Ear Nose Throat J 2017 Jul;96(7):E1-E6

Department of Radiology, Shengjing Hospital of China Medical University, Shenyang 110004, China.

Orbital subperiosteal abscess (OSPA) secondary to paranasal sinus mucocele (PSM) is rare, and it may be misdiagnosed as PSM with orbital invasion or even as a malignant neoplasm. The present study explored the computed tomography (CT) and magnetic resonance imaging (MRI) features of OSPA. The cases of 13 patients with OSPA secondary to PSM were retrospectively reviewed. Read More

Ann Card Anaesth 2017 Jul-Sep;20(3):359-361

Department of Anesthesia, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

Large posterior mediastinal masses may lead threatening complications such as critical tracheobronchial compression. Airway management in these individuals is a challenge and being a lower airway obstruction; rescue strategies are limited. We encountered one such case of a large esophageal mucocele causing extrinsic tracheobronchial compression. Read More

J Minim Access Surg 2017 Jul 7. Epub 2017 Jul 7.

Department of Surgical Gastroenterology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.

Oesophageal mucocele is an uncommon complication of bipolar exclusion of oesophagus. Traditionally, this condition is managed through thoracotomy which is associated with significant morbidity. The present report outlines the thoracoscopic management of oesophageal mucocele following surgical exclusion for oesophageal perforation. Read More

Otolaryngol Head Neck Surg 2017 Jul 1:194599817717674. Epub 2017 Jul 1.

3 Department of Otolaryngology, University of Colorado School of Medicine, Aurora, Colorado, USA.

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. Read More

Case Reports Plast Surg Hand Surg 2017 24;4(1):52-55. Epub 2017 May 24.

Department of Plastic and Reconstructive Surgery, Fukushima Medical UniversityFukushimaJapan.

We performed nail fold reconstruction after digital mucous cyst (DMC) excision using an island-type lateral finger flap on seven patients (four males and three females). Our procedure is a simple and useful method to repair minor nail fold lesion defects after DMC excision. Read More

J Surg Case Rep 2017 Jun 14;2017(6):rjx107. Epub 2017 Jun 14.

Department of Neurosurgery, Anthea Hospital, Bari, Italy.

Frontal sinus mucoceles are benign, pseudocystic lesion deriving from the obliteration of the sinus ostium, resulting in a continuous mucous accumulation. The growing process of a mucocele leads to a progressive enlargement of the sinus cavity, thickening and eroding its bony walls up to invading the surrounding tissues. The surgical procedure through an endoscopic endonasal approach is the current treatment option for such conditions, but in cases with an extensive bone erosion and intracranial or intraorbital extension, a transcranial approach should be preferred. Read More

Br J Oral Maxillofac Surg 2017 Jun 14. Epub 2017 Jun 14.

Department of Oral and Maxillofacial surgery, NHE - CHU de Clermont-Ferrand, Université d'Auvergne, Clermont-Ferrand 63003, France; UMR Inserm/UdA, U1107, Neuro-Dol, Trigeminal Pain and Migraine, Université d'Auvergne, Clermont-Ferrand 63003, France.

Mucocoele of the Blandin-Nühn glands and teratomas of the tongue are rare in newborn babies. We present what is to our knowledge the first documented case of both at the same time, and describe management and follow up over 12 months after the birth. Prenatal diagnosis defined the treatment plan during delivery to establish an airway for the baby promptly. Read More

Int J Surg Case Rep 2017 May 29;37:13-16. Epub 2017 May 29.

Department of Gastrointestinal Oncology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, 33612, USA. Electronic address:

Introduction: Appendiceal mucoceles encompass neoplastic and non-neoplastic causes of a distended Appendix filled with mucus. Appendectomy is recommended when an appendiceal mucocele is identified, incidentally or otherwise, in the event it is secondary to a malignancy. For an intact mucocele, it is critically important to avoid rupturing the mucocele during resection, as rupture of a neoplastic mucocele can result in pseudomyxoma peritonei, or mucin deposits in the peritoneum, which is associated with long-term morbidity and mortality. Read More

Acta Neurol Belg 2017 Jun 10. Epub 2017 Jun 10.

