27,087 results match your criteria Sinusitis


Recognizing odontogenic sinusitis: A national survey of otolaryngology chief residents.

Am J Otolaryngol 2020 Jul 4;41(6):102635. Epub 2020 Jul 4.

Department of Otolaryngology, Henry Ford Hospital, 2799 West Grand Blvd, Detroit, MI 48202, USA.

Purpose: Odontogenic sinusitis is underrepresented in sinusitis literature as well as in the otolaryngology teaching curriculum sponsored by the American Academy of Otolaryngology-Head and Neck Surgery. Otolaryngologists and residents in training may therefore have a decreased awareness of the condition. The objective of this study was to survey otolaryngology chief residents toward the ends of their training to determine how often they considered odontogenic sinusitis as a cause of unilateral sinus disease. Read More

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http://dx.doi.org/10.1016/j.amjoto.2020.102635DOI Listing

Indications and Outcomes of the Osteoplastic Flap Procedure With or Without Obliteration.

J Craniofac Surg 2020 Jul 7. Epub 2020 Jul 7.

Department of Otolaryngology Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, NY.

Objective: To describe the osteoplastic approach and to perform a systematic review of the indications and outcomes of the osteoplastic flap procedure for frontal sinus surgeries with or without obliteration.

Data Sources: PubMed, Medline, Google Scholar, and Cochrane databases.

Review Methods: All published studies in the English language on the osteoplastic flap with or without obliteration were identified from 1905 to 2018. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006717DOI Listing

Predicting Odontogenic Sinusitis in Unilateral Sinus Disease: A Prospective, Multivariate Analysis.

Am J Rhinol Allergy 2020 Jul 9:1945892420941702. Epub 2020 Jul 9.

Department of Otolaryngology, Henry Ford Health System, Detroit, Michigan.

Background: Odontogenic sinusitis (ODS) is a common cause of unilateral sinus disease (USD), but can be challenging to diagnose due to nonspecific clinical presentations, potentially subtle to absent dental pathology on sinus computed tomography (CT), and underrepresentation in the sinusitis literature.

Objective: Identify sinonasal clinical variables predictive of ODS in patients presenting with unilateral maxillary sinus opacification on sinus CT.

Methods: A prospective cohort study was conducted on 131 consecutive patients with USD and at least partial or complete maxillary sinus opacification on sinus CT. Read More

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http://dx.doi.org/10.1177/1945892420941702DOI Listing

Contemporary Classification of Chronic Rhinosinusitis Beyond Polyps vs No Polyps: A Review.

JAMA Otolaryngol Head Neck Surg 2020 Jul 9. Epub 2020 Jul 9.

Rhinology and Skull Base Research Group, St Vincent's Centre for Applied Medical Research, University of New South Wales, Sydney, New South Wales, Australia.

Importance: Chronic rhinosinusitis (CRS) is a broadly defined process that has previously been used to describe many different sinonasal pathologic conditions from odontogenic sinusitis and allergic fungal sinusitis to the more contemporary definition of broad inflammatory airway conditions. Previous classification systems have dichotomized these conditions into CRS with nasal polyps and CRS without nasal polyps. However, clinicians are learning more about the inflammatory subtypes of CRS, which can lead to improved delivery and effectiveness of treatment. Read More

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http://dx.doi.org/10.1001/jamaoto.2020.1453DOI Listing

Risk factors and fraction of exhaled nitric oxide in obstructive sleep apnea in adults.

J Int Med Res 2020 Jul;48(7):300060520926010

Department of Respiratory and Critical Care Medicine, Beijing Institute of Respiratory Medicine, Beijing Chao yang Hospital, Capital Medical University, Beijing, China.

Objective: This study aimed to evaluate the relationship between obstructive sleep apnea (OSA) and the fraction of exhaled nitric oxide (F), and to assess the effect of risk factors of airway inflammation on OSA.

Methods: Medical records of patients in the Respiratory Sleep Center at Chao-Yang Hospital in Beijing between January 2015 and June 2017 were analyzed. All patients were diagnosed with OSA. Read More

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http://dx.doi.org/10.1177/0300060520926010DOI Listing

[A case of subacute hypertrophic pachymeningitis caused by Pseudomonas aeruginosa infection presenting with subdural hygroma].

Rinsho Shinkeigaku 2020 Jul 7. Epub 2020 Jul 7.

Department of Neurology and Stroke Medicine, Yokohama City University Graduate School of Medicine.

A 78-year-old woman with bilateral fungal sinusitis, which resulted in right orbital apex syndrome, underwent endoscopic sinus surgery and optic nerve decompression. Two months after the operation, she complained of anxiety and insomnia. Head CT showed subdural hematoma-like effusion and burr hole drainage was conducted. Read More

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http://dx.doi.org/10.5692/clinicalneurol.60.cn-001418DOI Listing

Aeroallergen sensitization profile in medically resistant chronic rhinosinusitis.

