Rhinology
-
The presence of a rapidly growing intranasal mass in a child is an alarming clinical sign that requires adequate clinical and radiological assessment and prompt histological diagnosis. We present two cases of children with unilateral intranasal pyogenic granulomas. ⋯ Pyogenic granuloma of the nasal cavity is rare. Pyogenic granuloma should be included in the differential diagnosis of an intranasal mass in the paediatric age group.
-
Nitric oxide (NO) is produced in the nasal mucosa and in the paranasal sinuses. Increased nasal NO concentrations have been found in patients with asthma and/or rhinitis, and nasal NO has been suggested to be a marker of nasal inflammation. Measuring the stable end products of NO, nitrate and nitrite in nasal lavage fluid have been proposed as an indirect method for measuring NO concentration. ⋯ Nasal NO was significantly lower among smokers. Further controlled studies on subjects with rhinitis are needed, to evaluate the relation between nasal NO and nasal inflammation. In addition, there is also a need to develop methods for measuring nasal NO that minimise contamination from sinuses.
-
Local anaesthesia is increasingly being used for nasal manipulation. Doubt remains over the discomfort associated with this procedure. We studied in a prospective manner, the acceptability and effectiveness of nasal manipulation with intravenous sedation and local anaesthesia, in a case series of thirty-five patients. ⋯ More than half of the patients (60%) returned pain scores of only 1 out of 10. Thirty-two patients (90%) found the procedure less painful than receiving a tooth filling from the dentist, while thirty-four patients (97%) said they would undergo the same procedure again if they re-fractured their nose. The effectiveness of the treatment as assessed by an independent observer revealed that 90% of patients had achieved a significant reduction in their deformity (P = 1.27 x 10(-9).