A case of the nasal cavity fungus ball

Fungus balls in the nasal cavity are an extremely rare finding. We described a case of the fungus ball in the nasal cavity of a 61‐year‐old man, which was successfully removed by endoscopic sinus surgery. To the best of our knowledge, this report is the third case in the English literature. In addition, we propose the diagnosis of the ‘nasal cavity fungus ball’.     

Chondrosarcoma of the nasal septum

Chondrosarcoma of the head and neck region are relatively uncommon, arising rarely in the naval septum. The reported cases of nasal septal chondrosarcomas are extensive lesions with involvement of paranasal sinuses, orbit or skull base at the lime of diagnosis. Those limited to the nasal cavity is extremely rare and to date there has been one case report in English language literature. We present a case of chondrosarcoma of the nasal septum with involvement of the nasal cavity alone and no evidence of bony erosion. Initial multiple biopsies showed mature chondromatous areas with no atypia. The patient had wide excision of the tumour. The final biopsy of the excised specimen revealed foci of well-differentiated chondrosarcoma. Wide surgical excision with adequate margins should be considered as the treatment of choice in lesion of nasal septum even if initial biopsies are negative for malignancy. Hence this case report.     

Giant Pleomorphic Adenoma of the Nasal Septum

Pleomorphic adenoma is the most common benign tumor of the salivary glands, mainly arising from major salivary glands such as parotis and submandibular gland. In rare cases, however, pleomorphic adenoma presents in various unusual sites such as the nasal cavity, paranasal sinuses, hypopharynx, pharynx, larynx, trachea and lacrimal glands. We present a rare case of 80-year-old woman with pleomorphic adenoma of the nasal cavity.     

Bilateral congenital choanal atresia presenting at age twenty two years: an unusual case report

Choanal atresia is a congenital absence of communication between the nasal cavity and nasopharynx. Bilateral Choanal Atresia usually present immediately after birth and in the neonatal period. We report an unusual case who presented at the age of twenty two years. This case was successfully managed by a transnasal approach. Choanal atresia should be considered as a rare diagnostic possibility in any patient who presents with total nasal obstruction and persistent mouth breathing.     

Deviated nasal septum in case of Klippel-Trenaunay-Weber Syndrome

Klippel-Trenaunay-Weber Syndrome (KTWS) is a rare entity. It includes cutaneous hemangioma (Port-wine stains) of the face and extremities with associated varicosities and hypertrophy of underlying soft tissue and bone. Craniofacial involvement is rare in this syndrome. We report a case of Klippel-Trenaunay-Weber Syndrome who presented with craniofacial deformity leading to deviated nasal septum, nasal obstruction and intermittent nasal bleed. These patients can have involvement of oral cavity and nasal mucosa with angiomatous malformation, which can give rise to epistaxis and excessive bleeding during oral and nasal surgeries. We discuss the review and management of such cases from Otolaryngologists point of view.     

Encephalocoele as a complication of intranasal surgery

Intranasal encephalocoele can be congenital or acquired as a consequence of injury to the floor of anterior cranial fossa disrupting dura resulting in herniation of brain tissue in the nasal cavity. Authors came across a case of encephalocoele as a complication of intranasal polypectoury. We are reporting this case due to its rareness.     

Adénocarcinome de bas grade des fosses nasales : à propos d’un cas

Low-grade sinonasal adenocarcinomas are uncommon and recently described entities. Its histologic diagnosis is challenging. This tumour is characterized by a tendency to local invasion, and rare distant metastases. Well treated, the prognosis is excellent. We describe a case of low-grade nasal cavity adenocarcinoma and discuss the anatomoclinical, therapeutic and evolutionary characteristics of this malignant tumour. A 54-year-old female patient presented with a 10 years history of right-sided nasal obstruction and recurrent epistaxis. On examination the patient had a large, firm mass in the right nasal cavity. Endoscopic sinonasal surgery was performed. The lesion was found to originate from the posteriolateral wall of the right nasal cavity. Histopathology analysis identified a low-grade sinonasal adenocarcinoma. Upon follow-up 4 years after surgery, the patient exhibited no clinical evidence of recurrence. Low-grade sinonasal adenocarcinomas are poorly defined neoplasms, accounting for 4 to 20% of all sinonasal malignancies. The nasal cavity is the most frequently involved site. Low-grade sinonasal adenocarcinomas pose a diagnostic challenge for the pathologist because they must be distinguished from benign tumours, especially adenomas. The primary treatment of sinonasal adenocarcinoma is complete surgical excision.     

Haemangiopericytoma of the nasal cavity

This rare tumour arises from proliferation of pericytes which invest capillary endothelium. It has tendency to develop recurrence and metastases. Stout (1912) reported first case of haemangiopericytoma. Since then only 23 cases have been reported in the literature. We present one case of haemangiopericytoma of the nasal cavity.     

Malignant melanoma of the nasal cavity-A case report

Mucosal melanoma of the nasal cavity is a rare tumour. Here we have reported a case of 54-year-old male patient presented with the black mass coming out from right nasal cavity and occasional slight bleeding from the mass. The tumour was excised by lateral rhinotomy. The surgery was followed by radiotherapy.     

Meningioma in the nose

A case of primary intranasal meningioma located in right nasal cavity and eroding right ethmoid, medial wall and floor of right orbit and medial wall of right antrum is presented with a brief review of relevant literature. To our knowledge, it forms 34th case of its kind, in the series of primary meningioma of the nasal cavity and paranasal sinuses” and is amongst the very few to have occured in a child of just eight years. Both primary tumor and its recurrence are successfully removed by lateral rhinotomy.     

