RESUMEN
Subperiosteal orbital abscess is a complication of acute bacterial sinusitis. In this review, we summarise the theoretical background and highlight the importance of a fast diagnostic workup. The treatment of acute sinusitis with involvement of an eye is antibiotic therapy and daily evaluation by both an ophtalmologist and a rhinologist. In case of clinical stagnation and/or formation of an abscess, surgery is the treatment of choice.
Asunto(s)
Enfermedades Orbitales , Sinusitis , Absceso/diagnóstico por imagen , Absceso/tratamiento farmacológico , Enfermedad Aguda , Antibacterianos/uso terapéutico , Drenaje/efectos adversos , Humanos , Enfermedades Orbitales/diagnóstico por imagen , Enfermedades Orbitales/tratamiento farmacológico , Sinusitis/diagnóstico , Sinusitis/diagnóstico por imagenRESUMEN
A 59-year-old man presented with unilateral nasal congestion and discharge. Clinical examination revealed a mass in the floor of the nasal cavity. Sinus CT indicated a retained tooth or a dermoid cyst. It was removed by endoscopic surgery. Histology confirmed the diagnosis of a retained tooth. At follow-up, the patient reported no nasal symptoms. A retained nasal tooth is rare, and the symptoms are variable. It can resemble other diseases such as chronic rhinosinusitis. Surgical removal is recommended to confirm the diagnosis and eliminate symptoms.
Asunto(s)
Endoscopía/métodos , Obstrucción Nasal/diagnóstico por imagen , Nariz/diagnóstico por imagen , Diente Supernumerario/diagnóstico por imagen , Humanos , Masculino , Persona de Mediana Edad , Obstrucción Nasal/etiología , Obstrucción Nasal/cirugía , Nariz/patología , Tomografía Computarizada por Rayos X , Diente Supernumerario/complicaciones , Diente Supernumerario/cirugía , Resultado del TratamientoRESUMEN
A 10-year-old girl presented with episodes of migraine. A nasal mass was found randomly during work-up. Interpreted as an osteoma, the mass was removed during endoscopic surgery. However, the histopathological examination turned out to be a pyomucocele in the right middle turbinate, which is an extremely rare yet benign condition in children.