Department of Neurology, Soonchunhyang University Seoul Hospital, Soonchunhyang University School of Medicine, 59 Daesagwan-ro, Yongsan-gu, Seoul, 04401, Republic of Korea.

Radiographics 2017 Jul-Aug;37(4):1059-1083. Epub 2017 Jun 9.

From the Departments of Radiology (L.M.L., M.K.P.) and Pathology (J.P.), Ronald Reagan UCLA Medical Center, 757 Westwood Plaza, Suite 1638, Los Angeles, CA 90095; and Department of Radiology, Olive View-UCLA Medical Center, Sylmar, Calif (L.M.L., A.P., M.K.P., M.J.N., C.M.J.).

Appendiceal neoplasms are uncommon tumors of the gastrointestinal tract that may manifest with symptoms of appendicitis, right lower quadrant pain, or palpable mass, leading to imaging or surgical intervention. The majority of appendiceal masses consist of primary epithelial neoplasms and neuroendocrine tumors (NETs). Epithelial neoplasms-mucinous and nonmucinous types-are more often detected at imaging than NETs due to their larger size and propensity for peritoneal spread and metastatic disease. Read More

PLoS One 2017 7;12(6):e0179216. Epub 2017 Jun 7.

Department of Surgery, Division of Surgical Oncology, University of California San Diego Moores Cancer Center, La Jolla, California, United States of America.

Context: Low-grade appendiceal mucinous neoplasm (LAMN) and appendiceal adenocarcinoma are known to cause the majority of pseudomyxoma peritonei (PMP, i.e. mucinous ascites); however, recognition and proper classification of these neoplasms can be difficult despite established diagnostic criteria. Read More

Indian Dermatol Online J 2017 May-Jun;8(3):205-207

Department of Oral Pathology and Microbiology, Lenora Institute of Dental Sciences, Rajahmundry, Andhra Pradesh, India.

Mucocele is a common salivary gland disorder that can appear in the lacrimal sac, paranasal sinuses, oral cavity, appendix, or gall bladder. These lesions occur due to mucous accumulation resulting from the alteration of minor salivary glands. Lower lip is the most common site of occurrence of these lesions in the oral cavity and most probable cause is trauma or habit of lip biting. Read More

Int J Surg Case Rep 2017 19;36:133-135. Epub 2017 May 19.

Department of Anaesthesia, Austin Hospital, 145 Studley Rd., Heidelberg, Victoria 3084, Australia; The University of Melbourne, Department of Surgery, Victoria, 3084, Australia. Electronic address:

Introduction: Radiological imaging of the gallbladder is a fundamental aspect of assessing severity of acute cholecystitis in addition to guiding the optimal timing of surgical intervention. We present a case of acute severe cholecystitis with massive gallbladder mucocele initially presenting with equivocal and inconclusive clinical, laboratory, and ultrasound findings. Magnetic resonance cholangiopancreatography allowed accurate evaluation of cholelithiasis and demonstrated a massive gallbladder mucocele. Read More

J Radiol Case Rep 2017 Apr 30;11(4):20-29. Epub 2017 Apr 30.

Department of Radiology, Overlook Medical Center, Summit, NJ, USA.

Intra-abdominal and intra-pelvic pathologies initially presenting in extra-abdominal/pelvic locations is unusual. This spread predominantly occurs with infectious processes to sites including the buttock, thigh, and calf. The routes of extension into adjacent anatomically weak compartments include the pelvic outlet, greater sciatic foramen, obturator foramen, inguinal or femoral canal, weak bones, or along nerves and blood vessels. Read More

Case Rep Surg 2017 27;2017:9409281. Epub 2017 Apr 27.

Surgical Department, The Princess Alexandra Hospital, Harlow, UK.

We present the case of an 81-year-old man with a known appendicular mucocele who presented to the emergency department with acute abdominal pain. A CT scan showed a change in orientation of the previously seen ovoid mass with surrounding fat stranding suggesting torsion. An emergency laparotomy with appendicectomy and resection of the caecal pole was performed. Read More

Ulus Travma Acil Cerrahi Derg 2017 May;23(3):230-234

Department of General Surgery, Fatih Sultan Mehmet Training and Research Hospital, İstanbul-Turkey.

