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Nose, sinuses and nasopharynx

Churg-Strauss disease

Polypoid sinusitis in patients with Churg Strauss s

The autoimmune disease systemic Vasculitis Churg Strauss is associated with the presence of anti-neutrophil (antineutrophil cytoplasm antibodies-TERI Weigel) that may have lead to severe asthma, fever, Eosinophilic, renal and cardiac insufficiency, peripheral neuropathy; many patients develop pulmonary infiltrates, sinusitis, hypertension, abdominal pain, diarrhea, skin lesions (Purple, subcutaneous nodules).
L & #8217; asthma is the presenting symptom in most patients.
ENT evaluation can demonstrate the presence of rhinitis and nasal polyps framing stage.
The role of & #8217; Otolaryngologist may be important to clarify the diagnosis due to nasal polypoid growths of endometrial biopsy and #8217;: quick and safe outpatient procedure.
The ENT specialist will have to try and treat symptomatic therapy nasal problems and treating any complications. Surgical approaches to sinusitis should be evaluated very carefully given the greater tendency to recurrence of polyps in these patients and given the Comorbidities dates from the same disease.


Rinolito right nasal fossa

The rinolito is a concretion of calcium salts that can form in your nose. Typically represents a reaction of our body to a foreign body penetrated in the nose. Formed a hard formation, which can promote infections.
The rinolito can cause pain, bad smell (cacosmia), epistaxis, sinusitis.

TC in the same patient who documents the presence of rinolito

Nasal Endoscopy

Nasal Endoscopy is a non-invasive outpatient procedure of exploration of the nasal cavity by means of a rigid endoscope or fiberscope. The procedure is generally well tolerated and causes a slight annoyance. Sometimes you may need to use local anesthetic and/or decongestant to reduce swelling of the mucous membranes and make more accessible the exploration of the nasal cavities. Continue reading

Cocaine damage to his nose and face

Fig 1 hard palate drilling from cocaine abuse

Cocaine is a drug with anesthetic and vasoconstrictor effect, hired mainly for nasal.
Cocaine reduces the vascularization of the mucous membranes that crosses causing a major pain (Fig 2). The mucous membranes of the nasal septum and, subsequently, of the entire nasal cavity and nasopharynx go necrosis. You have a repair attempt with abundant secretions and scabs. In most cases the continuous exposure to this drug leads to a complete destruction of structures. In other cases, scarring attempts lead to the formation of granulation tissue (Fig 3) that tends to clog and completely close the nasal passages making breathing impossible.

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Carcinoma of the nasal vestibule

Patients with squamous cell carcinoma of the nasal vestibule destro

Rare cancers of the nasal vestibule are malignant neoplasms that originate from the skin of the nasal vestibule, initially they give a very limited symptoms that can become quite painful if infiltration of cartilages andirons and/or bacterial superinfection.
To confirm the diagnosis requires a biopsy sampling, You also ascertain by radiological studies that the disease has given locales or lymph node metastases.
Treatment is surgical and typically requires an excision wide enough to ensure safety in Oncology.
Once removed, the disease can recur to prosthesis or surgical reconstructions using flaps.
The case pictured was reconstructed using a flap parafrontale supported by an ear cartilage graft taken from Helix

Inverted papilloma

Inverted papilloma or schneideriano is a generally benign neoformation polypoid sinus ethmoidal cells or from which originates the maxillary sinuses and commonly cause symptoms when it cantilevers out in nasal cavity.
Despite the benign histological nature, inverted papillomas are able to infiltrate the adjacent structures, deforming and eroding bone structures.

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Acute sinusitis

Endoscopic images obtained through rigid optic 0° a picture of acute sinusitis left jaw. the second picture shows a clear improvement of the picture intent just a week of treatment antibiotic and steroid.


1: Head of middle turbinate
2: the medial wall of the maxillary sinus left mediated environment from infection process
3: purulent secretions
4: Middle meatus

Scuba diving and ENT diseases

Diver who is reporting to the mate of their difficulties in compensation of middle ear ’

Person engaged in sports and in particular diving and apnea is more exposed to a number of issues of jurisdiction ORL.
See them with order considering what caused, How to prevent them and how to cure them.







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