SAGE Open Med 2020 25;8:2050312120933809. Epub 2020 Jun 25.

Division of Otolaryngology, Department of Special Surgery, King Abdullah University Hospital, Jordan University of Science and Technology, Irbid, Jordan.

Objectives: The aim of this study is to report the aeroallergen sensitization profile in medically resistant chronic rhinosinusitis with or without nasal polyps and its relationship to asthma.

Methods: Retrospective charts review of 402 chronic rhinosinusitis patients who failed to respond to medical treatment and scheduled for surgery at a tertiary academic center was performed. One hundred and fifty-five patients had chronic rhinosinusitis with nasal polyps and 247 patients had chronic rhinosinusitis without nasal polyps, furthermore; the two phenotypes were subdivided according to the presence or absence of asthma. Read More

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http://dx.doi.org/10.1177/2050312120933809DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7323274PMC

Surgical wound infection caused by a multi drug resistant Serotype 19A after a total coloproctectomy with ileostomy.

Pan Afr Med J 2020 6;35:97. Epub 2020 Apr 6.

Department of Microbiology, Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, Casablanca, Morocco.

colonizes asymptomatically the human nasopharynx. This pathogen is responsible for sinusitis, otitis media, pneumonia, bacteremia and meningitis. We report the case of a 35-year-old female patient who developed a surgical wound infection by a multi drug resistant serotype 19A after a total coloprotectomy. Read More

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http://dx.doi.org/10.11604/pamj.2020.35.97.19128DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7320775PMC

Endoscopic medial maxillectomy in patients treated at the Otorhinolaryngology and Laryngological Oncology Clinic of Military Institute of Medicine in Warsaw in the years 2008-2018.

Otolaryngol Pol 2020 Mar;74(4):25-30

Wojskowy Instytut Medyczny, Klinika Otorynolaryngologii i Laryngologii Onkologicznej z z Klinicznym Oddziałem Chirurgii Czaszkowo-Szczękowo-Twarzowej, Warszawa.

<b>Introduction:</b> Endoscopic medial maxillectomy (EMM) refers to surgical resection of the medial wall of the maxillary antrum. The primary indications for EMM are recalcitrant maxillary sinusitis, ablation of malignant and specific benign diagnoses such as Schneiderian Papilloma. Maxillectomy is potentially complicated by injuries to the orbital contents, lacrimal apparatus, optic nerve, ethmoidal arteries that may be accompanied by brisk bleeding. Read More

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http://dx.doi.org/10.5604/01.3001.0014.0867DOI Listing

Brain abscess caused by dental peri-implantitis.

Br J Oral Maxillofac Surg 2020 Jul 4. Epub 2020 Jul 4.

Department of Oral and Craniomaxillofacial Surgery, Paracelsus Medical University Salzburg, Müllner Hauptstraße 48, 5020 Salzburg, Austria. Electronic address:

We report the case of a patient presenting with severe headache and progressive aphasia due to a large brain abscess. End-stage peri-implantitis on a dental implant in the upper jaw with contact to the maxillary sinus floor causing maxillary and frontal sinusitis could be identified as the source of infection. Multidisciplinary treatment included broad-spectrum antibiotics, craniotomy for abscess drainage, sinus surgery, and the removal of the implant. Read More

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http://dx.doi.org/10.1016/j.bjoms.2020.06.025DOI Listing

Should Oral Corticosteroids be Used in Medical Therapy for Chronic Rhinosinusitis? A Risk Analysis.

Laryngoscope 2020 Jul 7. Epub 2020 Jul 7.

Department of Otolaryngology-Head & Neck Surgery, University of Toronto, Toronto, Ontario, Canada.

Objectives: Oral corticosteroid (OCS) as a part of appropriate medical therapy (AMT) (formerly maximal medical therapy) in chronic rhinosinusitis remains controversial. While the risks of OCS are well known, the benefit remains unclear due the absence of a standardized prescribing regimen. Consequently, it is difficult to characterize whether the risks of OCS and its ability to avert endoscopic sinus surgery (ESS) are helpful in AMT. Read More

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http://dx.doi.org/10.1002/lary.28843DOI Listing

Decreased nasal polyp eosinophils but increased mast cells in an AERD patient treated with reslizumab.

Ann Allergy Asthma Immunol 2020 Jul 3. Epub 2020 Jul 3.

Division of Allergy and Immunology, Department of Medicine; Department of Otolaryngology Northwestern University Feinberg School of Medicine. Electronic address:

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http://dx.doi.org/10.1016/j.anai.2020.06.043DOI Listing

Computed Tomography Image Analysis and Clinical Correlations of Retromaxillary Cells.

Ear Nose Throat J 2020 Jul 5:145561320936963. Epub 2020 Jul 5.

Department of Otolaryngology-Head and Neck Surgery, Wuhan University, Renmin Hospital, Wuhan, Hubei Province, People's Republic of China.

