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  • ISSN: 2379-948X
    Volume 4, Issue 5
    Research Article
    Case Report
    Muge Ozçelik Korkmaz*, Mehmet Guven, and Kıyasettin Asil
    The most common symptoms of acute sinusitis are nasal and post-nasal purulent drainage, facial pain/pressure and nasal stuffiness. Uncommonly features of orbital and intracranial complications maybe present at diagnosis. Sudden onset isolated unilateral ptosis related to acute sinusitis is not common clinical finding and frequently associated with cavernous sinus thrombosis. A 22 year old healthy male presented with unilateral isolated ptosis related to acute sinusitis without the other symptoms of orbital or intracranial complications. In the paranasal sinus computerized tomographic imaging were diagnosed maxillary, ethmoid, frontal and sphenoid sinusitis at same side. On ophthalmolojic examination vision and fundus control were normal. Soft tissues signals compressing rectus muscle, optic nerve, cavernous sinus and optic vein softly were exist in cranial magnetic resonans imaging. The symptoms were regressed with medical treatment in 10 days. We would like to present in this paper an unusual ocular complication of acute sinusitis which isolated ptosis case.
    Juergen Dunst*, Christian Oliver Vokuhl, and Hans-Christian Knuth
    Background: Malignant peripheral nerve sheath tumors (MPNST) are a rare disease. The role of radiotherapy for inoperable tumors is unclear.
    Case report: A 85 year old male with a symptomatic inoperable local recurrence of MPNST in the retromaxillary region 5 years after surgery was treated with hypofractionated image-guided radiotherapy. The clinical target volume of radiotherapy included the macroscopic tumor (25cm³) with a small safety margin of 2mm. The total dose was 48Gy administered in 12 fractions on consecutive working days. The patient tolerated treatment well without any side effects. One year after treatment, there was maintained complete remission on follow-up CT examination without late radiation sequelae.
    Conclusion: Hypofractionated image-guided radiotherapy may have a curative potential as primary treatment in selected small to medium-sized MPNST.
    Muzeyyen Ciyiltepe*, Yusuf Hidir, and Serdar Karahatay
    Inappropriate adduction of vocal cords during inspiration is defined as paradoxical vocal fold movement (PVFM). Patients are usually present with sign and symptoms of respiratory distress mimicking asthma. However, by fiber optic laryngoscopy the differential diagnosis can be easily made if PVFM is kept in mind. Exact diagnosis prevents unnecessary medications and surgical interventions for PVFM. Even though shortness of breath and dyspnea are seemed to be the major concerns affecting patients' well-being, concurrent dysphagia may accompany as a bothering problem in some of the cases. Dysphagia management program, respiratory exercises and psychological counseling carry an important role in management of non-organic PVFM cases.
    Jaimanti Bakshi, Sanjeev Yadav*, and Amit Kumar
    We are reporting a case of an intradermal nevus of the external auditory meatus. A 25-year-old young man presented with complaints of progressive hearing loss in the left ear, and otoscopic findings showed the presence of a papillomatous lesion that is dome shaped arising from the posterior wall of external auditory canal with impacted cerumen. Patient underwent detailed clinical and audiometry examination and after work up patient was planned for excision of mass. The postoperative histopathological examination showed the findings consistent with the diagnosis of intradermal nevus. We are reporting this case as the intradermal nevi of EAC has not been reported much in literature and the diagnostic possibility of intradermal nevi can be considered in external auditory masses.
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