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[PMID]: 29390410 [Au] Autor: Kim JS; Kim EJ; Kwon SH [Ad] Endereço: Department of Otolaryngology-Head and Neck Surgery. [Ti] Título: An ethmoid mucocele causing diplopia: A case report. [So] Source: Medicine (Baltimore);96(50):e9353, 2017 Dec. [Is] ISSN: 1536-5964 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: RATIONALE: Mucocele is a disease lined primarily by epithelium, and occurs mainly when the sinus ostium is obstructed. PATIENT CONCERNS: We report a case of a 37-year-old man who presented with painless proptosis of the right eye and diplopia. DIAGNOSES: The preoperative finding was mucocele of the ethmoid sinus. INTERVENTIONS: We performed endoscopic sinus surgery, which included uncapping of the anterior and superior wall of the mucocele. OUTCOMES: The mucocele was treated safely and effectively without touching the medial orbital wall. LESSONS: Clinicians should note that minimally invasive surgery to remove ethmoid mucoceles is relatively straightforward and can prevent the various complications associated with these lesions. [Mh] Termos MeSH primário: Diplopia/etiologia Seio Etmoidal Mucocele/complicações Mucocele/cirurgia Doenças dos Seios Paranasais/complicações Doenças dos Seios Paranasais/cirurgia [Mh] Termos MeSH secundário: Adulto Endoscopia Seres Humanos Masculino [Pt] Tipo de publicação: CASE REPORTS; JOURNAL ARTICLE [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180301 [Lr] Data última revisão: 180301 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 180203 [St] Status: MEDLINE [do] DOI: 10.1097/MD.0000000000009353

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[PMID]: 29443742 [Au] Autor: Qin Y; Lu Y; Zheng L; Liu H [Ad] Endereço: Cancer Center. [Ti] Título: Ghost cell odontogenic carcinoma with suspected cholesterol granuloma of the maxillary sinus in a patient treated with combined modality therapy: A case report and the review of literature. [So] Source: Medicine (Baltimore);97(7):e9816, 2018 Feb. [Is] ISSN: 1536-5964 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: RATIONALE: Ghost cell odontogenic carcinoma (GCOC) is a rare malignant odontogenic tumor with aggressive growth characteristics. PATIENT CONCERNS: A 41-year-old Chinese male visited our hospital in 2013, with a 4-month history of bloody purulent rhinorrhea with a peculiar smell in the right nasal cavity. DIAGNOSES: The patient suffered from recurrent GCOC with suspected cholesterol granuloma of the maxillary sinus. The patient was incorrectly diagnosed with a calcifying epithelial odontogenic tumor at his first recurrence. Physical examination, radiological examination, and histopathology were used to identify GCOC. INTERVENTIONS: Considering the recurrence of GCOC and poor effects of single surgery, postoperative adjuvant chemotherapy and concurrent chemoradiotherapy were performed after radical surgical excision. OUTCOMES: So far, no significant evidence has suggested recurrence or metastasis after a long-term follow-up. LESSONS: We advocate wide surgery with clean margins at the first accurate diagnosis. Combined modality therapy could be taken for the recurrent GCOC. We expect to provide a new treatment strategy to prevent the growth of this neoplasm. [Mh] Termos MeSH primário: Carcinoma/terapia Colesterol Granuloma de Corpo Estranho/terapia Recidiva Local de Neoplasia/terapia Tumores Odontogênicos/terapia Doenças dos Seios Paranasais/terapia [Mh] Termos MeSH secundário: Adulto Carcinoma/complicações Carcinoma/patologia Quimiorradioterapia Quimioterapia Adjuvante Terapia Combinada/métodos Erros de Diagnóstico Granuloma de Corpo Estranho/etiologia Granuloma de Corpo Estranho/patologia Seres Humanos Masculino Seio Maxilar/patologia Seio Maxilar/cirurgia Recidiva Local de Neoplasia/complicações Recidiva Local de Neoplasia/patologia Tumores Odontogênicos/complicações Tumores Odontogênicos/patologia Doenças dos Seios Paranasais/etiologia Doenças dos Seios Paranasais/patologia [Pt] Tipo de publicação: CASE REPORTS; JOURNAL ARTICLE; REVIEW [Nm] Nome de substância: 97C5T2UQ7J (Cholesterol) [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180222 [Lr] Data última revisão: 180222 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 180215 [St] Status: MEDLINE [do] DOI: 10.1097/MD.0000000000009816

