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[Case report of a foreign body in the nasal cavity: experimental research on limited damage].

We report here a case of serious nasal cavity tissue damage caused by a foreign substance, specifically, a button-shaped battery. The patient was a three-year-old boy who inserted a button-shaped battery into his left nasal cavity. On examination, we found necrosis of the nasal mucosa, cartilage and bone. In addition, the nasal cavity structure was severely damaged. In a follow-up experiment, we inserted a similar button-shaped battery, pre-soaked in a salt solution, into a rabbit's nasal cavity and measured daily changes in PH and discharge over time. In addition, we assessed how much nasal cavity tissue was damaged in a pathological specimen. We found that the chief factor mediating tissue damage, among those we tried, was strong base production with low voltage discharge. Under these conditions the nasal cavity is damaged in a short time.

Animals↗

Pre and post functional endoscopic sinus surgery nasal cavity volume assessment by acoustic rhinometry.

UNLABELLED: Acoustic rhinometry is an objective method to determine nasal cavity geometry. The technique is based on sound wave reflexion analysis in the nasal cavity, and determines crossectional areas as a function of distance as well as volume. AIM: The purpose of this study is to analyse nasal cavity volume changes caused by functional endoscopic sinus surgery (FESS) in adults with chronic rhinosinusitis by acoustic rhinometry, and to correlate these changes with improvements in the sensation of nasal obstruction. MATERIAL AND METHOD: Forty patients aged from 18 to 73 years were prospectively evaluated between August and October 1999 at the Graz University Hospital, Austria. All patients were diagnosed with chronic rhinosinusitis, and undertook acoustic rhinometry before and after FESS. SCIENTIFIC DESIGN: A clinical prospective study. RESULTS: The nasal cavity total volume increased significantly after surgery. Nasal obstruction was improved in 88% of the patients, 20% with partial improvement and 68% with total improvement. There was no correlation between volume increase and improvement of the sensation of nasal obstruction. CONCLUSION: Total nasal cavity volume significantly increased after surgery; however, there was no correlation between volume increase and improvements of nasal obstruction. No significant pre or postoperative increase in total nasal cavity volume after decongestion were observed.

Adolescent↗

[Postnatal growth of the nasal cavity].

The postnatal growth of the nasal bones, the piriform aperture, the choanae, the anterior and posterior nasal spine, and the floor of the nasal cavity were investigated. The development of weight and width of the nasal cavity as much as some results of the postnatal development of the inferior and medical conchae are connected with out investigations. Moreover the increase of the distance between Nasospinale and the sphenoidal sinus aperture and also the development of height and width of the nasal crista of the palatine bone were determined.

Adolescent↗

The distribution of thermoreceptors within the nasal cavity.

The distribution of thermoreceptors within the nasal vestibule (that part of the nasal cavities lined with skin) and nasal cavum (that part of the nasal cavities lined with respiratory epithelium) was studied in 20 subjects. The distribution was compared with that of the malar skin adjacent to the nose. No thermoreceptors were located in the nasal cavum but the nasal vestibule contained a dense distribution of cold receptors (3.5 receptors per cm2) and warm receptors (3.2 receptors per cm2). The corresponding density of receptors in the malar skin was 2.7 receptors per cm2 and 2.6 receptors per cm2. The difference in distribution density between the nasal vestibule and the malar skin was significant (P less than 0.05). The implications of these findings are discussed.

Adult↗

Clearance characteristics of chitosan based formulations in the sheep nasal cavity.

This paper describes the clearance characteristics of two bioadhesive nasal delivery systems in the form of chitosan microspheres and chitosan solution, from the nasal cavity of conscious sheep. The pattern of deposition and clearance of the nasal dosage forms were evaluated using a radioactive tracer and the non-invasive technique of gamma scintigraphy. The clearance of chitosan microsphere and solution formulations was compared with that of a control solution. The data show that the control was cleared rapidly from the sheep nasal cavity with a half-time of clearance (time taken for 50% clearance; t(50%)) of about 15 min. The bioadhesive chitosan delivery systems were cleared at a slower rate, with half-times of clearance of 43 min and 115 min, for solution and microsphere formulations respectively. From the results reported in this study it can be concluded that the chitosan delivery systems investigated had significantly reduced rates of clearance from the sheep nasal cavity, as compared to the control. Consequently, chitosan delivery systems have the ability to increase the residence time of drug formulations in the nasal cavity thereby providing the potential for improved systemic medication. The nasal clearance rates recorded in the sheep model mimic very closely the clearance rates found in a previous study using human subjects. It can also be concluded that the sheep can be considered a suitable model for in vivo nasal clearance studies of novel bioadhesive drug delivery systems.

Adhesives↗

Distribution of epithelia in the nasal cavity of piglets.

