vol. 43 No. 1 March 1988 Malignant Non-Hodgkin's Lymphomas of the Nose and Paranasal Sinuses JOHN TAN, MBBS, FRCSEd HUSAIN SAID, FRCS (Edin and Glasgow) S.M. CHONG DCP(London), MRCPath,
More informationConventional Sinus Surgery Vs Fess
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 16, Issue 7 Ver. III (July. 2017), PP 44-51 www.iosrjournals.org Conventional Sinus Surgery Vs Fess *
More informationMalignant growth Maxilla management an analysis
ISSN: 2250-0359 Volume 3 Issue 2 2013 Malignant growth Maxilla management an analysis *Balasubramanian Thiagarajan *Geetha Ramamoorthy *Stanley Medical College Abstract: Malignant tumors involving maxilla
More informationEvaluation With Acoustic Rhinometry of Patients Undergoing Sinonasal Surgery
ORIGINAL ARTICLE Evaluation With Acoustic Rhinometry of Patients Undergoing Sinonasal Surgery R L A Raja Ahmad, MS (ORL)*, B S Gendeh, MS (ORL)** Department of Otolaryngology-Head & Neck Surgery, Kulliyyah
More informationThe frequency of nasal septal deviation and concha bullosa and their relationship with maxillary sinusitis based on CBCT finding
Available online at www.ijmrhs.com ISSN No: 2319-5886 International Journal of Medical Research & Health Sciences, 2016, 5, 11:152-156 The frequency of nasal septal deviation and concha bullosa and their
More informationJMSCR Vol 05 Issue 09 Page September 2017
www.jmscr.igmpublication.org Impact Factor 5.84 Index Copernicus Value: 71.58 ISSN (e)-2347-176x ISSN (p) 2455-0450 DOI: https://dx.doi.org/10.18535/jmscr/v5i9.52 Relationship of Agger Nasi Cell and Uncinate
More informationROLE OF ANATOMICAL OBSTRUCTION IN THE PATHOGENESIS OF CHRONIC SINUSITIS
From the SelectedWorks of Balasubramanian Thiagarajan July 1, 2012 ROLE OF ANATOMICAL OBSTRUCTION IN THE PATHOGENESIS OF CHRONIC SINUSITIS Balasubramanian Thiagarajan Available at: https://works.bepress.com/drtbalu/51/
More informationORIGINAL ARTICLE. Computed Tomographic Staging and the Fate of the Dependent Sinuses in Revision Endoscopic Sinus Surgery
Computed Tomographic Staging and the Fate of the Dependent es in Revision Endoscopic Surgery Neil Bhattacharyya, MD ORIGINAL ARTICLE Objectives: To determine the patterns of disease recurrence in chronic
More informationExtramedullary Multiple Myeloma in the Head and Neck: A Pictorial Essay
Canadian Association of Radiologists Journal 64 (2013) 363e369 Neuroradiology / Neuroradiologie Extramedullary Multiple Myeloma in the Head and Neck: A Pictorial Essay Michael Chan, BHSc a, Eric Bartlett,
More informationFrontal sinus disease continues to be one of the great
Unilateral transnasal endoscopic approach to frontal sinuses: Draf IIc Mohammed K. Al Komser, M.D., M.A.S. and Andrew N. Goldberg, M.D., M.S.C.E. ABSTRACT For chronic sinusitis surgery, the Draf III approach
More informationInternational Journal of Biological & Medical Research
Int J Biol Med Res.2015;6(1):4775-4781 Contents lists available at BioMedSciDirect Publications International Journal of Biological & Medical Research Journal homepage: www.biomedscidirect.com BioMedSciDirect
More informationHead & Neck Clinical Sub Group. Network Agreed Imaging Guidelines for UAT and Thyroid Cancer. Measure Nos: 11-1C-105i & 11-1C-106i
Greater Manchester, Lancashire & South Cumbria Strategic Clinical Network & Senate Head & Neck Clinical Sub Group Network Agreed Imaging Guidelines for UAT and Thyroid Cancer Measure Nos: 11-1C-105i &
More informationThe future of health is digital
Dated: XX/XX/XXXX Name: XXXXXXXX XXXXXXXXXXX Birth Date: XX/XX/XXXX Date of scan: XX/XX/XXXX Examination of the anatomical volume: The following structures are reviewed and evaluated for bilateral symmetry,