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[PMID]: 29350893 [Au] Autor: Jovancevic L; Canadanovic V; Savovic S; Zvezdin B; Komazec Z [Ti] Título: Silent sinus syndrome: One more reason for an ophthalmologist to have a rhinologist as a good friend. [So] Source: Vojnosanit Pregl;74(1):59-63, 2017 Jan. [Is] ISSN: 0042-8450 [Cp] País de publicação: Serbia [La] Idioma: eng [Mh] Termos MeSH primário: Enoftalmia Seio Maxilar Oftalmologistas Doenças dos Seios Paranasais [Mh] Termos MeSH secundário: Diagnóstico Diferencial Técnicas de Diagnóstico Oftalmológico Enoftalmia/diagnóstico por imagem Enoftalmia/cirurgia Seres Humanos Comunicação Interdisciplinar Seio Maxilar/diagnóstico por imagem Seio Maxilar/cirurgia Procedimentos Cirúrgicos Otorrinolaringológicos Doenças dos Seios Paranasais/diagnóstico por imagem Doenças dos Seios Paranasais/cirurgia Valor Preditivo dos Testes Síndrome Tomografia Computadorizada por Raios X Resultado do Tratamento [Pt] Tipo de publicação: JOURNAL ARTICLE; REVIEW [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180213 [Lr] Data última revisão: 180213 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 180120 [St] Status: MEDLINE [do] DOI: 10.2298/VSP141118141J

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[PMID]: 28468220 [Au] Autor: Lam K; Ho T; Yao WC [Ad] Endereço: *Department of Otolaryngology, Head and Neck Surgery, Eastern Virginia Medical School, Norfolk, VA †Department of Otorhinolaryngology, Head and Neck Surgery, University of Texas McGovern Medical School, Houston, TX. [Ti] Título: Sinocutaneous Fistula Formation After Forehead Recontouring Surgery for Transgender Patients. [So] Source: J Craniofac Surg;28(3):e274-e277, 2017 May. [Is] ISSN: 1536-3732 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Forehead recontouring is a common part of facial feminization surgery. The procedure, which alters the shape and structure of the frontal bone, is regarded as safe and well tolerated by patients. The occurrence of delayed complications, however, is much less understood. The authors describe a patient involving the development of a sinocutaneous fistula as a delayed complication of forehead recontouring surgery. The clinical presentation and management of this patient are discussed. As facial feminization surgery expands as a cosmetic option for patients who desire more feminine facial features, practitioners should recognize the potential risk of sinonasal complications associated with forehead recontouring surgery. [Mh] Termos MeSH primário: Fístula Cutânea/etiologia Feminização Testa/cirurgia Doenças dos Seios Paranasais/etiologia Complicações Pós-Operatórias Ritidoplastia/efeitos adversos Pessoas Transgênero [Mh] Termos MeSH secundário: Idoso Fístula Cutânea/diagnóstico Endoscopia Feminino Fístula/diagnóstico Fístula/etiologia Seio Frontal Seres Humanos Masculino Doenças dos Seios Paranasais/diagnóstico Tomografia Computadorizada por Raios X [Pt] Tipo de publicação: CASE REPORTS; JOURNAL ARTICLE [Em] Mês de entrada: 1801 [Cu] Atualização por classe: 180126 [Lr] Data última revisão: 180126 [Sb] Subgrupo de revista: D [Da] Data de entrada para processamento: 170505 [St] Status: MEDLINE [do] DOI: 10.1097/SCS.0000000000003524