The epithelial distribution in the nasal cavity of piglets was studied by serial transverse sections. The epithelial distribution in the nasal cavity of healthy piglets varied according to the age of the animal. The transitional epithelium, which contained goblet cells but no ciliated cells, occupied a smaller proportion of the nasal cavity in the newborn piglets than in the 4-week-old piglets. The ciliated epithelium extended more rostrally in the newborn piglets and covered the non-mineralized rostral portion of the nasal ventral concha. At 28 days of age, the rostral cartilaginous concha is overlaid by the transitional epithelium, the respiratory epithelium covering the mineralized nasal ventral concha. The variations in the epithelial distribution according to age are discussed with regard to the greater susceptibility of newborn piglets to bacterial infection.

Aging↗

Lobular capillary hemangioma of the nasal cavity in child.

Although the head and neck is not an uncommon region, the nasal cavity is extremely rare sites for lobular capillary hemangioma (LCH) in children. The authors report a case of an 11-year-old boy with LCH of the nasal cavity presenting with nasal obstruction and epistaxis. To our knowledge, on searching the English literature, only nine cases of hemangioma of nasal cavities have been reported in children since 1985. The authors feel that it should be considered in the differential diagnosis of lesion of the nasal cavity.

Child↗

Malignant melanomas of the conjunctiva, nasal cavity, and paranasal sinuses.

Four patients had malignant melanoma involving the conjunctiva, nasal cavity, and paranasal sinuses. In each patient, the conjunctival melanoma preceded recognition of the lesion in the nasal cavity by months or years. Each patient had one or more conjunctival biopsy specimens that documented melanoma, and in each patient the melanomas evolved in primary acquired melanosis of the conjunctiva. Histologic examination of the epithelium adjacent to the tumor in the nasal cavity failed to show either atypia or diffuse melanosis. We believe that these melanomas in the nasal cavity and paranasal sinuses are most likely to evolve as regional metastases, although it is possible that they arise de novo or as related foci in accordance with the multicentric characteristics of conjunctival melanoma. If a patient with a conjunctival melanoma has symptoms referable to the nasal cavity or paranasal sinuses, ophthalmologists should refer the patient to an otolaryngologist.

Conjunctival Neoplasms↗

A case of metastatic hepatocellular carcinoma in the nasal cavity.

Metastatic hepatocellular carcinoma in the nasal cavity and paranasal sinuses is rare. We report the case of a 71-year-old male afflicted with hepatocellular carcinoma with metastasis in the maxillary sinus and nasal cavity. He underwent radiation therapy with a total dose of 36 Gy, but he died of terminal liver failure. The possible metastatic route and prognosis of metastatic hepatocellular carcinoma in the sinonasal tract are discussed.

Aged↗

Radiographic techniques of the nasal cavity and sinuses.

Diseases of the nasal cavity and sinuses can be frustrating problems for owners and veterinarians alike. Initial physical examination and routine blood work are often unrewarding in directing the clinician at a diagnosis. Diagnostic imaging can help characterize the disease process and direct treatment or further diagnostics. Radiographs of the skull are an excellent first-line diagnostic step in the analysis of nasal disease. The following article reviews basic techniques, positioning, and interpretation of radiographs of the nasal cavity and paranasal sinuses.

Animals↗

A hybrid computational fluid dynamics and physiologically based pharmacokinetic model for comparison of predicted tissue concentrations of acrylic acid and other vapors in the rat and human nasal cavities following inhalation exposure.

To assist in interspecies dosimetry comparisons for risk assessment of the nasal effects of organic acids, a hybrid computational fluid dynamics (CFD) and physiologically based pharmacokinetic (PBPK) dosimetry model was constructed to estimate the regional tissue dose of inhaled vapors in the rat and human nasal cavity. Application to a specific vapor would involve the incorporation of the chemical-specific reactivity, metabolism, partition coefficients, and diffusivity (in both air and tissue phases) of the vapor. This report describes the structure of the CFD-PBPK model and its application to a representative acidic vapor, acrylic acid, for interspecies tissue concentration comparisons to assist in risk assessment. By using the results from a series of short-term in vivo studies combined with computer modeling, regional nasal tissue dose estimates were developed and comparisons of tissue doses between species were conducted. To make these comparisons, the assumption was made that the susceptibilities of human and rat olfactory epithelium to the cytotoxic effects of organic acids were similar, based on similar histological structure and common mode of action considerations. Interspecies differences in response were therefore assumed to be driven primarily by differences in nasal tissue concentrations that result from regional differences in nasal air flow patterns relative to the species-specific distribution of olfactory epithelium in the nasal cavity. The results of simulations with the seven-compartment CFD-PBPK model suggested that the olfactory epithelium of the human nasal cavity would be exposed to tissue concentrations of acrylic acid similar to that of the rat nasal cavity when the exposure conditions are the same. Similar analysis of CFD data and CFD-PBPK model simulations with a simpler one-compartment model of the whole nasal cavities of rats and humans provides comparable results to averaging over the compartments of the seven-compartment model. These results indicate that the general structure of the hybrid CFD-PBPK model applied in this assessment would be useful for target tissue dosimetry and interspecies dose comparisons for a wide variety of vapors. Because of its flexibility, this CFD-PBPK model is envisioned to be a platform for the construction of case-specific inhalation dosimetry models to simulate in vivo exposures that do not involve significant histopathological damage to the nasal cavity.

