Rare cases of nasal mass with bleeding: case series (original) (raw)
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A Study of Role of Nasal Endoscopy in the Diagnosis and Management of Epistaxis
Journal of Evolution of Medical and Dental Sciences, 2017
BACKGROUND Epistaxis is one of the most common emergencies in any ENT Department, which needs utmost attention and early intervention. If proper assessment on arrival of the patient is not done, a significant morbidity and mortality can occur. MATERIALS AND METHODS All epistaxis patients were subjected to nasal endoscopy under Local or General Anaesthesia on arrival in Emergency Ward. The most useful and definitive method to find out the bleeder in epistaxis is nasal endoscopy and electrocautery. A three-year retrospective clinical study of management of epistaxis with endoscopic cauterisation was done from July 2013 to July 2016 in the Department of ENT in MGM Medical College and LSK Hospital, Kishanganj, for 180 patients. RESULTS In most of the epistaxis patients, bleeding was controlled with nasal endoscopy and cautery successfully. CONCLUSION The study was conducted to establish the fact that the best way to manage epistaxis is by doing nasal endoscopy at the first outset to find out the bleeder and cauterise. It reduces cost, hospital stay and complications of nasal pack. Findings in our study for the site of bleeder will be a guide to the surgeon for successful control of epistaxis in a tense situation of active bleeding.
Nasal endoscopy and localization of the bleeding source in epistaxis: last decade's revolution
Brazilian Journal of Otorhinolaryngology, 2005
Epistaxis remains one of the most common otolaryngology emergencies. Despite considerable interest in the subject, there is still no consensus on the most appropriate primary therapeutic modality. Aim: The purpose of this study was to evaluate the bleeding source of acute or recurrent epistaxis in adults. Study Design: Clinical prospective. Material and Method: Thirty adults patients with acute or recurrent epistaxis were evaluated through the use of frontal light and endoscope for identification of the bleeding source in the nasal cavity. Results: Use of the nasal endoscope allowed diagnosis of the bleeding site in all patients. Conclusion: A careful examination of the posterior nasal cavity allows identification of the bleeding source in most patients and should be a routine procedure.
Observation of various symptoms of non-neoplastic nasal mass in ent
International journal of health sciences
Tumors in the nasal cavity and paranasal sinuses were recognized during the time of Hippocrates. Whillis (1948) defined tumors as “an abnormal mass of tissue, the growth of which exceeds and is coordinated with that of the normal tissues and persists in the same excessive manner after cessation of the stimuli which evoked the Change” From the table I it is evident that only 5 cases of malignant and 3 cases of fungal Granuloma, there was bony erosion. In 19 cases of antro chonal polyp and antrum and ethmoid sinus is found to be hazy. From the table I, on radiological study, sinuses are found to be hazy in 86.4% cases of antro choanal polyp and 89.4% cases of ethmoidal polyp. This finding is in accordance with that of miles (1971) who started that usually there is some degree of opacity of sinuses either due to thickening of mucosa or superadded infection. erosion of bone is found in 70% cases of malignancy and the 3 case of fungal granuloma.
Relative Incidence of Nasal Masses: A Tertiary Care Hospital Experience
An International Journal Clinical Rhinology, 2020
Introduction Nasal masses are an intriguing arena for a rhinologist. With diagnostic advancement from anterior rhinoscopy to three-dimensional endoscopic view at a blazing speed in rhinology, it has become easier to diagnose a nasal mass. Early detection is a key for better management. Incidence of an entity varies over time because of the ever-changing environmental scenario and availability of advanced diagnostics. Incidence of nasal masses is still of importance because the pathophysiology of the nasal masses is still under research. This study will bring into notice of a rhinologist the relative incidence of various nasal masses highlighting the areas of concern and hence bringing our focus to a better management. Materials and methods It is a prospective study with a sample size of 200. All the modern diagnostic facilities were used, including a computed tomography scan can and nasal endoscopy, to reach a presumptive diagnosis of various nasal masses, and histopathology was don...
Surgical treatment of nasal packing refractory epistaxis
Brazilian Journal of Otorhinolaryngology (Impresso), 2009
Epi staxis is the main otorhinolaryngology emergency and, in severe cases, it can lead to hemodynamic instability and be life threatening. Aim: To evaluate factors involved in epistaxis resistant to nasal packing that needed surgical treatment, as well as post-surgical results. Material and Methods: Retrospective study from January 2002 to August 2007. 40 consecutive patients that underwent surgical treatment for refractory epistaxis were analyzed. Predisposing factors, procedures performed, need of blood transfusion, and recurrence were evaluated. Results: Otorhinolaryngology post operative complications (37.5%), high blood pressure (30%), and coagulopathy (15%) were the main factors related to epistaxis. 50% of the patients (n=20) presented with hemodynamic instability and 90% of them (n=18) needed blood transfusion. Eletrocauterization of the bleeding site was enough in 35% of these patients (n=14), while in 65% (n=26) was necessary cauterization and/or arterial ligation. Five patients (12.5%) had bleeding recurrence, which needed re-operation. Conclusion: Earlier indications of surgical treatment to control severe and refractory epistaxis to conventional treatment, especially in a population with high risk such as post operative bleeding and coagulopathies, may decrease the need of blood transfusion.
The Internet Journal of Head and Neck Surgery, 2007
Malignant melanoma of nasal cavity and paranasal sinuses is a rare tumor encountered by ENT surgeons. It is so rare that the majority of ENT surgeons do not see even a single case in their lifetime. This paper is a presentation of a case of 58 yrs old male who came in emergency with massive epistaxis. The patient's history revealed recurrent episodes of nasal bleeding for past 3 months. He also complained of progressively increasing nasal obstruction from left nose for 2 months. Nasal endoscopy was done which revealed a smooth pinkish mass in the left nasal cavity, filling the whole middle meatus, and extending till, just anterior to the choana. The nasal endoscopy on the right side was within normal limits. The histopathological examination gave a conclusive diagnosis of Malignant Melanoma. CT scan of PNS confirmed the finding of a localized mass in left nasal cavity with limited extension.
Tropical Journal of Ophthalmology and Otolaryngology, 2017
Introduction: Polypoidal mass in nose and paranasal sinuses are very common, that bulges or projects downwards from the normal nasal surface. The aim of the present study was to determine the incidence of nasal polypoidal mass and clinical and pathologic data of a group of consecutive cases. Materials and Methods: Clinico-pathological study of 92 consecutive cases of nasal polypoidal mass from single institution was performed for a period of 3 years. Clinical examination, routine investigations, Chest X ray PA were taken for all patients. Excised tissues were routinely processed for histopathologic examination. Results: Analysis of 92 polypoidal lesions in the nose and paranasal sinuses with clinical diagnosis of nasal polyps, revealed 52 cases were non-neoplastic and 40 were neoplastic; 34 (85%) were benign and 6 (15%) were malignant. True nasal polyps both inflammatory and allergic together comprised 49 cases of the 52 polypoidal lesions in the nasal cavity. Angiofibroma and capillary hemangioma were the most frequent benign tumour accounting for 30/34 (44%). The most common malignant tumour was squamous cell carcinoma 5/6 (83.3%). Conclusion: Majority of polypoidal mass in the nasal cavity were non-neoplastic, with histopathological examination being the easiest method for identification and distinguishing the type of sinonasalpolypoidal masses.