ent cases
Recurrent Maxillary and Frontal Sinus Infections...
This patient's recurrent and chronic right maxillary and frontal sinus infections were associated with a laterally bent aerated right middle turbinate which narrowed the middle meatus. Courtesy of Professor...
Recurrent Acute Maxillary Sinusitis [right]
When medical therapy is unable to cure a sinus infection, then a functional endoscopic sinus surgical approach using the Messerklinger technique may be required. Despite eight weeks of a suitable broad-spectrum...
Early Orbital Cellulitis Intraoperative View...
When the right uncinate process of this patient with early orbital complications of acute sinusitis was resected, masses of pus under pressure were released. Courtesy of Professor Heinz Stammberger,...
Orbital Cellulitis Secondary To Acute Pansinusitis...
This young girl shows the characteristic appearance of developing orbital cellulitis due to a severe right acute pansinusitis which has started to infiltrate the orbit.
Juvenile Angiofibroma
Recurrent episodes of epistaxis in adolescent males should alert the examiner to the possibility of a juvenile angiofibroma. The left choana of this 13-year-old boy is completely blocked by an angiofibroma....
Acute Maxillary Sinusitis [after treatment]
The administration of a suitable broad-spectrum antibiotic is still the treatment of choice for acute uncomplicated bacterial sinusitis. Now that the acute infection has completely resolved, the predisposing...
Acute Maxillary Sinusitis [before treatment]
Recurrent episodes of acute maxillary and frontal sinusitis are frequently associated with significant underlying anatomical abnormalities of the lateral nasal wall and osteomeatal complex. Note the creamy...
Epistaxis Originating From Middle Turbinate
While most nosebleeds originate from the anterior nasal septum, sometimes they occur from other areas within the nasal cavity. In this case the source of bleeding were the large vessels seen on the anterior...
Osler Weber Rendu Disease Fingers
Note the numerous telangiectatic spots on the fingers of this patient with Osler Weber Rendu Disease.
Osler Weber Rendu Disease Inferior Turbinate
Notice the numerous telangiectatic spots on the anterior surface of this left inferior turbinate.
Osler Weber Rendu Disease Lips
Telltale telangiectatic spots may be found on the surface of the lips, tongue and fingertips in Osler Weber Rendu Disease.
Tears of Blood
In rare cases of severe epistaxis, blood may run up the nasal lacrimal duct and appear as "tears of blood".
Small Hemangioma on Ethmoid Bulla
The site of origin of recurring epistaxis is not always easily identified. Nasal endoscopes have proven invaluable for identification of the site of bleeding and for the application of site-specific...
Nasal Septum Post Cauterization with Silver Nitrate
In many cases of recurrent epistaxis, when the offending area has been identified, the vessels may be cauterized by the application of silver nitrate after a topical anaesthetic has been applied. This...
Large Blood Vessels Anterior Nasal Septum
In this patient two relatively large blood vessels can be seen on the right anterior nasal septum.
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