Objective: This study aimed to investigate and analyze the anatomic characteristics of the retromaxillary cell (RMC) by using computed tomography (CT) images of paranasal sinuses and to improve its identification with ethmomaxillary sinus (EMS).

Methods: The paranasal sinus CT scans of 441 outpatients or inpatients in our hospital from January 2018 to October 2018 were analyzed. The incidence of RMC, EMS, Haller cell, imaging anatomical characteristics, and morphological manifestations were observed via sinus CTs. Read More

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http://dx.doi.org/10.1177/0145561320936963DOI Listing

Evaluation of Factor Affecting The Association Between Thickening of Sinus Mucosa and The Presence of Periapical Lesions using Cone beam CT.

Int Endod J 2020 Jul 5. Epub 2020 Jul 5.

Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Izmir, Turkey.

Aim: To evaluate the effect of various parameters of periapical lesion(s) on the amount and type of mucosal thickening using cone beam CT images.

Methodology: CBCT scans of 1000 patients were evaluated retrospectively for the presence of apical lesions in maxillary posterior teeth associated with sinus mucosal thickening. The number of cases with pathological mucosal thickening were recorded and classified according to the amount and type of mucosal thickening. Read More

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http://dx.doi.org/10.1111/iej.13362DOI Listing

Sinonasal inverted schneiderian papilloma presenting as a large intraoral lesion.

BMJ Case Rep 2020 Jul 5;13(7). Epub 2020 Jul 5.

Department of Prosthodontics, Krishna Institute of Medical Sciences Deemed University, Karad, Maharashtra, India.

Sinonasal inverted schneiderian papilloma (ISP) is a rare tumour, which almost exclusively arises from the mucosa lining, the nasal cavity and the paranasal sinuses. The tumour in its early stages presents as an asymptomatic mass, which may be discovered during routine examination. Large lesions usually measure a few millimetres to centimetres in size and show symptoms such as nasal blockade, recurrent sinusitis, postnasal drip, anosmia, epistaxis, facial pain and headache. Read More

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http://dx.doi.org/10.1136/bcr-2020-234985DOI Listing

The bacteriology of recurrent acute exacerbations of chronic rhinosinusitis: a longitudinal analysis.

Eur Arch Otorhinolaryngol 2020 Jul 4. Epub 2020 Jul 4.

Department of Otorhinolaryngology Head and Neck Surgery, Rabin Medical Center, Petah Tiqva, Israel.

Purpose: The purpose of this study was to describe the microbiology of recurrent acute exacerbations of chronic rhinosinusitis over time.

Methods: Retrospective review of patients with recurrent acute exacerbations of chronic rhinosinusitis who underwent endoscopic-guided cultures during acute exacerbations of chronic rhinosinusitis.

Results: 386 cultures were obtained from 112 patients during recurrent acute exacerbations of CRS. Read More

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http://dx.doi.org/10.1007/s00405-020-06157-7DOI Listing

Clinical and Genetic Spectrum of Children with Primary Ciliary Dyskinesia in China.

Chest 2020 Jul 2. Epub 2020 Jul 2.

Department of Otolaryngology Head and Neck Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China. Electronic address:

Background: Primary ciliary dyskinesia (PCD) is a heterogeneous disease with a diverse clinical and genetic spectrum among populations worldwide. Few cases of pediatric PCD have been reported from China.

Methods: Clinical characteristics, laboratory findings, and genetic results obtained for 81 patients with PCD were retrospectively reviewed at a single center in China. Read More

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http://dx.doi.org/10.1016/j.chest.2020.06.045DOI Listing

The seventh nationwide surveillance of six otorhinolaryngological infectious diseases and the antimicrobial susceptibility patterns of the isolated pathogens in Japan.

J Infect Chemother 2020 Jul 1. Epub 2020 Jul 1.

Otorhinolaryngological Sub-committee and the Surveillance Committee of Japanese Society of Chemotherapy (JSC), The Japanese Association for Infectious Diseases (JAID), The Japanese Society for Clinical Microbiology (JSCM), Tokyo, Japan.

The Japanese Three Academic Societies Joint Antimicrobial Susceptibility Surveillance Committee conducted a nationwide surveillance on six otorhinolaryngological diseases and investigated the antimicrobial susceptibility patterns and isolation rates of the causative pathogens. The surveillance program was conducted in the otorhinolaryngological departments of 12 universities, and 36 affiliated hospitals and clinics. Patients with acute otitis media (children under six years old), chronic otitis media, acute nasal sinusitis, chronic nasal sinusitis, acute tonsillitis, and peritonsillar abscess (over 20 years old) between December 2015 and June 2017 were investigated. Read More

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http://dx.doi.org/10.1016/j.jiac.2020.05.020DOI Listing

Performance of deep learning object detection technology in the detection and diagnosis of maxillary sinus lesions on panoramic radiographs.

Dentomaxillofac Radiol 2020 Jul 1:20200171. Epub 2020 Jul 1.