Background: The term mucocele refers to the dilatation of the appendix due to mucus, and it is an uncommon disorder with an estimated incidence of 0.2%-0.3% of all appendectomies performed and 8%-10% of all appendiceal tumors. Read More

J Dermatol 2017 May 10. Epub 2017 May 10.

Department of Dermatology, Seoul National University College of Medicine, Seoul, Korea.

Digital mucous cysts (DMC) are common benign myxoid cysts typically located on the fingers and toes. Recently, dermoscopic patterns of DMC were reported. However, only a small number of cases were described in the published work; therefore, information on this topic is scarce in the published work. Read More

J Craniofac Surg 2017 May;28(3):e239-e241

*Department of Radiology †Clinics of Otolaringology, Mustafa Kemal University Medical School, Hatay, Turkey.

Sinonasal infections and nasal polyps can be taken as 2 components of a disease. Polyps due to chronic inflammations of nasal cavity and sinuses are not rare. They may present with various clinical signs and symptoms, while the secondary complications may cause serious problems. Read More

J Craniofac Surg 2017 May;28(3):741-745

*Department of Otolaryngology, Head and Neck Surgery, Gulhane Military Medical School †Etlik Zübeyde Hanim Women's Health Training and Research Hospital, Ankara, Turkey.

Objective: Osteoma is the most common benign tumor of the paranasal sinuses. The clinical characteristics and treatment of this disease remain controversial. The aim of this study is to determine the appropriate method of treatment approach according to the features of osteomas. Read More

Int J Oral Maxillofac Surg 2017 Apr 26. Epub 2017 Apr 26.

Department of Pediatrics, National Defense Medical College, Tokorozawa, Saitama, Japan.

This case report describes common oral inflammatory findings leading to the identification of Chédiak-Higashi syndrome (CHS). A 15-year-old girl presented with an enlarging and painful mass on the upper lip. Two weeks after the initial visit, the mass showed further protrusion in the absence of fever. Read More

Pan Afr Med J 2017 18;26:28. Epub 2017 Jan 18.

Service d'ORL et de Chirurgie Cervico-faciale du CHU Habib Bourguiba, Sfax, Tunisie.

J Hand Surg Am 2017 Jul 20;42(7):506-510. Epub 2017 Apr 20.

Instituto da Mão, Complexo Hospitalar Santa Casa and Hospital Mãe de Deus, Porto Alegre, RS, Brazil.

Purpose: To study the time to wound healing and recurrence rate achieved in the treatment of distal interphalangeal joint mucous cysts using the Zitelli modified bilobed flap.

Methods: We surgically treated 33 patients from January 2006 to June 2015. We assessed demographic data, comorbidities, location and size of the cyst, time to wound healing, and complications. Read More

Dermatol Surg 2017 Apr 19. Epub 2017 Apr 19.

*University of Texas McGovern Medical School at Houston, Houston, Texas; †Department of Dermatology, University of Texas McGovern Medical School at Houston, Houston, Texas.

Background: Sodium tetradecyl sulfate (STS) is Food and Drug Administration approved for treatment of varicose veins, but numerous other off-label applications have been reported.

Objective: To describe the clinical uses of STS, as well as efficacy and adverse effects.

Methods: Review of studies searchable on PubMed from 1938 to 2016 describing clinical uses of STS to determine efficacy and adverse effects associated with various applications. Read More

Indian Dermatol Online J 2017 Mar-Apr;8(2):115-119

Department of Oral Pathology, Nair Hospital Dental College, Mumbai Central, Mumbai, Maharashtra, India.

Aim: Large-scale population-based screening studies have identified lip lesions to be the most common oral mucosal lesions; however, few studies have been carried out to estimate the prevalence of lip lesions exclusively. The aim of present study is to highlight the diversity of lip lesions and determine their prevalence in an unbiased Indian population.

Materials And Methods: Lip lesions were selected from 3009 patients who visited the department over a period of 3 years (January 2012 to December 2014). Read More

Saudi Med J 2017 Apr;38(4):405-412

Department of Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, Jazan University, Jazan, Kingdom of Saudi Arabia. E-mail.