More informationAllergic Fungal Rhinosinusitis Involving Frontal Sinus: A Prospective Study comparing Surgical Modalities
10.5005/jp-journals-10013-1141 H Verma et al ORIGINAL ARTICLE Allergic Fungal Rhinosinusitis Involving Frontal Sinus: A Prospective Study comparing Surgical Modalities H Verma, Rijuneeta, AK Gupta, A Chakrabarti
More informationCommunication issue - What should the radiologist report before functional endoscopic sinus surgery
Communication issue - What should the radiologist report before functional endoscopic sinus surgery Poster No.: C-0509 Congress: ECR 2015 Type: Educational Exhibit Authors: A. M. Dobra 1, C. A. Badiu 1,
More informationBoundaries Septum Turbinates & Meati Lamellae Drainage Pathways Variants
The Fastest 20 Minutes in Michelle A. Michel, MD Professor of Radiology and Otolaryngology Medical College of Wisconsin, Milwaukee Overview Nasal cavity Anterior skull base Ostiomeatal complex Frontal
More informationISSN: Volume 4 Issue CHOLESTEROL GRANULOMA: AN UNCOMMON CLINICAL ENTITY OF THE MAXILLARY SINUS
ISSN: 2250-0359 Volume 4 Issue 4 2014 CHOLESTEROL GRANULOMA: AN UNCOMMON CLINICAL ENTITY OF THE MAXILLARY SINUS Sunita Singh Sonia Chhabra Pansi Gupta Priya Malik Pt B.D. Sharma PGIMS, Rohtak, Haryana
More informationORIGINAL ARTICLE. Ighodaro O. Emmanuel, Ehigiamusoe O. Festus
ORIGINAL ARTICLE Lund-Mackay Scoring of Incidental Paranasal Sinus Collection on Computed Tomography Scan of Head and Neck in the University of Benin Teaching Hospital, Nigeria Ighodaro O. Emmanuel, Ehigiamusoe
More informationClinical analysis of 29 cases of nasal mucosal malignant melanoma
1166 Clinical analysis of 29 cases of nasal mucosal malignant melanoma HUANXIN YU and GANG LIU Department of Otorhinolaryngology Head and Neck Surgery, Tianjin Huanhu Hospital, Tianjin 300060, P.R. China
More informationRhinosinusitis: A Prospective Study
االله الرحمن الرحيم بسم Pathological l & Radiological i l Evidences in the Pathogenesis es s of Chronic Rhinosinusitis: A Prospective Study Prof. Dr. H. ABDEL FATAH, MD A. Prof. Dr. K. NOWEAM, MD Dr. Z.
More informationLow-dose Three-dimensional CT of Paranasal Sinuses
Chin J Radiol 2004; 29: 7-13 7 Low-dose Three-dimensional CT of Paranasal Sinuses LIANG-KUANG CHEN 1,2,3 YUH-FENG TSAI 1 BO-LIN LIU 1 CHIN-SI LIN 1,3 CHIEN-LI LU 1,3 AN-CHENG SHIAU 4 CHONG-HONG TSAI 4
More informationA Computer-Assisted Anatomical Study of the Nasofrontal Region
The Laryngoscope Lippincott Williams & Wilkins, Inc., Philadelphia 2001 The American Laryngological, Rhinological and Otological Society, Inc. A Computer-Assisted Anatomical Study of the Nasofrontal Region
More informationThe many faces of extranodal lymphoma
The many faces of extranodal lymphoma Frank Pameijer Departments of Radiology and Radiation Oncology University Medical Center Utrecht Special thanks to Ilona M Schmalfuss, MD University of Florida Gainesville,
More informationCase Report Delayed Diagnosis of Nasal Natural Killer/T-Cell Lymphoma
Case Reports in Otolaryngology Volume 2013, Article ID 918132, 4 pages http://dx.doi.org/10.1155/2013/918132 Case Report Delayed Diagnosis of Nasal Natural Killer/T-Cell Lymphoma Jennifer A. Villwock,
More informationKatya A. Shpilberg 1 Simon C. Daniel 1 Amish H. Doshi 1 William Lawson 2 Peter M. Som 1. Neuroradiology/Head and Neck Imaging Original Research
Neuroradiology/Head and Neck Imaging Original Research Shpilberg et al. CT of Paranasal Sinuses and Nasal Cavity Neuroradiology/Head and Neck Imaging Original Research Katya A. Shpilberg 1 Simon C. Daniel
More informationStudy of correlation between patient symptomatology and incidental paranasal sinus abnormalities detected on CT & MRI Brain imaging