Department of Oral and Maxillofacial Radiology, Aichi-Gakuin University School of Dentistry, Nagoya, Japan.

Objective: The first aim of this study was to determine the performance of a deep learning object detection technique in the detection of maxillary sinuses on panoramic radiographs. The second aim was to clarify the performance in the classification of maxillary sinus lesions compared with healthy maxillary sinuses.

Methods: The imaging data for healthy maxillary sinuses (587 sinuses, Class 0), inflamed maxillary sinuses (416 sinuses, Class 1), cysts of maxillary sinus regions (171 sinuses, Class 2) were assigned to training, testing 1, and testing two datasets. Read More

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http://dx.doi.org/10.1259/dmfr.20200171DOI Listing

Eye Globe Rupture Caused by Dental Implant-Related Maxillary Sinusitis.

J Oral Maxillofac Surg 2020 May 11. Epub 2020 May 11.

Associated Professor, Department of Oral & Maxillofacial Surgery, School of Dentistry, Kyungpook National University, Daegu, Republic of Korea. Electronic address:

Eye globe rupture with consequent enucleation is an extremely rare complication of orbital infection spreading from maxillary sinusitis related to dental implant surgery. We report a case of orbital abscess leading to rupture of the globe of the eye in a 60-year-old woman with acute unilateral maxillary sinusitis after dental implant surgery on the left maxillary alveolar bone. The patient had uncontrolled diabetes. Read More

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http://dx.doi.org/10.1016/j.joms.2020.05.002DOI Listing

Opioids or Steroids for Pneumonia or Sinusitis.

Pediatrics 2020 Jul 2. Epub 2020 Jul 2.

Medical University of South Carolina, Charleston, South Carolina.

Objectives: To compare the frequency of opioid and corticosteroid prescriptions dispensed for children with pneumonia or sinusitis visits on the basis of location of care.

Methods: We evaluated 2016 South Carolina Medicaid claims data for 5 to 18 years olds with pneumonia or sinusitis. Visits were associated with 1 of 3 locations: the emergency department (ED), urgent care, or the ambulatory setting. Read More

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http://dx.doi.org/10.1542/peds.2019-3690DOI Listing

Nuclear Factor κB/MicroRNA-155 Upregulates the Expression Pattern of Cytokines in Regulating the Relapse of Chronic Sinusitis with Nasal Polyps and the Underlying Mechanism of Glucocorticoid.

Med Sci Monit 2020 Jul 2;26:e923618. Epub 2020 Jul 2.

Department of Otorhinolaryngology, The Second Affiliated Hospital of Suzhou University, Suzhou, Jiangsu, China (mainland).

BACKGROUND The aim of this study was to explore the upregulated nuclear factor kappaB (NF-kappaB)/microRNA-155 (miR-155) in regulating inflammatory responses and relapse of chronic rhinosinusitis (CRS) with nasal polyps (NP), which underlies the molecular mechanism of glucocorticoid treatment. MATERIAL AND METHODS The study recruited 25 patients with eosinophilic (Eos) CRSwNP, 25 patients with Non-Eos CRSwNP, 25 patients with CRS without NP (CRSsNP) and 30 patients with nasal septum deviation (control group). The expression of NF-kappaB/miR-155 and inflammatory cytokines was detected in epithelial tissue specimens. Read More

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http://dx.doi.org/10.12659/MSM.923618DOI Listing

[Expression and cellular provenance of interleukin 17A in non-eosinophilic chronic rhinosinusitis with nasal polyps].

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2020 Jun;55(6):604-610

Department of Otorhinolaryngology Head and Neck Surgery, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China.

To investigate the expression and cellular provenance of interleukin 17A (IL-17A) in non-eosinophilic chronic rhinosinusitis with nasal polyps (nECRSwNP), and to analyze the possible reasons for its different expression. Samples were collected from 14 patients with eosinophilic chronic rhinosinusitis with nasal polyps (ECRSwNP) and 28 patients with nECRSwNP, who underwent functional endoscopic sinus surgery in the Third Affiliated Hospital of Sun Yat-sen University from January 2017 to May 2018, including 33 males and 9 females, with the age ranging from 18 to 65 years old. Enzyme linked immune sorbent assay (ELISA) and flow cytometry were used to investigate the expression and cellular origins of IL-17A in the nasal tissue of ECRSwNP and nECRSwNP groups. Read More

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http://dx.doi.org/10.3760/cma.j.cn115330-20190702-00419DOI Listing

Sphenoid Sinusitis as a Possible Cause of Trismus.

Ann Indian Acad Neurol 2020 May-Jun;23(3):387-389. Epub 2020 Jun 10.

Department of Neurology, Kyungpook National University Hospital, Daegu, South Korea.

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http://dx.doi.org/10.4103/aian.AIAN_441_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7313609PMC

Chondroma in the Area of the Spheno-Ethmoid Junction.