Objectives: To report the prevalence and types of biopsied oral and maxillofacial lesions (OMLs) in South-Western (Jazan Province) region, , Kingdom of Saudi Arabia (KSA). Methods: This retrospective study was based on the retrieval of clinicopathological data for a period of 6 years between January 2009 and December 2014. These  data were obtained between October 2014 and June 2015 from the histopathology records of King Fahad Central Hospital, Jazan, KSA, which is the only referral center for biopsy services. Read More

Int J Surg Case Rep 2017 23;34:126-129. Epub 2017 Mar 23.

Department of Surgery, Sahloul Hospital, Sousse, Tunisia. Electronic address:

Introduction: Bronchogenic cysts are congenital cysts arising as an abnormal budding from primitive tracheobronchial tree. They are lined by pseudostratified columnar or cuboidal ciliated epithelium and contain smooth muscle fibers, submucosal bronchial glands and/or cartilage. They are most frequently located in the mediastinum or the lung parenchyma. Read More

Med Oral Patol Oral Cir Bucal 2017 May 1;22(3):e297-e306. Epub 2017 May 1.

University of Talca, Lircay Av. S/N, Talca, Chile, Zip code 3460000,

Background: Retrospective studies to assess the distribution of oral diseases (ODs) are helpful in estimating the prevalence of oral diagnoses in the population, and thus help in preventive and curative services. Prevalence and frequency data for ODs are available from many countries, but information from Chile is scarce.

Material And Methods: This study investigated the frequency of OD in a Chilean population. Read More

J Laryngol Otol 2017 Jun 3;131(6):534-540. Epub 2017 Apr 3.

Department of Otorhinolaryngology,Head and Neck Surgery,HELIOS Amper-Klinikum Dachau,Teaching Hospital of the Ludwig Maximilian University of Munich,Germany.

Background: Despite advances in endoscopic sinus surgery, frontal sinus obliteration is still indicated in some cases. Current options for obliteration include autologous and synthetic materials. The use of ß-tricalcium phosphate as a resorbable bone graft substitute is a good alternative for frontal sinus obliteration. Read More

Photomed Laser Surg 2017 Mar 30. Epub 2017 Mar 30.

1 Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine , Kobe, Japan .

Objective: The purpose of this study was to retrospectively evaluate the postoperative results of partial glossectomy for early tongue cancer using a carbon dioxide laser (CO2 laser).

Background Data: CO2 lasers are frequently used for the excision or treatment of soft tissue in a range of diseases, including oral cancer, leukoplakia, mucocele, anomalies of the labial and lingual frenum, and peri-implantitis.

Materials And Methods: We retrospectively reviewed 31 primary cases of early superficial tongue cancer that were treated using CO2 lasers. Read More

Dysphagia 2017 Mar 29. Epub 2017 Mar 29.

Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul National University Hospital, 101 Daehak-Ro, Jongno-Gu, Seoul, 03080, Republic of Korea.

Vallecular cysts are formed when the duct of a mucous gland or lingual tonsillar crypt is dilated owing to obstruction from inflammation, irritation, or trauma. Small cysts are usually asymptomatic; however, cyst growth results in dysphagia, odynophagia, and acute airway complications. As complete transoral laser excision of a vallecular cyst often results in cyst resolution and improved symptoms, proper diagnosis and management of vallecular lesions are important. Read More

Head Neck Pathol 2017 Mar 27. Epub 2017 Mar 27.

Center for Oral Pathology, StrataDx Inc., Lexington, MA, 02421, USA.

The salivary duct cyst (SDC) is a reactive ductal ectasia most frequently seen in major salivary glands, and likely caused by obstruction. The aim of this study is to define the clinical and histopathologic spectrum of intraoral SDCs. Cases were retrieved from the archives of Harvard School of Dental Medicine/StrataDx, Inc. Read More

J Gastrointest Surg 2017 Aug 20;21(8):1366-1367. Epub 2017 Mar 20.

Department of Surgery, A. Gemelli Medical School, Largo Gemelli 8, 00168, Rome, Italy.