Acrylates↗

[Epidemiology of cancers of the nasal cavities and paranasal sinuses].

Cancers of nasal cavities and paranasal sinuses represent about 2-3% of cancers of the upper aerodigestive tract, in France. In 20% of these cases, these cancers develop in the ethmoid region, 80% of them being adenocarcinomas. Among the distinctive features of adenocarcinomas, epidemiological data should be emphasized. Indeed, ethmoid adenocarcinomas are mostly linked to wood exposure, mainly hard and exotic woods. However, in synthetic wood, binding agents and glues may also be involved as cocarcinogens. These cancers are often underdeclared by medical professionals leading to possible prejudice to the patient and his entitled beneficiaries. Therefore a detailed professional history of all patients presenting with a cancer of the nasal cavities and/or paranasal sinuses should be undertaken to avoid such a situation.

France↗

Solitary fibrous tumor of nasal cavity in patient with long-standing history of cocaine inhalation.

We report a solitary fibrous tumor in the nasal cavity of a 48-year-old woman who presented with a history of bilateral nasal obstruction and long-standing cocaine inhalation. Physical examination revealed a large mass involving the right nasal cavity and extending into the posterior aspect of the left nasal cavity. The computed tomography scan showed opacification of airways. During surgery, the mass was found to involve the entire nasal cavity, with extension to the right maxillary sinus, posterior nasal airways, and left nasal cavity. The mass was completely excised. Pathologic examination revealed a polypoid mass 3.7 x 3.0 x 1.2 cm. This tumor was composed of spindle cells that were cytologically bland in a background of ropey and nodular collagen, giving a "patternless" pattern. Immunohistochemically, the neoplastic cells stained for CD34 and vimentin but not for S100 protein, keratin, desmin, HMB-45, and c-Kit. This immunohistochemical pattern confirmed the diagnosis of solitary fibrous tumor. Although solitary fibrous tumors are usually found in the pleura, they can occur in various other locations, such as the orbit, nasal cavity, paranasal sinuses, mediastinum, breast, vagina, meninges, and soft tissues. This case is of interest because the tumor occurred in a patient with prolonged cocaine inhalation. Such an association has not been previously described. The exact causal relationship between cocaine inhalation and the tumor is not known.

Cocaine-Related Disorders↗

Differences in terminal carbohydrate structures of sialomucin in the murine nasal cavity.

Terminal carbohydrate structures of sialomucin in the murine nasal cavity were characterized by means of lectin histochemistry. Two kinds of biotinylated lectins (Maackia amurensis agglutinin and Sambucus nigra agglutinin), which recognize sialic acid residues, showed marked differences in their respective labeling patterns when used as epithelial probes. Maackia amurensis agglutinin labeled the epithelial goblet cells, Bowman's glands, and all cell surfaces of both olfactory and respiratory epithelium. In contrast, Sambucus nigra agglutinin labeled cell surfaces and Bowman's glands in the murine olfactory epithelium, but did not label the murine respiratory epithelium. These results indicate that sialomucin in the murine nasal cavity has two different terminal carbohydrate structures. Our data show that sialomucin in the murine respiratory epithelium has a Neu5Ac(alpha 2-3)Gal sequence, while sialomucin in the murine olfactory epithelium has both alpha 2-3 and alpha 2-6 binding sequences. These results suggest that different carbohydrate structures of sialomucin in the nasal cavity may reflect differences in susceptibility to bacterial colonization and viral infection between respiratory and olfactory epithelium, and influence rheological properties of nasal secretion.

Animals↗

[Development of the nasal cavity and formation of the nostrils in human embryogenesis].

The development of nasal cavity was traced in human embryos. The identity in the primitive formation of the mouth cavity and that of the nasal cavity is stated. During embryogenesis, the primitive nasal cavities are demonstrated to change their position concerning the mouth cavity. Epithelial "cluster" formation in the area of the nostrils is examined: it appears in embryos of 16-19 mm long, is mostly prominent in embryos of 50-55 mm long, is absent in fetuses of 5.5 months old. By comparing the terms and dynamics in the development of epithelial adhesion in the larynx an the nostrils, the importance of these temporal structures for protecting the respiratory tract of the embryo from amniotic fluid is demonstrated.

Female↗

Normal histology of the nasal cavity and application of special techniques.

There are three major epithelial types in the nasal mucosa, in addition to numerous accessory structures, some of which are species specific. Without careful and consistent processing of the nose tissue, histopathologic assessment of lesions in the nasal cavity may be compromised. While formalin fixation may be used for routine review of the nasal cavity, Bouin's fixation provides better histologic detail and fewer artifacts. Decalcification is not recommended for nasal tissues to be examined by transmission electron microscopy because of the detrimental effect of decalcifying solutions on sensory cells. Three levels of the nasal cavity may be used for routine histologic review of the nasal cavity, but four or five levels may be more appropriate for certain studies.

Acetates↗