A Rare Case of Nasal Septal Schwannoma: Case Report and Literature Review
ConclusionSchwannoma of the nasal septum is rare. However, it should be included as a differential diagnosis in a patient presenting with a unilateral nasal mass.
Authors: Reißberg S, Hartmann M Abstract Epistaxis is a common ear, nose, and throat emergency, but rarely a direct cause for hospital admission. Patients who receive inpatient treatment usually suffer from recurrent posterior epistaxis. Despite otolaryngologic measures such as posterior packing or surgery, bleeding may recur or continue or the source may not be surgically accessible. For these patients, endovascular therapy is a real, sometimes the only, treatment option. In addition to idiopathic causes of posterior epistaxis, the cause may also be symptomatic. In this case, the cause must be iden...
This article reviews ITP treatment for adult and pediatric patients, including the use of the oral agent eltrombopag and the injectible agent romiplostim, nursing considerations, and patient education. PMID: 30880797 [PubMed - in process]
ConclusionsThe typical pattern of a patient presenting with severe epistaxis was a patient in the sixth decade, male, suffering from comorbidities and taking one or more antithrombotic agents. Based on the above-mentioned success rates of the different treatment options, we think all centres treating epistaxis should apply a well-defined protocol to guide the decision when to proceed with surgery. Furthermore, prospective research needs to precisely investigate the role played by comorbidities and their treatment in the occurrence of epistaxis and to test the effectiveness of proposed algorithms.
CONCLUSIONS: Intraoperative nasal endoscopy validated the concept of the preloaded Monoka stent and its deployment. Reproducibility and improved reliability may require a change in stenting technique and a design modification. PMID: 30871792 [PubMed - as supplied by publisher]
ConclusionDiagnosis of PMT of the paranasal sinuses causing oncogenous osteomalacia requires a high index of suspicion when there are no ENT symptoms. Appropriate biochemical tests and histopathology lead to the correct diagnosis. Total endoscopic surgical excision leads to a good outcome.
This case report describes a woman who presented with left-sided epistaxis from a 4.8-cm mass in the left nasal cavity extending from the left olfactory cleft.
Abstract Immune thrombocytopenia (ITP) occurs with an incidence rate of 1.6 to 3.9 per 100,000 patient-years, which increases with age and has a slight female preponderance. ITP is termed acute, persistent or chronic when its duration is 12 months, respectively. In this narrative review, we discuss the clinical manifestations of ITP in children and adults. ITP is asymptomatic in some patients; however, when present, bleeding is the most common symptom and can be mild as in petechiae, purpura and epistaxis, or severe and even life threatening in cases of intracranial haemorrhage, and massive gastrointestinal or uri...
On behalf of my co-authors, and myself I would like to thank you for your interest in our study as well as your thoughtful questions. The purpose for our study was to compare infection rates of patients with and without prophylactic systemic antibiotics who had anterior packing for spontaneous epistaxis as well as examine the management practices of prescribing prophylactic antibiotics for these patients in the emergency department. In performing our literature search, we have found that prescribing practices vary among otolaryngologists mainly because there is a paucity of literature that supports a clear benefit to its use.
We read with great interest the paper entitled “Prophylactic systemic antibiotics for anterior epistaxis treated with nasal packing in the emergency department” by Murano et al. . The authors compared the infection rate between patients who were and were not prescribed prophylactic systemic antibiotics for anterior nasal packing in sponta neous epistaxis. They found that prophylactic antibiotic use for nasal packing in spontaneous epistaxis patients is unnecessary. This is an excellent study, and may help to avoid the abuse of antibiotics.
Authors: Palma-Barqueros V, Ruiz-Pividal J, Bohdan N, Vicente V, Bastida Bermejo J, Lozano M, Rivera J Abstract This manuscript reviews pathogenic variants in RASGRP2, which are the cause of a relatively new autosomal recessive and nonsyndromic inherited platelet function disorder, referred to as platelet-type bleeding disorder-18 (BDPLT18)(OMIM:615888). To date, 18 unrelated BDPLT18 pedigrees have been reported, harboring 19 different homozygous or compound heterozygous RASGRP2 variants. Patients with this disease present with lifelong moderate to severe bleeding, with epistaxis as the most common and relevant ble...