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Rhinology - Science topic

Explore the latest questions and answers in Rhinology, and find Rhinology experts.
Questions related to Rhinology
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rhinoscleroma is a chronic granulomatous  condition of nose which does not respond to many antibiotics even when used for a prolonged period.
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@The disease rhino scleroma is a disease of unknown etiology and so had no treatment. the author found out the cause and effected cure. Kindly refer Rg German
A clinical study on NTM (non tubercular mycobacterial infection) is published in Research Gate, Germany July 2019.
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Please share your experience or literature regarding uses of NBI in rhinology.
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Hello Kartik. I started to use it in recurrent epistaxis to find vessels. It works surprisingly well in this kind of patients.
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We had a 10 yr old female with very extensive sinonasal polyp, eroding ant maxillary bone and presenting as an exophytic mass over the left cheek. It looked like malignancy but HPR showed its benign nature. My questions related to this are: 
1. How common is this in your experience ? 
2. Are there any good indexed rhinology or other journals which you would recommend for describing such a case ?
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I need a questionnaire for assessing nasal polyposis by a doctor. Thank you!
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for example .. Frontal cells !
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You can also use our software called Checkpoint. This will load the CT scan, give you basic 3D visualization, and also allow you to extract surfaces. The surface can be of the sinus cavities as you have shown above.
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Does your hospital have a system in place to screen all incoming patients for possible or know difficult airway?
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unfortunately no
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Fungal sinusitis is one of the important cause of nasal polyposis. Surgical clearance is of course the main treatment for this, as most of us agree. Most, if not all invasive forms require systemic antifungal treatment. What is the role of antifungal medication in allergic fungal sinusitis?
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In allergic fungal sinusitis, no role for systemic antifungal drugs.surgery: FESS IS THE MAIN LINE OF TTT followeed by meticulous follow up and topical and systemic steroids
fungal balls in sinuses also no role for systemic antifungals, only local clearence with the endoscope .
invasive fungal sinusitis is ttt by systemic antifungals, aggressive local debridement by the endoscope and measures to improve the general condition and immunity
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Who knows any grading system for nasal adhesions?
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nasal adhesions (synechiae) according to nayak etal 1998; type a  at middle turbinate attachment to lateral nasal wall, type b partial synechiae  at the caudal end /inferior border of middle turbinate to lateral wall, type c complete synechiae at caudal end, type d adhesion between inferior/ middle turbinate and septum. 
I hope this can help
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There are several clinical guidelines for diagnosing acute bacterial sinusitis. Unfortunately, there is very little research about the development of acute bacterial sinusitis with microbiological confirmation from maxillary sinus aspirate. Most of the referred work has been done using previous clinical guidelines or radiology as the "golden standard" for bacterial sinusitis. If you would like to research acute bacterial sinusitis, which guideline or clinical criteria would you choose and why?
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I recently read the guidelines for treatment of acute bacterial sinusitis in Choosing wisely I found this a useful and sensible approach.
You may like to check this.
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Do you consider daily saline irrigation of the nose with mechanical devices a useful method for long term adjunctive treatment of chronic nose and sinuses diseases?
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There is good evidence to support the use of isotonic irrigation, and anecdotally my patients almost all love it. I encourage them to irrigate daily at the start of treatment, using a high volume rinse bottle, and once symptoms are controlled, on a prn basis. there is not good evidence to support the use of hypertonic over isotonic saline, and the increased incidence of nasal irritation means that patients are less likely to be compliant, so I dont recommend that.
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Healthy adults have maxillary fontanel perforations (accessory ostia) only in 0.5%. 20% of patients with chronic rhinitis et rhinosinusitis have maxillary sinus perforation.(Mladina R et al. The two holes syndrome. Am J Rhinol " Allergy 2009 23(6):602-4.) I think they resemble tympanic membrane perforations which are caused by otitis media and should be treated similarly.
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Dear Matti,
I suggest all participants to read our paper: Mladina R, Skitarelić N, Casale M. Two holes syndrome (THS) is present in more than half of the postnasal drip patients? Acta Otolaryngol 2010;130:1274-1277.
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I had a patient who was referred to me 3 month after she became anosmic and cacosmic after a bout of cold. Her PNS-CT and Brain MRI were normal, and also her PHX was okay. What can I do to reduce her cacosmic suffering?
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Dear Shahin Bastaninejad,
cacosmia after influenza is quite typical symptom. You can try to put patient on steroid therapy as soon as possible (e.g. Prednison 60mg orally with decreasing the dose), if there is no contraindication (diabetes, gastric ulcer...). Further, olfactory training is also recommended and can be helpful.
In some books cacosmia is considered as a healing process or destructive process of olfactory epithelium.
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Smoking reduce cilliary movements so it can increase rhinitis symptoms, further more patient may be predispose to chronic rhinosinusitis as well...