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[PMID]: 29212484 [Au] Autor: Chen L; Jiang L; Yang B; Subramanian PS [Ad] Endereço: Department of Ophthalmology, Hainan Branch of Chinese People's Liberation Army General Hospital, Sanya, Hainan, China. [Ti] Título: Clinical features of visual disturbances secondary to isolated sphenoid sinus inflammatory diseases. [So] Source: BMC Ophthalmol;17(1):237, 2017 Dec 06. [Is] ISSN: 1471-2415 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: BACKGROUND: Visual disturbances associated with isolated sphenoid sinus inflammatory diseases (ISSIDs) are easily misdiagnosed due to the nonspecific symptoms and undetectable anatomical location. The main objective of this retrospective case series is to investigate the clinical features of visual disturbances secondary to ISSIDs. METHODS: Clinical data of 23 patients with unilateral or bilateral visual disturbances secondary to ISSIDs from 2004 to 2014 with new symptoms were collected. Collected data including symptoms, signs, neuroimaging and pathologic diagnosis were analyzed. RESULTS: There were 14 males and 9 females, and their ages ranged from 31 to 83 years. Fifteen patients suffered blurred vision and 11 patients suffered binocular double vision, including 3 patients who had unilateral visual changes and diplopia simultaneously. Headache was observed in 18 patients, and orbit pain/ocular pain in 8 patients. Other presenting symptoms included ptosis (4 patients) and proptosis (1 patient). Only 5 patients had nasal complaints. The corrected visual acuities were between NLP to 20/20. Patients with diplopia included 5 with unilateral oculomotor nerve palsy and 6 with unilateral abducens nerve palsy. All patients performed orbital/sinus/brain radiologic examination and found responsible lesions in sphenoid sinus. All patients underwent endoscopic sinus surgery, and 9 patients were found to suffer sphenoid mucocele, 9 with fungal sinusitis, and 5 with sphenoid sinusitis. Visual disturbances improved in 6 patients, and all the patients with diplopia had a postoperative recovery. CONCLUSION: Visual disturbances resulting from ISSIDs are relatively uncommon, but it is crucial that the patient with new vision loss or diplopia and persistent headache or orbit pain be evaluated for the possibility of ISSIDs especially before corticosteroid administration. [Mh] Termos MeSH primário: Doenças dos Seios Paranasais/complicações Seio Esfenoidal Transtornos da Visão/etiologia [Mh] Termos MeSH secundário: Adulto Idoso Idoso de 80 Anos ou mais Dor Ocular/etiologia Feminino Cefaleia/etiologia Seres Humanos Masculino Meia-Idade Doenças do Nervo Oculomotor/etiologia Doenças dos Seios Paranasais/patologia Estudos Retrospectivos [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1712 [Cu] Atualização por classe: 171226 [Lr] Data última revisão: 171226 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 171208 [St] Status: MEDLINE [do] DOI: 10.1186/s12886-017-0634-9

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[PMID]: 28868601 [Au] Autor: Tseng WS; Lee HC; Kang BH [Ad] Endereço: Department of Diving and Hyperbaric Medicine, Zuoying Branch of Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan. [Ti] Título: Periorbital emphysema after a wet chamber dive. [So] Source: Diving Hyperb Med;47(3):198-200, 2017 Sep. [Is] ISSN: 1833-3516 [Cp] País de publicação: Australia [La] Idioma: eng [Ab] Resumo: Although periorbital emphysema (PE) is commonly associated with orbital fractures, it may develop without any fracture or significant trauma in circumstances such as post-surgery, infection, forceful nose blowing, sneezing, and weight lifting. We report on a healthy military diver who developed PE following a wet chamber dive. A diagnosis of PE secondary to sinus barotrauma was reached. He was treated conservatively without medication and his symptoms recovered completely within 10 days. To the best of our knowledge, only five cases of diving-related PE have been reported in the literature. Analysis of these cases and ours revealed that facial trauma, repeated forceful Valsalva manoeuvres and recent upper respiratory tract infection are probable risk factors for diving-related PE. [Mh] Termos MeSH primário: Barotrauma/complicações Mergulho/efeitos adversos Órbita Enfisema Subcutâneo/etiologia [Mh] Termos MeSH secundário: Adulto Barotrauma/diagnóstico por imagem Seres Humanos Masculino Militares Órbita/diagnóstico por imagem Doenças dos Seios Paranasais/complicações Doenças dos Seios Paranasais/diagnóstico por imagem Radiografia Enfisema Subcutâneo/diagnóstico por imagem Manobra de Valsalva [Pt] Tipo de publicação: CASE REPORTS [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171012 [Lr] Data última revisão: 171012 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170905 [St] Status: MEDLINE

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[PMID]: 28807088 [Au] Autor: Dönmez D; Giotakis E; Hosemann WG; Kühnel TS; Hirt B; Weber RK [Ad] Endereço: Department of Otorhinolaryngology,Municipal Hospital of Karlsruhe,Germany. [Ti] Título: Posterior translacrimal approach to the maxillary sinus. [So] Source: J Laryngol Otol;131(10):871-879, 2017 Oct. [Is] ISSN: 1748-5460 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: BACKGROUND: This study aimed to compare the view into the maxillary sinus using the posterior translacrimal approach compared with grade 3 antrostomy. METHODS: Grade 3 antrostomy followed by a posterior translacrimal approach was performed on four cadavers. The maximum intramaxillary view was documented endoscopically guided by electromagnetic navigation. Representative screenshots were evaluated in a blinded manner by three independent sinus surgeons. In addition, a prospective investigation of specific complications in the post-operative course of consecutive patients was performed. RESULTS: In the cadaver study, the posterior translacrimal approach provided a significantly better view into the maxillary sinus compared with grade 3 antrostomy. In the clinical study, only 1 out of 20 patients reported on a minor problem with lacrimal drainage at 6 months. CONCLUSION: The posterior translacrimal approach to visualising the maxillary sinus should be considered a strong alternative to more radical techniques. [Mh] Termos MeSH primário: Procedimentos Cirúrgicos Otorrinolaringológicos/métodos Doenças dos Seios Paranasais/diagnóstico por imagem Doenças dos Seios Paranasais/cirurgia [Mh] Termos MeSH secundário: Cadáver Fenômenos Eletromagnéticos Endoscopia Feminino Seres Humanos Masculino Estudos Prospectivos Tomografia Computadorizada por Raios X Resultado do Tratamento [Pt] Tipo de publicação: COMPARATIVE STUDY; JOURNAL ARTICLE [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171010 [Lr] Data última revisão: 171010 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 170816 [St] Status: MEDLINE [do] DOI: 10.1017/S0022215117001621

