Nasal obstruction is one of the most common symptoms pediatric patients present to their physicians with. Usually this symptom is caused by allergic rhinitis or an upper respiratory infection, however, many conditions present with nasal obstruction. We present a 14-year-old patient with a rare cause of nasal obstruction, turbinate enlargement due to fibrous dysplasia, as diagnosed by CT scan and histopathologic analysis. Additionally, clinical history revealed precocious puberty, and a dermatologic exam revealed a café au lait macule, consistent with the McCune-Albright syndrome. This case illustrates the need to formulate a broad differential diagnosis and also consider the overall patient, not just the nasal cavity. The clinical presentation, diagnostic evaluation, long-term management plan and relevant literature are discussed.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/s0165-5876(02)00125-8 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Anatomical factors behind acquired primary nasolacrimal duct obstruction and acute dacryocystitis.
Eur Arch Otorhinolaryngol
January 2025
Kartal Dr.Lütfi Kırdar City Hospital, Radiology Clinic, İstanbul, Turkey.
Purpose: To compare the nasolacrimal and nasal anatomical parameters in cases of acquired primary nasolacrimal duct obstruction and acute dacryocystitis.
Methods: The study included 62 eyes of 31 patients. The eyes were divided into three groups: Group A, comprising eyes presenting with acute dacryocystitis; Group B, comprising eyes with nasolacrimal duct obstruction but no previous episodes of dacryocystitis; and Group C, comprising eyes with an patent nasolacrimal duct.
Closed Treatment of the Internal Nasal Valve.
Otolaryngol Clin North Am
January 2025
Department of Otolaryngology-Head and Neck Surgery, Louisiana State University Health Sciences Center, New Orleans, LA, USA; Our Lady of the Lake Regional Medical Center, Baton Rouge, LA, USA. Electronic address:
The internal nasal valve, the narrowest portion of the nasal airway, is prone to collapse and is often targeted for improvement in nasal reconstruction and rhinoplasty. Endonasal techniques can reduce surrounding trauma and reduce operative times compared to traditional open methods. Options include the use of spreader, butterfly and alar batten grafts, suspension and flaring sutures, and Z-plasty for scarring.
View Article and Find Full Text PDFFunctional and Cosmetic Considerations in Saddle Nose Deformity Repair.
Otolaryngol Clin North Am
January 2025
Department of Otolaryngology-Head and Neck Surgery, University of Miami Miller School of Medicine, 1120 Northwest 14th Street, Floor 5, Miami, FL 33136, USA. Electronic address:
The saddle nose deformity is associated with dorsal collapse and can have both function and cosmetic problems. The saddle nose can cause nasal obstruction by narrowing the nasal cavities, eliciting dynamic internal and external nasal valve narrowing, and abnormally widening the internal and external nasal valves altering airflow dynamics, sinonasal passageways, and olfaction. The saddle nose is challenging to treat due to skin contracture, lack of donor tissue, and difficulties in esthetic integration.
View Article and Find Full Text PDFNasal Valve Considerations in Mohs Reconstruction.
Otolaryngol Clin North Am
January 2025
Facial Plastic and Reconstructive Surgery, SUNY Downstate Health Sciences University, 450 Clarkson Avenue, Brooklyn, NY 11201, USA. Electronic address:
Airway obstruction is a possible sequela following reconstruction of the nose after Mohs excision of skin cancers. While the principles and goals of tissue replacement after Mohs micrographic surgery are well-established, less attention has been paid to the evaluation of the nasal airway after reconstruction. Reconstructive planning begins with understanding the risk factors associated with the development of nasal valve compromise.
View Article and Find Full Text PDFEvaluation and Treatment of Nasal Valve Compromise in non-Caucasian Rhinoplasty.
Otolaryngol Clin North Am
January 2025
Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head & Neck Surgery, Loma Linda University Health, Loma Linda, CA, USA; Department of Otolaryngology-Head & Neck Surgery, Loma Linda University Health, 11234 Anderson Street, Room 2586A, Loma Linda, CA 92354, USA. Electronic address:
The number of non-Caucasian patients with nasal valve compromise seeking functional rhinoplasty is projected to increase in tandem with an increasingly diverse population in the United States. Gaining a deeper appreciation for the variances in nasal morphology amongst different ethnicities will help rhinoplasty surgeons perform accurate preoperative evaluations, optimize functional and esthetic outcomes, and maintain ethnic congruence with surgery.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!