The gallbladder polyps are a common finding during ultrasonography but only in rare cases they may be a cancer. When a polyp is greater than 1 cm, the cholecystectomy is usually performed. In these images, a polyp of 4 cm corresponding to a collection of mucus (mucocele) is reported. Read More

Int J Surg Case Rep 2017 28;33:127-129. Epub 2017 Feb 28.

Department of General Surgery, SMS Medical College and Hospital, JLN Marg, Jaipur, 302004 Rajasthan, India. Electronic address:

Introduction: A gallbladder mucocele is the distention of the gallbladder by an inappropriate accumulation of mucus. Decreased bile flow, decreased gallbladder motility, and altered absorption of water from the gallbladder lumen are predisposing factors to biliary sludge. However, it is more likely to be a small part of a complex disease process involving inflammation of the gallbladder wall and changes to the lining of the gallbladder changing the consistency of its secretions. Read More

J Oral Maxillofac Surg 2017 Jul 21;75(7):1519-1526. Epub 2017 Feb 21.

Chief Resident in Plastic Surgery, Division of Plastic Surgery, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA. Electronic address:

Purpose: Pneumosinus dilatans (PD) is a rare pathologic hyperaeration of the paranasal sinuses that causes serious deformation of the overlying bone and soft tissue. The condition occurs most commonly in the frontal sinus of young men who present with different complaints, including cosmetic. More than 100 cases have been reported in the literature since it was first described in 1898; however, the etiology of this condition remains unclear. Read More

Ann Maxillofac Surg 2016 Jul-Dec;6(2):204-209

Department of Oral and Maxillofacial Surgery, Government Dental College and Research Institute, Bengaluru, Karnataka, India.

Background: Mucocele is a common disorder of minor salivary glands which arises due to mucous accumulation resulting from their alteration. Several techniques have been described for the treatment. However, most of them are invasive or require costly armamentarium. Read More

Br J Neurosurg 2017 Mar 15:1-3. Epub 2017 Mar 15.

a Department of Neurosurgery , University Hospital of Lausanne , Lausanne , Switzerland.

Objective: Delayed post-traumatic mucoceles are rare. We describe the surgical treatment of a post-traumatic ethmoidal mucocele with intra-orbital extension.

Method: A uninostril endoscopic endonasal approach (EEA) was performed. Read More

Iran J Med Sci 2017 Jan;42(1):98-101

Department of Pediatric Surgery, Selcuk University, Faculty of Medicine Konya, Turkey.

Undescended ovary is a rare entity and usually presentedas a case report. It is associated with urinary and uterine anomalies. Symptomatic patients are diagnosed during surgery. Read More

Case Rep Obstet Gynecol 2017 13;2017:7165321. Epub 2017 Feb 13.

3rd Department of Obstetrics and Gynecology, National & Kapodistrian University of Athens, Medical School, Attikon University Hospital, Chaidari, Athens, Greece.

Appendiceal tumors are rare, late diagnosed neoplasms that may not be differentiated from adnexal masses even by advanced imaging methods and other diagnostic procedures. They may be asymptomatic and remain undiagnosed until surgery. We report a case of an 80-year-old postmenopausal woman presenting with a pelvic mass and a history of weight loss. Read More

J Maxillofac Oral Surg 2017 Mar 14;16(1):127-130. Epub 2016 May 14.

Department of Plastic Surgery, AIIMS, Bhopal, MP India.

Purpose: The aim of this present article was to know the efficacy of bone mapping/sketching in management of anterior table frontal sinus fracture.

Material And Methods: This prospective clinical study includes 10 patients who reported to department of dentistry, AIIMS Bhopal with anterior table frontal sinus fracture. Sterile plain white paper or a glove cover was used for mapping/sketching. Read More

Pathol Res Pract 2017 May 20;213(5):496-501. Epub 2017 Feb 20.

Department of Dentistry, Universidade Estadual de Montes Claros, Montes Claros, Minas Gerais, Brazil. Electronic address:

Objective: The purpose of the current study is to investigate the association between E-cadherin methylation status, hypoxia and OSCC.