J Craniofac Surg 2020 Jun 24. Epub 2020 Jun 24.

Department of Otorhinolaryngology Head and Neck Surgery, Beijing Chaoyang Hospital, Capital Medical University; Beijing, China.

Chondroma in the area of the spheno-ethmoidal junction is very rare. A 29-year-old male patient with chronic rhinosinusitis with nasal polyps was arranged for a preoperative computed tomography scan, and a lesion was accidentally found in his spheno-ethmoidal junction and involved the skull base. Combined with MRI, the lesion was misdiagnosed as fungal sinusitis. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006686DOI Listing

Allergic Fungal Sinusitis Imitating an Aggressive Skull Base Lesion in the Setting of Pembrolizumab Immunotherapy.

Ann Otol Rhinol Laryngol 2020 Jun 29:3489420937728. Epub 2020 Jun 29.

Department of Otolaryngology-Head & Neck Surgery, Oregon Health and Science University, Portland, OR, USA.

Objectives: We report a case of acutely worsening allergic fungal sinusitis in a patient receiving immunotherapy with pembrolizumab, a programmed cell death protein 1 (PD-1) inhibitor.

Methods: A 53-year-old man with a history of metastatic melanoma and recent initiation of pembrolizumab therapy presented with acutely worsening headaches, left abducens nerve palsy, and neuroimaging demonstrating an erosive skull base lesion with bilateral cavernous sinus involvement.

Results: Intraoperative findings were consistent with non-invasive allergic fungal sinus disease. Read More

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http://dx.doi.org/10.1177/0003489420937728DOI Listing

Streptococcus pneumoniae Meningitis Associated With Over-the-Counter Sinus Irrigation.

Cureus 2020 May 24;12(5):e8258. Epub 2020 May 24.

Emergency Medicine, Brooke Army Medical Center, San Antonio, USA.

We present the first reported case of bacterial meningitis that may be associated with use of an over-the-counter sinus irrigation. Sinus rinse or "Neti Pot" use is a common remedy for sinus congestion and is felt to be relatively safe. Given its widespread use, it is important to report possible associations with disease, in this case meningitis. Read More

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http://dx.doi.org/10.7759/cureus.8258DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7313434PMC

Sphenoid Sinus Involvement in Chronic Rhinosinusitis Without Polyps.

Allergy Rhinol (Providence) 2020 Jan-Dec;11:2152656720934472. Epub 2020 Jun 16.

Otolaryngology-Head & Neck Surgery Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

Background: Chronic rhinosinusitis (CRS) is a common chronic disease. It has 2 main clinical subtypes: CRS with nasal polyposis (CRSwNP) and without nasal polyps (CRSsNP). The sphenoid sinus appears to be less frequently involved in CRSsNP cases. Read More

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http://dx.doi.org/10.1177/2152656720934472DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7298207PMC

Association between septoplasty, Lund-Mackay score and Lund-Kennedy score with endoscopic dacryocystorhinostomy results.

Orbit 2020 Jun 28:1-7. Epub 2020 Jun 28.

Department of Otolaryngology, Head and Neck Surgery, Yozgat City Hospital , Yozgat, Turkey.

Purpose: To compare endoscopic dacryocystorhinostomy (endo-DCR) + septoplasty with endo-DCR alone and determine the relationship between sinusitis and endo-DCR surgery results.

Methods: Our study included 55 patients with nasolacrimal duct obstruction (NLDO) between June 2017 and June 2019. Patients were divided into two groups as endo-DCR alone and endo-DCR + septoplasty. Read More

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http://dx.doi.org/10.1080/01676830.2020.1782441DOI Listing

An open-label, multicentre, randomized comparative study of efficacy, safety and tolerability of the 5 plant - extract BNO 1012 in the Delayed Antibiotic Prescription Method in children, aged 6 to 11 years with acute viral and post-viral rhinosinusitis.

Am J Otolaryngol 2020 Jun 1;41(5):102564. Epub 2020 Jun 1.

Department of Pediatric Otolaryngology of the National Academy of the Postgraduate Education, 9, Dorogozhytska Street, Kyiv 04112, Ukraine.

Acute rhinosinusitis (ARS) can be characterized as bacterial (ABRS) and require antibiotic therapy only in 0.5-5% of cases. In most cases, the disease is in a viral and post-viral form, which requires pathogenetic and symptomatic treatment. Read More

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http://dx.doi.org/10.1016/j.amjoto.2020.102564DOI Listing

Relationships of opacification in the nasal sinuses, rhinosinusitis, and antiresorptive agent-related osteonecrosis of the jaw.

Auris Nasus Larynx 2020 Jun 23. Epub 2020 Jun 23.

Department of Otolaryngology, Head and Neck Surgery, Kyorin University School of Medicine, 6-20-2 Shinkawa, Mitaka, 181-8611 Tokyo, Japan.

