• Title/Summary/Keyword: Nasal obstruction

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Myoepithelioma of the Nasal Septum: A Case Report (비중격에 발생한 근상피종 1례)

  • Song, Bok Hyun;Lee, Eun Kyu;Park, Song I;Kim, Hyo Yeol
    • Korean Journal of Head & Neck Oncology
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    • v.36 no.2
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    • pp.65-68
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    • 2020
  • Myoepithelioma is a rare benign neoplasm that mostly arises in the major salivary glands and sometimes in the minor salivary glands, which account only for less than 1% of all salivary glands neoplasms. However, its extra-salivary involvement is even rarer and only a few cases of nasal cavity myoepithelioma were reported in the English-language literature so far. In this case report, we present a 40-year-old female with unilateral nasal obstruction diagnosed as myoepithelioma of the nasal septum and treated with endoscopic sinus surgery.

The Usefulness of a Bronchodilator after the Closed Reduction of Nasal Bone Fracture (비골 골절 정복술 후 기관지 확장제 투여의 유용성)

  • Kim, Jin Yong;Kim, Young Hwan
    • Archives of Craniofacial Surgery
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    • v.12 no.1
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    • pp.22-27
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    • 2011
  • Purpose: Packing the nose is a common procedure after the closed reduction of a nasal bone fracture to prevent postoperative complications, such as bleeding and adhesion formation as well as to stabilize the framework of the nasal bone. On the other hand, it is difficult for a patient to endure nasal packing because of breathing difficulties, headaches, chest discomfort, insomnia, general weakness and hypoxia. This study examined the availability of a bronchodilator to improve the decreased oxygen saturation and postoperative symptoms on nasal packing. Methods: From February, 2010 to July, 2010, a prospective randomized comparison of the incidence of a range of postoperative signs and symptoms was conducted on 60 patients, who did (n=30) and did not (n=30) undergo bronchodilator infusion (aminophylline 250 mg/10 mL + normal saline 100 mL IV qd) following nasal packing. The postoperative symptoms and oxygen saturation in the two groups were compared. Results: Patients who had infused the bronchodilator showed improved oxygen saturation. Nevertheless, there were no significant differences in the postoperative uncomfortable symptoms (dyspnea, headache, chest discomfort, insomnia, general weakness) between the two groups. Conclusion: A bronchodilator after nasal packing improves oxygen saturation by dilating the airway tract but it cannot reduce the uncomfortable symptoms caused by nasal obstruction. Overall, the bronchodilator is a useful medication for improving the level of oxygen saturation.

Correlations between anatomical variations of the nasal cavity and ethmoidal sinuses on cone-beam computed tomography scans

  • Shokri, Abbas;Faradmal, Mohammad Javad;Hekmat, Bahareh
    • Imaging Science in Dentistry
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    • v.49 no.2
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    • pp.103-113
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    • 2019
  • Purpose: Anatomical variations of the external nasal wall are highly important, since they play a role in obstruction or drainage of the ostiomeatal complex and ventilation and can consequently elevate the risk of pathological sinus conditions. This study aimed to assess anatomical variations of the nasal cavity and ethmoidal sinuses and their correlations on cone-beam computed tomography (CBCT) scans. Materials and Methods: This cross-sectional study evaluated CBCT scans of 250 patients, including 107 males and 143 females, to determine the prevalence of anatomical variations of the nasal cavity and ethmoidal sinuses. All images were taken using a New Tom 3G scanner. Data were analyzed using the chi-square test, Kruskal-Wallis test, and the Mann-Whitney test. Results: The most common anatomical variations were found to be nasal septal deviation (90.4%), agger nasi air cell (53.6%), superior orbital cell(47.6%), pneumatized nasal septum(40%), and Onodi air cell(37.2%). Correlations were found between nasal septal deviation and the presence of a pneumatized nasal septum, nasal spur, and Haller cell. No significant associations were noted between the age or sex of patients and the presence of anatomical variations (P>0.05). Conclusion: Radiologists and surgeons must pay close attention to the anatomical variations of the sinonasal region in the preoperative assessment to prevent perioperative complications.