Methods: HaCat and SCC9 cell lines were submitted to hypoxic treatment, followed by methylation profile analysis (MS-PCR) and analysis of the expression of mRNA gene E-cadherin (RT-PCR). Study group samples comprise individuals affected by potentially malignant lesions Potential Malignant Oral Lesion (PMOL, n=18) and oral squamous cell carcinoma (OSCC, n=28). Read More

Orbit 2017 Jun 10;36(3):183-187. Epub 2017 Mar 10.

a Bronx Lebanon Hospital Center, Bronx , New York , USA.

Paranasal sinus mucoceles are benign lesions that commonly present with orbital signs due to their anatomic proximity. We are reporting a case of bilateral frontal sinus mucocele presenting with spontaneous eyelid ecchymosis. To our knowledge this is the first case report of eyelid ecchymosis as the initial sign of this condition. Read More

J Gastrointest Oncol 2017 Feb;8(1):164-172

Mayo Clinic, Scottsdale, AZ, USA.

Background: Appendiceal cancers are rare and consist of carcinoid, mucocele, pseudomyxoma peritonei (PMP), goblet cell carcinoma, lymphoma, and adenocarcinoma histologies. Current treatment involves surgical resection or debulking, but no standard exists for adjuvant chemotherapy or treatment for metastatic disease.

Methods: Samples were identified from approximately 60,000 global tumors analyzed at a referral molecular profiling CLIA-certified laboratory. Read More

J Craniofac Surg 2017 May;28(3):813-816

Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, TX.

Although the medial femoral condyle has been used for reconstruction in various areas of the body, to the authors' knowledge it has not been used for frontal sinus reconstruction. The authors describe a novel approach to a complex patient using the medial femoral condyle cortiocoperiosteal free flap to reconstruct an anterior frontal sinus defect in conjunction with a recalcitrant mucocele. Read More

J Clin Diagn Res 2017 Jan 1;11(1):ZD28-ZD30. Epub 2017 Jan 1.

Professor and Head, Department of Oral and Maxillofacial Pathology, SVS Institute of Dental Sciences , Mahabubnagar, Telangana, India .

Angiofibromas are rare, benign, but locally aggressive vascular tumours which account for 0.05-0.5% of all head and neck neoplasms. Read More

Int J Surg Case Rep 2017 20;33:38-40. Epub 2017 Feb 20.

Proctological and Perineal Surgical Unit, Cisanello University Hospital, Pisa, Italy.

Introduction: Stapled hemorrhoidopexy is a safe and effective treatment for circumferential hemorrhoidal prolapse. The overall rate of complications ranges from 12,7% to 36,4% and the surgeon should be aware about their early identification and adequate treatment.

Presentation Of Case: Female patient, 57 years was treated with stapled hemorrhoidopexy. Read More

Case Rep Otolaryngol 2017 7;2017:3107362. Epub 2017 Feb 7.

Bradford Teaching Hospitals NHS Foundation Trust, University of Leeds, UK.

Schwannomas are benign nerve sheath tumours arising from Schwann cells. They comprise 1% of all benign tumours. In the 2016 World Health Organisation Classification of Central Nervous System, they are classified as a tumour of the cranial and paraspinal nerves, Schwannoma 9560/0. Read More

ANZ J Surg 2017 Mar;87(3):210-211

Institute of General Surgery, Madras Medical College, Chennai, Tamil Nadu, India.

Ann Gastroenterol 2017 4;30(2):252. Epub 2016 Nov 4.

Unità Operativa di Radiologia Diagnostica e Interventistica, Azienda Servizi Socio Territoriali Santi Paolo e Carlo; Dipartimento di Scienze della Salute, Università degli Studi di Milano, Milan, Italy.

Medwave 2017 Jan 16;17(1):e6841. Epub 2017 Jan 16.

Centro de Salud Familiar Nueva Aurora, Municipalidad de Viña del Mar, Región de Valparaíso, Chile.

Mucoceles are not often found in the maxillary sinus, and is a rare surgery complication, in this case, orthognathic. This review describes a mucocele that partially occupies the right maxillary sinus, causing a chronic nasal obstruction. This is the case of a 44 year-old female patient, which after 12 years of several orthognathic surgeries, presents facial pain and right nasal obstruction. Read More