Objective: Bone turnover suppression agents are widely used for prophylaxis of bone metastases from cancer and osteoporosis; the occurrence of their side effect, antiresorptive agent-related osteonecrosis of the jaw (ARONJ), has been increasing. We investigated the relationships between opacification in the nasal sinuses, rhinosinusitis, and ARONJ based on data obtained from oral surgeons.

Methods: We examined 132 patients who had been clinically diagnosed with ARONJ based on clinical observations; all patients had undergone treatment at the Departments of Otorhinolaryngology and Oral Surgery. Read More

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http://dx.doi.org/10.1016/j.anl.2020.05.013DOI Listing

The incidence of anaerobic bacteria in adult patients with chronic sinusitis: A prospective, single-centre microbiological study.

Eur J Microbiol Immunol (Bp) 2020 Jun 5. Epub 2020 Jun 5.

4 Department of Oto-Rhino-Laryngology and Head-, Neck Surgery, Faculty of Medicine, University of Szeged, Szeged, Hungary.

Introduction: Chronic sinusitis caused by anaerobes is a particular concern clinically, because many of the complications are associated with infections caused by these organisms. The aim of this study was to evaluate the incidence of anaerobic bacteria in chronic sinusitis in adults as a part of a prospective microbiological study.

Materials And Methods: Over a one-year period, aspirations of maxillary sinus secretions and/or ethmoid cavities were derived in n = 79 adult patients with chronic sinusitis by endoscopy in a tertiary-care teaching hospital in Hungary. Read More

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http://dx.doi.org/10.1556/1886.2020.00010DOI Listing

Evaluation of Surgical Treatment of Oroantral Fistulae in Smokers Versus Non-Smokers.

Medicina (Kaunas) 2020 Jun 23;56(6). Epub 2020 Jun 23.

Department of Oral and Maxillofacial Surgery, Rabin Medical Center, Beilinson Campus, 49100 Petach-Tikva, Israel.

: Smoking has been found to interfere with wound healing processes. Therefore, the purpose of this study was to compare surgical treatment of oroantral fistulae (OAFs) in smokers and non-smokers. Medical records of all consecutive patients who underwent surgical closure of OAFs between 2003 and 2016 at the oral and maxillofacial surgery department, Rabin Medical Center, Israel were reviewed. Read More

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http://dx.doi.org/10.3390/medicina56060310DOI Listing

Comparative studies on the histological characteristics of equine nasomaxillary aperture and paranasal sinus mucosa considering topographic and age-related differences.

Acta Vet Scand 2020 Jun 23;62(1):34. Epub 2020 Jun 23.

Clinic for Horses, University of Veterinary Medicine Hannover, Buenteweg 9, 30559, Hannover, Germany.

Background: Horses may acquire a range of paranasal sinus diseases. Clinical studies show slight differences regarding anatomical regions and age. Histopathological examination of tissue samples could play an important role in the diagnostic process. Read More

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http://dx.doi.org/10.1186/s13028-020-00534-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7310435PMC

Differential Chloride Secretory Capacity in Transepithelial Ion Transport Properties in Chronic Rhinosinusitis.

Am J Rhinol Allergy 2020 Jun 23:1945892420930975. Epub 2020 Jun 23.

Department of Otolaryngology-Head & Neck Surgery, University of Alabama at Birmingham, Birmingham, Alabama.

Background: Epithelial ion transport regulates hydration of airway mucosal surfaces, and thus promotes effective mucociliary clearance (MCC). Decreased transepithelial Cl transport may contribute to epithelial dysfunction by abrogating MCC and increasing mucus viscosity in chronic rhinosinusitis (CRS). The objective of the current study is to evaluate Cl channel transport properties from cultures of human sinonasal epithelia. Read More

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http://dx.doi.org/10.1177/1945892420930975DOI Listing

Prevalence of Eustachian Tube Dysfunction in the US Elderly Population.

Otolaryngol Head Neck Surg 2020 Jun 23:194599820932541. Epub 2020 Jun 23.

Department of Otolaryngology-Head and Neck Surgery, Tulane University School of Medicine, New Orleans, Louisiana, USA.

Objective: To investigate the prevalence of eustachian tube dysfunction (ETD) in elderly adults in the United States and its association with other upper aerodigestive inflammatory processes.

Study Design: Cross-sectional study.

Setting: Population based. Read More

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http://dx.doi.org/10.1177/0194599820932541DOI Listing

Management of chronic rhinosinusitis with steroid nasal irrigations: a viable non-surgical alternative in the COVID-19 Era.

Int Forum Allergy Rhinol 2020 Jun 22. Epub 2020 Jun 22.

Department of Otorhinolaryngology, University of Pennsylvania, Philadelphia, PA, USA.

Background: High-dose, high-volume steroid nasal irrigations (NSI) have been incorporated into the medical management of recalcitrant CRS, primarily following surgical intervention. The objective of this study was to evaluate the role of NSI as a preoperative management and to identify the percentage of patients who ultimately underwent ESS for recalcitrant CRS despite being on NSI.