Embryonal Rhabdomyosarcoma of the Nasal Cavity in an Adult : A Case Report (성인의 비강에서 발생한 배아횡문근육종: 증례 보고)

  • Kang, Min-Seok;Kim, Hak-Jin
    • Investigative Magnetic Resonance Imaging
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    • v.13 no.1
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    • pp.97-100
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    • 2009
  • Embryonal rhabdomyosarcoma of the head and neck is very rare in adults. We report a case of embryonal rhabdomyosarcoma in the nasal cavity, occuring in a 24-year-old male patient presenting with left nasal obstruction, ipsilateral eye and cheek pain and multiple neck nodules. Rhabdomyosarcoma should be considered in the differential diagnosis of poorly defined soft tissue mass of the nasal cavity not only in children, but also in adults.

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Rhinolith: An incidental radiographic finding

  • Maheshwari, Nisha;Etikaala, Badirinath;Syed, Ali Z.
    • Imaging Science in Dentistry
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    • v.51 no.3
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    • pp.333-336
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    • 2021
  • Rhinoliths are foreign bodies composed of mineralised deposits in the nasal cavity that are rarely encountered in routine dental practice. The current report presents a case of a 77-year-old female patient who visited a dental treatment centre for a routine dental check-up and prophylaxis. On the clinical examination, the patient did not report any breathing difficulty, nasal obstruction, or any form of discharge. Panoramic radiography showed a horizontally magnified radiopaque structure in the right nasal fossa region. Cone-beam computed tomography (CBCT) revealed a hyperdense entity with a laminated presentation in the right nasal fossa. The hyperdense entity was diagnosed as a rhinolith based on the radiographic findings. Although the patient was asymptomatic, a referral was made to an ear, nose, and throat surgeon for a further evaluation. This report highlights the importance of CBCT imaging in the diagnosis of soft-tissue calcifications.

A COMPARISON STUDY OF THE EFFECTS OF NASAL BREATHING DYSFUNCTION DUE TO ADENOID OBSTRUCTION ON DENTITION BY FACIAL TYPE

  • Lee, Hee Kyung
    • The korean journal of orthodontics
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    • v.26 no.6
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    • pp.647-655
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    • 1996
  • In discussing the effects of adenoids on the development of the face and dentition, it is important to note their influence on the mode of breathing and to relate this to specific facial types and dentition. This study, therefore, assumed that the ability to adapt to individual's neuromuscular complex is various. And tried to investigate the effects of reduced nasal respiratory function on the development of dentition by facial type. This paper is based on children patients with enlarged adenoids and comparing them to data taken from a control group with normal respiratory function. Among the three facial types, the most statistical significant difference was observed from dolichofacial type between experimental and control group. In dolichofacial type, the experimental group showed labioversion of upper incisor, decrease in the width of upper arch, increase in overjet, increase in the rate of cross-bite, and increase in the height of palatal vault. No significant difference was observed between the two groups in the inclination of upper and lower incisors in mesofacial type, but the experimental group was observed to show decrease in the width of upper arch and increase in the height of palatal vault. On the other hand, in brachyfacial type, no significant difference was observed between the two groups in dentition variables except showing linguoversion of upper incisor. The results, which were observed in dolichofacial type, consist with Nordlund's theory of Compression.

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The effects of nasal breathing due to pediatric allergic rhinitis on dentofacial growth and its dental considerations (소아 알레르기 비염으로 인한 구호흡이 악안면 성장에 미치는 영향과 이에 대한 치과적 고려사항)

  • Ong, Seung-Hwan;Yoo, Seung-Hoon
    • The Journal of the Korean dental association
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    • v.58 no.9
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    • pp.546-555
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    • 2020
  • Allergic rhinitis is a specific IgE mediated inflammatory disease of the nasal mucosa, characterized by symptoms such as rhinorrhea, nasal congestion, nasal obstruction, nasal and eye itching, and sneezing. The prevalence of allergic rhinitis varies according to country, age, and surveying methods, but it seems to increase worldwide, also in Korea. Prolonged mouth breathing caused by allergic rhinitis can produce muscular and postural alterations, causing alterations on the morphology, position, growth direction of the jaws, and malocclusion. Also, mouth breathing leads to dryness of the mouth, causing various oral diseases; gingivitis, halitosis, inflammation of tonsil, increased risk of dental caries and dental erosion. In dental clinic, using rapid maxillary expansion to persistent allergic rhinitis patients with narrow maxilla can enlarge maxillary dental arch and nasal cavity anatomy, improving nasal breathing and reducing nasal cavity resistance. However, it is desirable to use along with otolaryngologic treatment. Dentists should be aware of the characteristics of allergic rhinitis and its effects on patients, and consider when planning dental treatment.