Fibroma of tonsil

Benign neoplasms of the tonsillar region are rare and these include haemangiomas, fibromas, lipomas and schwannomas (Friedmann I, 1986). True fibromas of oral cavity and oropharynxes are very rare (Waal I. V., Snow, G. B. 1993). Fibromas have been recorded in nasal cavity, pharynx and larynx (Fu Y. S., Perzin K. H. 1976), We report a case of fibroma of tonsil for its rarity.     

鼻内镜下鼻腔鼻窦内翻性乳头状瘤切除术

目的探讨经鼻内窥镜鼻腔鼻窦内翻性乳头状瘤切除术和鼻内镜联合鼻侧切开鼻腔鼻窦内翻性乳头状瘤切除术的疗效。方法26例鼻腔鼻窦内翻性乳头状瘤病例中,22例行经鼻内窥镜鼻腔鼻窦内翻性乳头状瘤切除术,4例行鼻内镜联合鼻侧切开鼻腔鼻窦内翻性乳头状瘤切除术。结果术后随访9~60个月。1例术后30个月复发,其它25例未见复发,全部病例无并发症发生。结论经鼻内窥镜鼻腔鼻窦内翻性乳头状瘤切除术适用于较局限的病变,而对广泛病变则应采用鼻内镜联合鼻侧切开术,术后鼻内镜定期复查可早期发现肿瘤复发并处理。     

Prevalence of oral cavity,pharynx, larynx and nasal cavity malignancies in Amritsar,Punjab

The present study comprised of 1471 cases of carcinoma of oral cavity, pharynx, larynx, and nasal cavity diagnosed in the Department of Pathology, Government Medical College, Amritsar from January, 1972 to December, 1991. The oral cavity was involved in 35.75% of cases and least incidence was of the cancer of nasal cavity. The males outnumbered females with Male: Female ratio being 2.14:1. The maximum incidence was seen in the fourth and fifty decade. Histopathologically 88.18% cases were of epidermoid carcinoma followed by anaplastic carcinoma and least were a single case each of mucoepidermoid carcinoma and fibrosarcoma.     

Extranodal Natural Killer/T-Cell Lymphoma of the Nasal Type with Skin Metastases

Extranodal natural killer/T-cell lymphoma (ENKL) of the nasal type is a rare, clinically aggressive disease. ENKL of the nasal type is often localized in the upper aerodigestive tract, including the nasal cavity, nasopharynx, paranasal sinuses, tonsils, hypopharynx and larynx, and usually presents as stage I/II. Extranasal involvement can occur, and a common site of extranasal involvement or metastatic disease includes the skin. Identifying skin metastases is important for the appropriate staging and treatment. We report a case of ENKL of the nasal type that presented with localized disease and subsequent skin lesions that were consistent with skin metastases.Key Words: Extranodal natural killer/T-cell lymphoma, Nasal type, Skin metastases     

Primary nasal Tuberculosis — A case report

During the past two decades, Tuberculosis — both pulmonary and extrapulmonary have re-emerged as a major health problem worldwide. Nasal tuberculosis may be primary, or secondary to pulmonary tuberculosis or facial lupus. However all of them are rare entities. Nasal tuberculosis should be considered in the differential diagnosis of chronic nasal granulomas. We report a case of primary nasal tuberculosis in an adult female who presented with a polypoidal lesion in the nasal cavity. The diagnosis was based upon smear study, histopathology, culture & polymerase chain reaction. The patient successfully responded to antituberculous therapy and is presently disease free. Given the resurgence of tuberculosis in recent times, it is important that otolaryngologists remain aware of this rare clinical entity.     

Nasal and nasopharyngeal paraganglioma

Paragangliomas of the nasal cavity and nasopharynx should be classified according to the presumed origin from the nasal, jugulotympanic, vagal, or ciliary paraganglion because of the substantial differences in clinical behavior and operative management. This paper presents the ninth published case of a primary nasal paraganglioma and reviews the previously reported cases. Primary nasal paragangliomas are generally localized, although the potential for local invasion is well documented. Malignancy or functional activity has not been described. Complete excision is curative. Jugulotympanic, vagal, and ciliary paragangliomas with extension into the nasopharynx or nasal cavity are typically more advanced at the time of diagnosis and require complete evaluation by computed tomography and arteriography to determine the tumor extent. The operative approach is dependant on the extent of tumor invasion. Irradiation and tumor embolization have been useful for unresectable or partially excised tumors.     

Primary malignant melanoma of the nasal mucosa

Primary malignant melanoma of nasal cavity is a rare condition. A case is reported with a review of relevant literature.     

Chondroid Chordoma of nasal cavity

Chondroid Chardama, a variant of chordoma, is a rare entity. A case of Chondroid Chordoma in nasal cavity is presented with review of relevant literature.     

Facial extension of rhinosporidiosis

An interesting case of cutaneous facial extension of rhinosporidiosis from the nasal cavity is reported.     

Malignant schwannoma of the sinonasal tract

Malignant Schwannoma of the sinonasal tract is an extremely rare tumour. So far, only 19 cases have been reported in the literature. We report herein a case of malignant schwannoma involving nasal cavity, maxillary antrum and ethmoid sinus in a 60-year-old male patient. The patient was treated with surgery and post-operative radiotherapy. He currently remains free of the disease 15 months after the diagnosis and twelve months after completing therapy.