Original article Study of correlation between patient symptomatology and incidental paranasal sinus abnormalities detected on CT & MRI Brain imaging 1 DR. SHAIKH IMRAN NIZAMUDDIN, 2 DR. Y.P.SACHDEV*, 3
More informationSurgical Treatment of Nasal Obstruction
Surgical Treatment of Nasal Obstruction P. Daniel Knott, MD FACS Director, Division of Facial Plastic and Reconstructive Surgery Department of Otolaryngology/Head and Neck Surgery UCSF Medical Center Nothing
More informationwww.oralradiologists.com CONE BEAM CT REPORT CASE XXXX Patient information Patient Name: - Referring Doctor: - Patient DOB: - Scan Date: [Start date] Reason for Exam: Maxillary facial pain Doctor Notes:
More informationPatient profile, indications, complications and Evaluation of Septoplasty outcome in a Base Hospital in Sri Lanka
Patient profile, indications, complications and Evaluation of Septoplasty outcome in a Base Hospital in Sri Lanka Rubasinghe M.S., De Silva M.D.K., Wanasinghe W.M.S.C.L., De Livera R.J.K., Wimalaratna
More informationSurgical Risk Factors for Recurrence of Inverted Papilloma
The Laryngoscope VC 2015 The American Laryngological, Rhinological and Otological Society, Inc. Surgical Risk Factors for Recurrence of Inverted Papilloma David Y. Healy Jr., MD, CDR, MC, USN; Nipun Chhabra,
More informationMucocele of paranasal sinuses
From the SelectedWorks of Balasubramanian Thiagarajan March 7, 2012 Mucocele of paranasal sinuses Balasubramanian Thiagarajan Available at: https://works.bepress.com/drtbalu/57/ Mucoceles of paranasal
More informationDIFFICULT-TO-TREAT CHRONIC
MANAGEMENT STRATEGIES FOR DIFFICULT-TO-TREAT CHRONIC RHINOSINUSITIS DR ZULKEFLI HUSSEIN CONSULTANT EAR NOSE & THROAT SURGEON PANTAI HOSPITAL PENANG DISCLAIMER Nothing to disclose PENANG ISLAND, MALAYSIA
More informationSnoring and Obstructive Sleep Apnea: Patient s Guide to Minimally Invasive Treatments Chapter 2
Snoring and Obstructive Sleep Apnea: Patient s Guide to Minimally Invasive Treatments Chapter 2 CAUSES OF SNORING AND SLEEP APNEA We inhale air through our nose and mouth. From the nostrils, air flows
More informationa mimicker of Wegener s Granulomatosis
a mimicker of Wegener s Granulomatosis Combined Meeting October 2009 a story of 2 ladies Madam JA 56 year-old Madam RH 36 year-old Madam JA 56 year-old Apr 2008 May Jun Jul Aug Sept Oct Nov 2008 Madam
More informationInternational Journal of Health Sciences and Research ISSN:
International Journal of Health Sciences and Research www.ijhsr.org ISSN: 2249-9571 Original Research Article Anatomical Study of the Middle Meatus with Emphasis to the Maxillary Ostium and Their Clinical
More informationThe Incidence of Concha Bullosa and Its Association with Chronic Rhinosinusitis Deviated Nasal Septum and Osteomeatal Complex Obstruction
1 Bahrain Medical Bulletin, Vol. 33, No. 4, December 2011 The Incidence of Concha Bullosa and Its Association with Chronic Rhinosinusitis Deviated Nasal Septum and Osteomeatal Complex Obstruction Fatma
More informationFrontal Sinus Drillout (Modified Lothrop Procedure): Long-Term Results in 204 Patients
The Laryngoscope VC 2013 The American Laryngological, Rhinological and Otological Society, Inc. Frontal Sinus Drillout (Modified Lothrop Procedure): Long-Term Results in 204 Patients Jonathan Y. Ting,
More informationVariation in frontal cells in relation to chronic frontal sinusitis
International Journal of Current Research in Medical Sciences ISSN: 244-71 P-ISJN: A472-04, E -ISJN: A472-01 www.ijcrims.com Original Research Article Volume, Issue 1-2019 DOI: http://dx.doi.org/10.22192/ijcrms.2019.0.01.00
More informationA Study of Anatomical Variations in Patients with Chronic Rhinosinusitis.
