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Unilateral Rhinorrhea From Nasal Foreign Body
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Unilateral Rhinorrhea From Nasal Foreign Body

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The presence of persistent unilateral foul-smelling nasal discharge in a child suggests the possibility of a nasal foreign body.

Inferior Meatal Antrostomy [right]
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Inferior Meatal Antrostomy [right]

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A stream of the thick white mucus can be seen recycling through this right maxillary sinus. The mucus leaves the sinus by its naturally ostium, exits the hiatus semilunaris and then slides inferiorly...

Nasal Polyps And The ASA Triad
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Nasal Polyps And The ASA Triad

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Aspirin-exacerbated respiratory disease (AERD), also known as Samter’s Triad, is a chronic medical condition that consists of three clinical features: asthma, sinus disease with recurrent nasal...

Rhinophyma
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Rhinophyma

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Rhinophyma is the result of a massive hyperplasia of the sebaceous glands of the nasal skin, which is often associated with acne rosacea. The result is a thickening and coursing of the skin covering the...

Large Inferior Meatal Antrostomy
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Large Inferior Meatal Antrostomy

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This patient has a very large inferior nasal antrostomy through which the maxillary sinus mucous membrane can be clearly seen.

Inferior Meatal Antrostomy [right]
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Inferior Meatal Antrostomy [right]

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In days of old when patient's were undergoing a Caldwell-Luc procedure, a perforation through the medial wall of the maxillary sinus below the inferior turbinate was usually created as an alternative...

ASA Triad Thick Yellow Mucus
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ASA Triad Thick Yellow Mucus

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Note the abnormally thick yellowish mucus frequently found in patients with the ASA Triad. The mucus may be so thick and rubbery in consistency that it may initially be confused with the nasal polyp.

Recurrent Nasal Polyps
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Recurrent Nasal Polyps

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This is the typical appearance of recurrent nasal polyps in a patient with the ASA triad.

Nasal Polyps Arising from the Spheno-ethmoidal Recess
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Nasal Polyps Arising from the Spheno-ethmoidal...

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Note the nasal polyps arising from the left sphenoethmoidal recess.

Nasal Polyp Arising from the Middle Turbinate
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Nasal Polyp Arising from the Middle Turbinate

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There is a solitary polyp arising from the lateral surface of this right middle turbinate.

Polyp Arising from the Frontal Recess
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Polyp Arising from the Frontal Recess

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The small polyp arising from the frontal recess was responsible for recurrent frontal sinusitis.

Nasal Polyps in the Patient with the ASA Triad
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Nasal Polyps in the Patient with the ASA Triad

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Patients with the ASA Triad often have the most aggressive nasal polyps. Note the abnormally thick yellowish mucus that is often associated with this condition. The mucus may be so thick and rubbery in...

ASA Triad Mucus
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ASA Triad Mucus

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Patients with nasal polyps and aspirin-exacerbated respiratory disease [ASA triad] have a characteristic thick and tenacious mucus as seen here.

The Fluorescein Test for CSF Rhinorrhea
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The Fluorescein Test for CSF Rhinorrhea

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The injection of a 0.5 ml of a 5% sodium Flluorescein solution intrathecally. Courtesy of Professor Heinz Stammberger, University of Graz, Austria.

The Fluorescein Test for CSF Rhinorrhea
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The Fluorescein Test for CSF Rhinorrhea

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In this positive fluorescein test for CSF rhinorrhea, fluorescein stained cerebrospinal fluid is seen dripping from the patient's right nostril after 45 minutes. Courtesy of Professor Heinz Stammberger,...

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