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[PMID]: 28695766 [Au] Autor: Zukin LM; Hink EM; Liao S; Getz AE; Kingdom TT; Ramakrishnan VR [Ad] Endereço: 1 University of Colorado School of Medicine, Aurora, Colorado, USA. [Ti] Título: Endoscopic Management of Paranasal Sinus Mucoceles: Meta-analysis of Visual Outcomes. [So] Source: Otolaryngol Head Neck Surg;157(5):760-766, 2017 Nov. [Is] ISSN: 1097-6817 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: Objective Paranasal sinus mucoceles are benign cystic lesions originating from sinus mucosa that can impinge on adjacent orbital structures, causing ophthalmic sequelae such as decreased visual acuity. Definitive treatment requires surgery. We present the first meta-analysis quantifying the effect of preoperative visual function and time to surgery on postoperative visual acuity outcomes. Data Sources PubMed, Ovid, Embase, Web of Science, and the Cochrane Library. Methods Two independent authors systematically reviewed articles describing outcomes after endoscopic sinus surgery for paranasal sinus mucoceles presenting with visual loss. Available data from case reports and series were combined to analyze the associations among preoperative visual acuity, time to surgery, and postoperative outcomes. Results Eighty-five studies were included that provided data on 207 patients. The average presenting visual acuity was 1.57 logMAR (logarithm of the minimum angle of resolution), and the average postoperative visual acuity was 0.21 logMAR, with visual improvement in 71.5% of cases. Preoperative visual acuity ≥1.52 logMAR correlated with postoperative improvement >1 logMAR ( R = 0.4887, P < .0001). A correlation was found between a time to surgery <6 days and postoperative improvement ( R = 0.297, P < .0001). Receiver operator curve analysis of these thresholds demonstrated a moderately accurate prognostic ability (area under the curve: 75.1 for preoperative visual acuity and 73.1 for time to surgery). Conclusion Visual loss resulting from paranasal sinus mucoceles is potentially reversible in most cases, even those presenting with poor vision. When possible, surgery should be performed promptly after diagnosis, but emergency surgery does not appear to be necessary for vision restoration. [Mh] Termos MeSH primário: Endoscopia Mucocele/complicações Mucocele/cirurgia Doenças dos Seios Paranasais/complicações Doenças dos Seios Paranasais/cirurgia Transtornos da Visão/etiologia Transtornos da Visão/cirurgia [Mh] Termos MeSH secundário: Descompressão Cirúrgica Seres Humanos Acuidade Visual [Pt] Tipo de publicação: JOURNAL ARTICLE; META-ANALYSIS; REVIEW [Em] Mês de entrada: 1711 [Cu] Atualização por classe: 171106 [Lr] Data última revisão: 171106 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170712 [St] Status: MEDLINE [do] DOI: 10.1177/0194599817717674