DOI: 10.2127/aimdr.201..2.EN1 Original Article ISSN (O):239-222; ISSN (P):239-21 A Study of Anatomical Variations in Patients with Chronic Rhinosinusitis. Smruti Swain 1 1 Associate Professor, Department
More informationFRONTAL SINUPLASTY P R E P A R E D A N D P R E S E N T E D B Y : D R. Y A H Y A F A G E E H R 4 16/ 12/ 2013
FRONTAL SINUPLASTY P R E P A R E D A N D P R E S E N T E D B Y : D R. Y A H Y A F A G E E H R 4 16/ 12/ 2013 ANATOMY: FRONTAL SINUS Not present at birth Starts developing at 4 years Radiographically visualized
More informationEndoscopic Management Of A Giant Ethmoid Mucocele
ISPUB.COM The Internet Journal of Otorhinolaryngology Volume 6 Number 1 S Ceylan, F Bora Citation S Ceylan, F Bora.. The Internet Journal of Otorhinolaryngology. 2006 Volume 6 Number 1. Abstract We present
More informationAn epidemiologic study of factors associated with nasal septum deviation by computed tomography scan: a cross sectional study
Mohebbi et al. BMC Ear, Nose and Throat Disorders 2012, 12:15 RESEARCH ARTICLE An epidemiologic study of factors associated with nasal septum deviation by computed tomography scan: a cross sectional study
More informationAssociation between Septal Deviation and Sinonasal Papilloma
Tohoku J. Exp. Med., 2013, 231, 315-319 Septal Deviation and Papilloma 315 Association between Septal Deviation and Sinonasal Papilloma Kazuhiro Nomura, 1,2 Takenori Ogawa, 1 Mitsuru Sugawara, 2 Yohei
More informationRhinosporidiosis our experience
Rhinosporidiosis our experience Abstract: This article discusses the personal experience of author in the management of rhinosporidiosis. Living in an endemic area of disease the author had the privilege
More informationBonifacius Hariyanto and 2 Andi Nilawati Usman
Research Paper JMS (ISSN 1682-4474) is an International, peer-reviewed scientific journal that publishes original article in experimental & clinical medicine and related disciplines such as molecular biology,
More informationJMSCR Vol 04 Issue 05 Page May 2016
www.jmscr.igmpublication.org Impact Factor 5.244 Index Copernicus Value: 5.88 ISSN (e)-2347-176x ISSN (p) 2455-0450 DOI: http://dx.doi.org/10.18535/jmscr/v4i5.25 Radiologic Variations of Nose and Paranasal
More informationFour cases of Pleomorphic Adenoma of the nasal cavity: An unusual entity
J. Acad. Indus. Res. Vol. 1(4) September 2012 203 RESEARCH ARTICLE ISSN: 2278-5213 Four cases of Pleomorphic Adenoma of the nasal cavity: An unusual entity Kiran Naik Dept. of ENT, Adichunchanagiri Inst.
More informationCorporate Medical Policy Septoplasty
Corporate Medical Policy Septoplasty File Name: Origination: Last CAP Review: Next CAP Review: Last Review: septoplasty 4/1999 8/2018 8/2019 8/2018 Description of Procedure or Service There are many potential
More informationThe Egyptian Journal of Hospital Medicine (July 2017) Vol.68 (3), Page
The Egyptian Journal of Hospital Medicine (July 2017) Vol.68 (3), Page 1390-1394 Anatomical Variations of Nasal Structures in Chronic Rhinosinusitis as Detected by Computed Tomography Scan Omar Adnan Hasan,
More informationFOR CMS (MEDICARE) MEMBERS ONLY NATIONAL COVERAGE DETERMINATION (NCD) FOR COMPUTED TOMOGRAPHY:
National Imaging Associates, Inc. Clinical guidelines SINUS & MAXILLOFACIAL AREA CT LIMITED OR LOCALIZED FOLLOW UP SINUS CT Original Date: September 1997 Page 1 of 5 CPT Codes: 70486, 70487, 70488, 76380
More informationExperience with malignant tumours of the maxillary sinus in the Department of Otolaryngology Universiti Kebangsaan Malaysia, Kuala Lumpur
Med. J. Malaysia Vol. 44 No. 1 March 1989 Experience with malignant tumours of the maxillary sinus in the Department of Otolaryngology Universiti Kebangsaan Malaysia, Kuala Lumpur S. Lokman, MD (UKMalaysia)
More informationEVALUATION OF PATIENT'S OUTCOME AFTER ENDOSCOPIC SINUS SURGERY
Basrah Journal Of Surgery Bas J Surg, September, 16, 2010 EVALUATION OF PATIENT'S OUTCOME AFTER ENDOSCOPIC SINUS SURGERY Hiwa A Abdulkareem MB.ChB, FICMS, CABS(ENT); Teaching Hospital; University of Sulaimania.
