Heerfordt’s Syndrome Presenting with Recurrent Facial Nerve Palsy : Case report and 10-year literature review

Heerfordt’s syndrome is defined as a combination of facial palsy, parotid swelling, uveitis and fever in sarcoidosis cases. Heerfordt’s syndrome as a cause of facial palsy is very rare. We report a case of alternating facial nerve palsy in a 52-year-old female initially treated for Bell’s palsy. The patient was referred to the All India Institute of Medical Sciences, Bhubaneswar, India, in January 2013 for clinical evaluation. She was found to have a parotid swelling and anterior intermediate uveitis. A pathoradiological evaluation suggested sarcoidosis and a final diagnosis of Heerfordt’s syndrome was made. Steroid treatment was initiated which led to an improvement in the facial palsy and uveitis as well as the disappearance of the parotid swelling with a corresponding decrease in angiotensin-converting enzyme levels. An English literature review was carried out to analyse the varied presentation of this syndrome. The analysis focused on presenting symptoms, biochemical markers and radiological findings of Heerfordt’s syndrome cases

Intraorbital and Intracranial Complications of Acute Rhinosinusitis: A Rare Case Report

Introduction: Complications of acute sinusitis affecting multiple sites are very uncommon in the antibiotic era. However, a significant proportion of patients (5–40%) suffering from acute sinusitis can have these complications mostly due to the delayed diagnosis of the disease. Patients can have variable presentations according to the site and extent of the infection.   Case Report: A 21-year-old male student presented with subperiosteal abscess and a brain abscess with a history of acute sinusitis. The patient had short history of left-side hemiplegia with foot drop. Endoscopic orbital decompression was performed and the subperiosteal abscess was drained when it did not respond to medical treatment. Complete clinical and radiological recovery was achieved after 1 month of medical treatment.   Conclusion: Complications affecting the multiple sites in acute sinusitis is very uncommon in the antibiotic era. A proper history and thorough clinical examination along with a radiological evaluation are key factors in the final diagnosis of the patients with suspected complications. A quick multidisciplinary approach among otorhinologsts, ophthalmologists and general physicians is always necessary to avoid unwanted life-threatening complications

Global wealth disparities drive adherence to COVID-safe pathways in head and neck cancer surgery

Peer reviewe

Nasal Suction System for Endoscopic Sinus Surgery

ABSTRACT Introduction Endoscopic sinus surgery has developed significantly in the past decade. The indications and the frequency of the surgery have increased tremendously. Performing this surgery in an awake patient under local anesthesia has numerous additional inherent problems as opposed to surgery under general anesthesia. Technique Our ‘Continuous Suction Assembly’ is a simple yet effective answer to these problems. It helps in providing a clear field during surgery. It also prevents aspiration and fogging and aids in accurate analysis of intraoperative blood loss. Conclusion Continuous suction technique is a cost-effective, simple technique to prevent many problems inherent to endoscopic sinus surgery under both local and general anesthesia. With proper preoperative counseling, the patient discomfort and cooperation can be improved drastically. How to cite this article Chappity P. Nasal Suction System for Endoscopic Sinus Surgery. Clin Rhinol An Int J 2014;7(1):10-12. </jats:sec

Primary Clival Mucocele: ENT Perspective in Early Diagnosis and Management

ABSTRACT Primary clival mucocele is a rare lesion encountered in our daily practice. The previous scant literature enumerate cases which presented with intracranial complications and were usually treated by neurosurgeons. We are presenting a case of a 24-year old female who presented to us with unilateral headache and recurrent episodes of sinusitis. The patient's radiology suggested a primary clival mucocele, which was drained endoscopically. The patient on follow-up is symptom free. This paper tries to implicate the importance of the otorhinolaryngologist in diagnosing this rare lesion and preventing its progression and thus, intracranial complications. How to cite this article Chappity P, Thakar A. Primary Clival Mucocele: ENT Perspective in Early Diagnosis and Management. Clin Rhinol An Int J 2015;8(1):27-29. </jats:sec