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[PMID]: 28647750 [Au] Autor: Wu PZ; Sun W; Wen YH; Ma RQ; Zhu XL; Wen WP [Ad] Endereço: Department of Otorhinolaryngology, The First Affiliated Hospital, Otorhinolaryngology Institute, Sun Yat-sen University, Guangzhou, Peoples Republic of China. [Ti] Título: Misdiagnosed paranasal gossypiboma: a 10-year experience with 21 cases at a tertiary center. [So] Source: Rhinology;55(3):281-287, 2017 Sep 01. [Is] ISSN: 0300-0729 [Cp] País de publicação: Netherlands [La] Idioma: eng [Ab] Resumo: BACKGROUND: Different from rhinoliths, the paranasal gossypiboma is a foreign body, such as a surgical sponge, left in the nasal cavity. It is a rare, frequently misdiagnosed disease that has rarely been reported. We summarize its clinical characteristics, management, and possible risk factors. METHODOLOGY: We reviewed medical records of confirmed paranasal gossypibomas at a tertiary medical center between 2005 and 2015. Clinical symptoms, age, sex, anatomic sites, endoscopic photography, computed tomography, intraoperative findings, and past medical history were reviewed. RESULTS: The study included 21 patients, each of whom had ultimately undergone two operations. Among them, 20 underwent endoscopic nasal surgery in primary hospitals, and 15 had been misdiagnosed during the second surgery. The average interval to discovery of a retained foreign body was 200 days. Predominant occurrence sites were the maxillary and ethmoid sinuses. Computed tomography showed paranasal gossypiboma as a heterogeneous cystic lesion with a thin calcified shell. CONCLUSIONS: A history of endoscopic nasal surgery, especially performed at a primary hospital, is a warning sign for clinicians. Computed tomography can add to the warning by showing a heterogeneous cystic lesion with a thin calcified shell. Clinicians should be aware of these characteristics to avoid misdiagnosing paranasal gossypiboma. [Mh] Termos MeSH primário: Endoscopia/métodos Corpos Estranhos Cavidade Nasal/fisiopatologia Doenças Nasais/fisiopatologia Seios Paranasais/fisiopatologia Tampões de Gaze Cirúrgicos/efeitos adversos [Mh] Termos MeSH secundário: Seres Humanos Incidência Doenças Nasais/etiologia Doenças dos Seios Paranasais/complicações Tomografia Computadorizada por Raios X [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171016 [Lr] Data última revisão: 171016 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170626 [St] Status: MEDLINE [do] DOI: 10.4193/Rhin16.341

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[PMID]: 28624844 [Au] Autor: Sahlstrand-Johnson P; Hopkins C; Ohlsson B; Ahlner-Elmqvist M [Ad] Endereço: Department of Oto-Rhino-Laryngology, Head and Neck Surgery, Lund University, Skane University Hospital, Malmo, Sweden. [Ti] Título: The effect of endoscopic sinus surgery on quality of life and absenteeism in patients with chronic rhinosinuitis - a multi-centre study. [So] Source: Rhinology;55(3):251-261, 2017 Sep 01. [Is] ISSN: 0300-0729 [Cp] País de publicação: Netherlands [La] Idioma: eng [Ab] Resumo: BACKGROUND: Chronic rhinosinusitis with and without nasal polyps (CRSw/sNP) are common conditions decreasing health-related quality of life (HRQOL). Individual symptoms capable of predicting outcome after endoscopic sinus surgery (ESS) are poorly defined, and the indirect costs of CRS is rarely reported in Europe. METHODOLOGY: Patients with CRSw/sNP admitted for ESS were prospectively enrolled. Patients completed the 22 Sinonasal Outcome Test (SNOT-22), the short-form 36-item questionnaire (SF-36), a Visual Analogue Scale (VAS) and reported CRS-related absenteeism pre- and post-operatively. RESULTS: 181 patients were included. The SNOT-22 score diminished from 51.8 (48.7-55.0) pre-operatively to 33.0 (29.2-36.8) at 6 months. 64% achieved a clinically important improvement in the SNOT-22. SF-36 scores improved statistically significantly in all domains except Role Emotional. The VAS score halved from 68 (65-71) to 34 (29-39) at 6 months post-operatively. A pre-operative SNOT-22 score over 20 implied a greater chance of score improvement after 6 months. A multivariate model identified individual items associated with SNOT-22. Further, patients that had lees than 12 months of sinus disease derived greatest benefit. CRS-related absenteeism dropped from 8-14 days to 1-7 days 12 months after ESS. CONCLUSIONS: This prospective study showed that ESS significantly improved the HRQOL and decreased absenteeism of patients with CRSw/sNP. Shorter duration of disease and Need to blow nose and Blockage/congestion of nose of SNOT-22 were identified as predictive factors for good surgical outcome. [Mh] Termos MeSH primário: Endoscopia/métodos Pólipos Nasais/cirurgia Doenças dos Seios Paranasais/complicações Seios Paranasais/cirurgia Sinusite/cirurgia [Mh] Termos MeSH secundário: Absenteísmo Doença Crônica Europa (Continente) Seres Humanos Medição da Dor Doenças dos Seios Paranasais/patologia Prognóstico Estudos Prospectivos Qualidade de Vida [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171016 [Lr] Data última revisão: 171016 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170619 [St] Status: MEDLINE [do] DOI: 10.4193/Rhin16.126

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