Tag Epistaxis

Dr Manoj Kumar (HOD and consultant radiologist)

Year: 2024, Volume: 1, Issue: 2, Pages: 82-90, Date of Publication: 15 July 2024

Abstract: Pleomorphic adenomas are the Benign Mixed Salivary gland tumours, typically found in major salivary glands. Their occurrence in the Nasal septum is exceedingly rare. This case report details the clinical presentation, diagnostic process, and treatment of a Pleomorphic adenoma originating from the anterior part of nasal septum in a 63-year-old female patient. The patient presented with a Nasal mass and Epistaxis. The initial diagnosis required the use of both Computerised Tomography (CT) and Magnetic Resonance Imaging (MRI) to accurately identify the tumour’s characteristics and extent. Complete Surgical excision was the treatment employed.

Keywords: Pleomorphic adenoma, Nasal septum, Benign tumour, Mixed Salivary gland tumours, Nasal mass, Epistaxis, Surgical excision

Dr Mohit Vashisth (Consultant ENT Surgeon, JIMS Hisar, Haryana), Dr Ankur Agarwal (Consultant Pathology, Jaipur)

Year: 2024, Volume: 1, Issue: 2, Pages: 108-124, Date of Publication: 31 August 2024

Abstract: This article examines three cases of Wegener’s Granulomatosis, now referred to as Granulomatosis with Polyangiitis (GPA), with a particular emphasis on ENT (ear, nose, and throat) manifestations and clinical observations. GPA is a rare form of Vasculitis that frequently affects the Upper respiratory tract, making early ENT evaluation vital for accurate diagnosis and treatment. The cases presented here illustrate a range of ENT symptoms, such as Chronic sinusitis, Nasal obstruction, and Epistaxis, which played a key role in the initial diagnosis. The detailed clinical assessments and imaging findings shed light on the disease’s progression and the difficulties in distinguishing it from other ENT conditions. This article underscores the essential role of the ENT department in the early detection of systemic diseases, emphasizing the importance of maintaining a high index of suspicion for systemic conditions during ENT evaluations. The case reports highlight the necessity for prompt and comprehensive investigations to ensure accurate diagnosis and timely intervention.

Keywords: Wegener’s Granulomatosis, Granulomatosis with Polyangiitis, ENT, Vasculitis, Chronic Sinusitis, Nasal Obstruction, Epistaxis, Upper Respiratory Tract