Incidence, Clinical Presentation And The Role Of Endoscopic Nasal Surgery For Nasopharyngeal Bursitis And Anatomical Variations Of The Lateral Nasal Wall | 12406
Otolaryngology: Open Access
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Nasopharyngeal bursitis and double middle turbinate anatomical variations of the lateral nasal wall are relatively rare conditions
characterized by a group of symptoms that interest multidisciplinary specialists. However, their characteristic clinical picture is not
fully characterized. Herein, an auditof the cases who presented to the same surgeon in the rhinology clinic in a two year duration periodis
presented. The important embryological facts and different clinical types with their characteristic clinical pictures will be discussed. Results
showed that in 2 years period, 6 patients were diagnosed to have nasopharyngeal bursa disease, 4 males and 2 females (Mean age 54). Two
distinct pathological types were observed; 3 patients with classical Tornwaldt�s cyst and 3 with crust type bursitis. Endoscopic combined
endonasal and transoral approach is a minimally invasively procedure and was an effective way of treating both types of nasopharyngeal
bursitis disease. On the other hand, 28 patients, 19 males and 9 females with a mean age of 41.5 years, representing different ethnic origins,
were diagnosed with double middle turbinate based on endoscopic examination. Clinically they presented with refractory headache and
blocked nose.Patients who underwent endoscopic surgical approach (n=13) for reduction of the extra turbinate, reported significant
symptom scores improvement (p<0.0001). These results indicate that double middle turbinate may be encountered in rhinology practice
(2%). Endoscopic surgical approach seems to be an effective way of improving the symptoms.
Professor Amr El-Shazly is Maitre de Conference and chef de Clinique in Liege University Hospitals in Belgium. He obtained his MD,PhD from Kumamoto University in Japan and did further clinical training in the United Kingdom where he became associate fellow to the Royal College of Surgeons in Ireland. He further performed his Allergology fellowship at Bordeaux II University in Bordeaux-France.Prof. El-Shazly research interest includes immune-molecular events in allergic inflammation in which he has authored many international peer review publications as well as a specialized book in allergy and clinical immunology of Otolaryngology.He is a member of several international scientific societies. He is Editor-in-chief of Cellular and Molecular Otolaryngology and a member of the editorial board of some international medical journals.
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