More informationNeuroradiology Case of the Day
Neuroradiology Case of the Day 76 th CAR Annual Meeting, Montreal, Quebec April 27, 2013 Eugene Yu, MD Assistant Professor of Radiology and Otolaryngology-Head and Neck Surgery Head and Neck Imaging Princess
More informationAuthor's Personal copy
DOI 10.1007/s00405-012-2304-0 RHINOLOGY Nasal soft tissue obstruction improvement after septoplasty without turbinectomy Yasser Haroon Hala Aly Saleh Ahmed H. Abou-Issa Received: 29 June 2012 / Accepted:
More informationTraditional open surgery for advanced benign nasal tumours in an era of endoscopy: review of 38 cases.
Traditional open surgery for advanced benign nasal tumours in an era of endoscopy: review of 38 cases. Akeem O Lasisi* and Aderemi A Adeosun Department of Otorhinolaryngology College of Medicine, University
More informationChronic Frontal Rhinosinusitis: Diagnosis and Management
Chapter Chronic Frontal Rhinosinusitis: Diagnosis and Management Core Messages Despite significant advances in surgical techniques, technology, and knowledge of pathophysiology, management of chronic frontal
More information2018 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY. MEASURE TYPE: Efficiency
Quality ID #333: Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse) National Quality Strategy Domain: Efficiency and Cost Reduction 2018 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY
More informationEPISTAXIS. Rory Attwood MBChB,FRCS Department of Otorhinolaryngology Faculty of Health Sciences Tygerberg Campus, University of Stellenbosch
EPISTAXIS Rory Attwood MBChB,FRCS Department of Otorhinolaryngology Faculty of Health Sciences Tygerberg Campus, University of Stellenbosch EPISTAXIS Bleeding from the nose Age Incidence Children Elderly
More informationRecalcitrant chronic rhinosinusitis. Difficulties in diagnosis and treatment Videler, W.J.M.
UvA-DARE (Digital Academic Repository) Recalcitrant chronic rhinosinusitis. Difficulties in diagnosis and treatment Videler, W.J.M. Link to publication Citation for published version (APA): Videler, W.
More informationLimitations of balloon sinuplasty in frontal sinus surgery
Eur Arch Otorhinolaryngol (2011) 268:1463 1467 DOI 10.1007/s00405-011-1626-7 RHINOLOGY Limitations of balloon sinuplasty in frontal sinus surgery S. Heimgartner J. Eckardt D. Simmen H. R. Briner A. Leunig
More informationISSN X (Print) Research Article. *Corresponding author Dr.V. Krishna Chaitanya
Scholars Journal of Applied Medical Sciences (SJAMS) Sch. J. App. Med. Sci., 2015; 3(1G):508-513 Scholars Academic and Scientific Publisher (An International Publisher for Academic and Scientific Resources)
More informationThe Relationship of Concha Bullosa with Nasal Septal Deviation and Paranasal Sinus Disease
International Journal of Advances in Health Sciences (IJHS) ISSN 2349-7033 Vol2, Issue6, 2015, pp762-770 http://www.ijhsonline.com Research Article The Relationship of Concha Bullosa with Nasal Septal
More informationSkull Base Danger Zones in FESS
Skull Base Danger Zones in FESS Poster No.: C-2278 Congress: ECR 2014 Type: Educational Exhibit Authors: L. Renza Lozada, R. Carreño Gonzalez, G. Quintana Sanchez, 1 2 1 1 1 2 R. E. Figueroa ; Malaga/ES,
More informationFrontal Sinus Mucocele After Osteoplastic Flap Surgery: Case Report
Archives of Clinical and Medical Case Reports doi: 10.26502/acmcr.96550013 Volume 1, Issue 3 Case Report Frontal Sinus Mucocele After Osteoplastic Flap Surgery: Case Report Peter Catalano, MD * and Michael
More information9/18/2018. Disclosures. Objectives
Is It Really Acute Bacterial Rhinosinusitis? Assessment, Differential Diagnosis and Management of Common Sinonasal Symptoms Kristina Haralambides, MS, RN, FNP-C Disclosures The content of this presentation
More information1. BRIEF DESCRIPTION OF TRAINING
RHINOLOGY 1. BRIEF DESCRIPTION OF TRAINING Exposure to clinical rhinology is provided in each of the four ORL years over the course of several rotations in a graduated approach. MEE General Otolaryngology
More informationPLEOMORPHIC ADENOMA OF LATERAL WALL OF NOSE A RARE PRESENTATION
ISSN: 2250-0359 Volume 4 Issue 1 2014 PLEOMORPHIC ADENOMA OF LATERAL WALL OF NOSE A RARE PRESENTATION *USHA KUMAR MAHESH *RATNAKAR MADHAVARAO POTEKAR * B.L.D.E UNIVERSITY ABSTRACT: The aim of the article
More information