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Significance of Nasometer and First Formant for Nasal Patency After Septoplasty and Turbinoplasty (비중격 성형술 및 하비잡개 절제술 후 비개존도 측정을 위한 Nasometer와 제1포만트 측정의 유용성)

  • 진성민;강현국;이경철;박상욱;이성채;이용배
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.8 no.2
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    • pp.161-165
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    • 1997
  • Background : The rhinomanometry and acoustic rhinometry can assess e nasal passage dynamically and statically Recently, analytic methods such as nasometer and sound spectrogram are gaining wide attention to evaluate the nasality objectively. Objectives : firstly to determine if ere was a relationship between the new methods and nasal airway resistance, and secondly to establish if the measurement of nasalance and sound spectrum could be used as an alternative to rhinomanometry and acoustic rhinometry. Materials and Methods : Thirty two patients who underwent either septoplasty and turbinectomy for nasal obstruction were studied. And their ages ranged form 15 to 45 years, with an average of 26.1 years. The rhinomanometry, nasometer, sound spectrogram were performed at preoperative and postoperative 4 weeks day. Results : After operation, subjective symptoms and rhinomanometric results were significantly improved but nasalance and slope of nana, mama and mamma passage had not meningful change. The significnat changes were noted in nasalance and first nasal formant frequency of nasal consonant of velum(angang). Conclusion : Nasometer and sound spectrogram had a limitation for the measure of nasal patency.

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Clinical Significance of Nasal Peak Inspiratory Flow Rate in Patients with Chronic Cough (만성기침환자에서 비강최대흡기유속 측정의 의의)

  • An, Chang-Hyeok;Lee, Byung-Hun;Park, Yong-Bum;Choi, Jae-Chul;Jee, Hyun-Suk;Park, Sung-Jin;Kang, Sun-Bok;Kim, Jae-Yeol;Park, In-Won;Choi, Byung-Whi;Hue, Sung-Ho
    • Tuberculosis and Respiratory Diseases
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    • v.46 no.5
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    • pp.654-661
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    • 1999
  • Background : The upper respiratory tract is the primary target organ of various airborne pollutants and is easily accessible part of the respiratory tract, and also is the predominant structure where chronic cough originates. The nasal peak inspiratory flow(PIFn), which is the peak inspiratory flow via nose with nasal mask and spirometry, could be a reliable parameter of nasal obstruction. The validity of PIFn has been evaluated in several studies by assessing the correlation between PIFn measurements and other parameters of nasal air flow. This study was designed to show the reproducibility of PIFn, the difference of PIFn between patients with chronic cough and normal subjects, and the usefulness of PIFn in the evaluation of nasal obstruction in patients with chronic cough. Methods : PIFn was measured by spirometry with nasal mask, twice a day for 3 consecutive days in 7 young normal subjects to evaluate validity of the test. In 32 patients with chronic cough and 25 age-matched normal subjects, PIFn and pulmonary function test($FEV_1$, $FEV_1%$ pred, FVC, and FVC% pred) were measured at first visiting. Results : Values of PIFn, $FEV_1$, and FVC were nearly constant in 7 young normal adults. Patients with chronic cough were 32 (14 males and 18 females) and the mean age was $41.4{\pm}15.9$ years. Normal subjects were 32(22 males and 10 females) and the mean age was $39.8{\pm}18.6$ years. There was no significant difference of age and pulmonary function test between patients with chronic cough and normal subjects(p<0.05). The PIFn values in patients with chronic cough was significantly lower than those of normal subjects($2.25{\pm}0.68\;L/sec$ vs. $2.75{\pm}1.00\;L/sec$ ; p=0.02). The postnasal drip syndrome(PNDS) comprised the majority of patients with chronic cough(27). The PIFn in patients with PNDS was significantly lower than that of normal subjects (mean$\pm$SD ; $2.18{\pm}0.66$ vs. $2.75{\pm}1.00\;L/sec$, p=0.006). Conclusion : There was a significant difference of PIFn between patients with chronic cough and normal subjects. Among the patients with chronic cough, patients with PNDS showed the most significant difference with normal subjects in PIFn. The PIFn could be a useful parameter of nasal obstruction in patients with chronic cough, especially in patients with PNDS.

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