Methods: Retrospective chart review of patients presenting with CRS who underwent a trial of NSI for at least six weeks. Read More

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http://dx.doi.org/10.1002/alr.22646DOI Listing

[Subcutaneous infection by Curvularia pallescens in a lung transplant recipient: First report in Spain].

Rev Iberoam Micol 2020 Jun 19. Epub 2020 Jun 19.

Servicio de Microbiología, Hospital Universitario Central de Asturias, Fundación para la Investigación y la Innovación Biosanitaria del Principado de Asturias (FINBA), Oviedo, Asturias, España.

Background: Curvularia is a filamentous dematiaceous fungus increasingly recognized as a pathogen in immunocompromised patients. The most common clinical entities associated with this fungus are allergic sinusitis, cutaneous infection and keratitis. In this article, a report on the first clinical case of Curvularia pallescens cutaneous infection in Spain and its treatment is described. Read More

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http://dx.doi.org/10.1016/j.riam.2020.03.005DOI Listing

Asymptomatic sinusitis as an origin of infection-related glomerulonephritis manifesting steroid-resistant nephrotic syndrome: A case report.

Medicine (Baltimore) 2020 Jun;99(25):e20572

Department of Nephrology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Bunkyo.

Rationale: Infection is a major trigger or pathogenic origin in a substantial proportion of glomerulonephritis (GN) patients, typically manifesting infection-related GN (IRGN). Various microorganisms, infection sites, and clinical and histopathological features are involved in IRGN. Once an infectious origin is identified and successfully eradicated, nephrotic syndrome or kidney dysfunction is spontaneously resolved. Read More

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http://dx.doi.org/10.1097/MD.0000000000020572DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7310930PMC

Breast Cancer Metastases to the Paranasal Sinuses Mimicking Inflammatory Sinus Disease.

J Craniofac Surg 2020 Jul-Aug;31(5):e525-e527

Department of Otolaryngology, Head and Neck Surgery, Tufts Medical Center, Boston, MA.

Introduction: Breast cancer is one of the most common cancers in women. Metastatic disease is a leading cause of morbidity and mortality. It frequently metastasizes to bone, lungs, regional lymph nodes, liver and brain. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006708DOI Listing

Tolerability and effectiveness of povidone-iodine or mupirocin versus saline sinus irrigations for chronic rhinosinusitis.

Am J Otolaryngol 2020 Jun 6;41(5):102604. Epub 2020 Jun 6.

Department of Otolaryngology - Head and Neck Surgery, University of Washington, Box 356515, Seattle, WA 98195, United States of America.

Objectives: The role of topical anti-infectives in acute exacerbations of chronic rhinosinusitis is controversial. Povidone-iodine is an anti-bacterial and anti-viral that is affordable and available over-the-counter and may demonstrate advantages over mupirocin as a sinus irrigation therapy. The objective was to compare povidone-iodine or mupirocin versus saline sinus irrigations for sinusitis exacerbations in post-surgery subjects as well as to assess tolerability of povidone-iodine sinus irrigations. Read More

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http://dx.doi.org/10.1016/j.amjoto.2020.102604DOI Listing

Usefulness of point-of-care ultrasonography in the diagnosis and follow-up of acute sinusitis.

Enferm Infecc Microbiol Clin 2020 Jun 17. Epub 2020 Jun 17.

Servicio de Urgencias, Hospital Universitario La Paz, Madrid, España.

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http://dx.doi.org/10.1016/j.eimc.2020.03.007DOI Listing

Ethmoid-to-maxillary opacification ratio: a predictor of postoperative olfaction and outcomes in nasal polyposis?

Int Forum Allergy Rhinol 2020 Jun 18. Epub 2020 Jun 18.

Department of Otolaryngology-Head & Neck Surgery, Medical University of South Carolina, Charleston, SC.

Background: Inflammatory profiles for patients with chronic rhinosinusitis with nasal polyposis (CRSwNP) vary between North American and Asian populations. An elevated ethmoid-to-maxillary (E/M) opacification ratio on preoperative imaging is associated with certain postoperative outcomes in Asian populations and populations that are non-type 2 dominant. In this study we explore this factor in North American/type 2-based populations. Read More

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http://dx.doi.org/10.1002/alr.22625DOI Listing

Volumetric study of the maxillary sinus in patients with sinus pathology.

PLoS One 2020 18;15(6):e0234915. Epub 2020 Jun 18.

Area oh Human Anatomy and Psychobiology, University of Murcia, Murcia, Spain.

Objectives: The aim of this study is 1) to obtain the area and volumes of the maxillary sinuses in patients affected by clinically unilateral sinus pathology by comparing the results to the contralateral sinus and 2) to determine the importance of the volumetric measures when diagnosing the percentage of sinus obliteration.

Materials And Methods: A single-centre observational retrospective clinical study was conducted in 214 patients with clinically unilateral sinus pathologies. Linear (mm), area (mm2) and volume (mm3) measurements were taken from Cone Beam Computed Tomography (CBCT) images of the affected sinus as well as from the contralateral ones. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0234915PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7302704PMC

Olfactory Dysfunction in Coronavirus Disease 2019 Patients: Observational Cohort Study and Systematic Review.

Open Forum Infect Dis 2020 Jun 5;7(6):ofaa199. Epub 2020 Jun 5.

Department of Microbiology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China.

Background: Olfactory dysfunction (OD) has been reported in coronavirus disease 2019 (COVID-19). However, there are knowledge gaps about the severity, prevalence, etiology, and duration of OD in COVID-19 patients.

Methods: Olfactory function was assessed in all participants using questionnaires and the butanol threshold test (BTT). Read More

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http://dx.doi.org/10.1093/ofid/ofaa199DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7284010PMC

Decreased Outpatient Fluoroquinolone Prescribing Using a Multimodal Antimicrobial Stewardship Initiative.

Open Forum Infect Dis 2020 Jun 21;7(6):ofaa182. Epub 2020 May 21.

Division of Infectious Diseases, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA.

Background: Fluoroquinolones are antibiotics prescribed in the outpatient setting, though they have serious side effects. This study evaluates the impact of stewardship interventions on total and inappropriate prescribing of fluoroquinolones in outpatient settings in a large county hospital and health system.

Methods: In an effort to decrease inappropriate outpatient fluoroquinolone usage, a multimodal antimicrobial stewardship initiative was implemented in November 2016. Read More

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http://dx.doi.org/10.1093/ofid/ofaa182DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7284006PMC

Various diagnostic possibilities for zygomatic arch pain: Seven case reports and review of literature.

World J Clin Cases 2020 Jun;8(11):2294-2304

Department of Oral Medicine and Oral Diagnosis, School of Dentistry and Dental Research Institute, Seoul National University, Seoul 03080, South Korea.

Background: Pain of the zygomatic arch region is common among patients with orofacial pain, especially in those with temporomandibular disorder-related pain of a myogenic origin. Since zygomatic arch pain may occur due to various causes other than muscle pain, appropriate diagnosis and treatment planning is essential to ensure its successful management. Unfortunately, zygomatic arch pain has not been handled as an independent clinical feature until now, and studies have mainly focused on pain resulting from trauma and surgical procedures. Read More

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http://dx.doi.org/10.12998/wjcc.v8.i11.2294DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7281041PMC

The Role of Home Fungal Exposure in Allergic Fungal Rhinosinusitis.

Am J Rhinol Allergy 2020 Jun 15:1945892420930953. Epub 2020 Jun 15.

Division of Rhinology and Sinus Surgery, Department of Otolaryngology - Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina.

Background: Allergic fungal rhinosinusitis (AFRS) is disproportionately identified in patients of low socioeconomic status living in warm, humid climates, and is thought to occur in response to environmental fungal species.

Objective: We hypothesized that micro-geographic differences in fungal exposure contribute to the pathogenesis of AFRS, and compared home fungal exposure of patients with AFRS to normative data and controls.

Methods: Comprehensive prospective enrollment and data capture was completed in 70 patients. Read More

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http://dx.doi.org/10.1177/1945892420930953DOI Listing

Aspergillus and Rhizopus Fungal Coinfection in a Patient With Multiple Myeloma.

Cureus 2020 May 11;12(5):e8050. Epub 2020 May 11.

Internal Medicine, Northwell Health-Staten Island University Hospital, Staten Island, USA.

Opportunistic fungal infections are rare but life-threatening in immunocompromised patients. We discuss a case of an immunocompromised patient with multiple myeloma who presented with shortness of breath, fever, ocular palsy, and hemiplegia. She was found to have influenza A respiratory tract infection complicated by invasive aspergillosis and mucormycosis. Read More

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http://dx.doi.org/10.7759/cureus.8050DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7286591PMC

[MPO-ANCA-associated hypertrophic pachymeningitis with monoclonal gammopathy of undetermined significance: a case report].

Rinsho Shinkeigaku 2020 Jun 13. Epub 2020 Jun 13.

Department of Neurology, National Hospital Organization Sendai Medical Center.

A 66-year-old woman presented with dysesthesia over the right side of her face, hypoglossal nerve dysfunction, dysphagia, and dysgeusia of the right side. A MRI scan of the brain revealed cerebral dural thickening on the right side of the skull base, and histopathological examination revealed granulomatous inflammation of the dura. Based on paranasal sinusitis, bronchodilatation, laboratory tests showing weakly positive MPO-ANCA, intact renal function, and the patient's favorable response to steroids, we diagnosed the patient with limited granulomatosis with polyangiitis (GPA). Read More

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http://dx.doi.org/10.5692/clinicalneurol.60.cn-001411DOI Listing