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Pilonidal sinus disease has been described as a hair dressers' or (barbers') disease because of short hairs that penetrate the interdigital spaces of the hand. Pilonidal sinus disease is common around the sacrococcygeal region but rarely seen in the anal canal, umbilicus, chest wall, ear, or on the scalp. Our case involves a 21-year-old man who was doing his military service. He complained of a mass which he had had for several years around the left occipital region of the scalp, the patient's medical history seemed uneventful. We totally excised the lesion and sutured. After the operation, histopathology confirmed our diagnosis as pilonidal sinus of the scalp. After a three-month follow-up, the patient had made a complete recovery. Pilonidal sinus disease involves a hair-containing sinus first described by Herbert Mayo in 1833 [1]. In 1880, Hodge suggested the term 'pilonidal' [2] from the Latin 'pilus' for hair and 'nidus' meaning nest, and later Karydakis [3,4] defined the pathogenesis of this disease. After a long debate the disease is no longer considered a congenital abnormality even though 50-70% of cases have hair shafts in the lesion. Pilonidal sinus disease has been described as a hair dressers' or (barbers') disease because of short hairs that penetrate the interdigital spaces of the hand [5,6,7]. The mechanism for the formation of sinuses by hairs was postulated by Hodges in 1880 in an article on postnasal pilonidal sinus [2]. The first case of a sinus in a hairdresser was described by Templeton in 1942 [7]. Pilonidal sinus disease is common around the sacrococcygeal region [8] but rarely seen in the anal canal [9], umbilicus [10], chest wall [11], ear [12], or on the scalp [13]. As near as we can determine, only a few cases appear in the existing literature. We are reporting here on an unusual case of pilonidal sinus of the scalp with no apparent reason., Case Our case involves a 21-year-old man who was doing his military service. He complained of a mass which he had had for several years around the left occipital region [...]

Objective: A retrospective review of 18 cases with MSSS studied of 312 consecutive patients with maxillary sinusitis demonstrated by computed tomography of paranasal sinuses from January 2003 to November 2007. Age, sex, clinical manifestations and radiological findings were studied and compared. Results: All patients showed a orbital floor retraction toward the lumen of the affected sinus in sinus CT scans. All patients presented a homolateral enlarged middle meatus to the affected maxillary sinus. In 77,8% patients, affected maxillary ostium was obstructed by one or more anatomical causes, which was endoscopically and/or radiologically confirmed. In 55,6% patients, maxillary sinus was totally opacified. In all patients, the orbital content volume was increase in the affected sinus side. Conclusions: MSSS is a well-known and described entity in otolaryngology and ophthalmology, but nevertheless it is a relative and frequently under-diagnosed disorder and poorly regarded by the radiologists, despite their characteristic CT scan findings., Introduction Maxillary Silent Sinus Syndrome (MSSS) consists of asymptomatic facial asymmetry and enophthalmos caused by chronic atelectasis of one or both maxillary sinuses. Even though its clinical diagnosis through the [...]

Acute suppurative otitis media rarely involve adjacent dura (posterior and middle) and sigmoid sinus. Wide use of antibiotics is the common cause of decrease incidence of these complications. We are reporting this case because of its presentation. She was presented with symptoms and signs of meningismus with minimal ear symptoms and signs. Our massage is every patient with fever, headache and previous history of ear discharge should be thoroughly examined to rule out the source of infection and to prevent further complications. Keywords: ASOM | mastoiditis | perisinus abscess | CT scan, Introduction Acute otitis media (ASOM) is the most common localized infectious process occurring in the first 5 years of life. The clinical course of acute otitis media is usually short, [...]

Mucocele is a rare intracranial pathology. In majority mucoceles arise within the frontal and ethmoid sinuses. Intracranial and intraorbital extensions are uncommon. A 48 year old male with a history of head trauma with multiple craniofacial fructures for 30 years. After 30 years came to first generalized epileptic seizure, also the leftside exophthalmos was observed. The radiological investigations, computed tomography (CT) and magnetic resonanse (MRI), showed large extracerebral pathological mass invading the left frontal and ethmoid sinuses, left orbit and anterior cranial fossa with left frontal lobe compression. The left side fronto--basal craniotomy was performed. The histopathological diagnosis was mucocele. Postoperative neurological examination revealed no deficit. The patient was seizures free and in good condition discharged from the department. Mucocele is a rare, benign pathology arising intracranial from the sinuses. The results are good, the frequency of complication is low. Keywords: mucocele | frontal sinus | intracranial extension | orbit, Introduction Mucocele is a rare benign intracranial pathology arising from the paranasal sinuses, in the frontal and ethmoid, but intracranial extension is uncommon. The cause is the accumulation of mucous [...]

Metallic Foreign bodies in maxillary sinus are rare. Caldwell-Luc (CWL) procedure is used for their removal, but it is associated with complications like oro-antral fistula, gingivolabial fistula, dacrocystitis, and devitalized tooth. Moreover the potential problem of altered facial development as a result surgical treatment in children is well recognized. Functional endoscopic sinus surgery (FESS) has emerged as a better alternative. A case of an 8 year old male child with a metallic pellet due to gun shot injury in maxillary sinus is being presented and the effect of FESS and CWL procedure in pediatric population are discussed. Keywords: Caldwell-Luc procedure, Functional endoscopic sinus surgery, Maxillary sinus, Table of Contents Abstract Introduction Case Report Discussion References Introduction A metallic foreign body impacted in the maxillary sinus is very rare. Management of para-nasal sinus pathology has undergone a [...]

Caldwell- Luc (CWL) procedur is associated with complications like oro-antral fistula, gingivolabial fistula, dacrocystitis, and devitalized tooth. Moreover the potential problem of altered facial development as a result surgical treatment in children is well recognized. Functional endoscopic sinus surgery (FESS) has emerged as a better alternative. A case of an 8 year old male child with a metallic pellet due to gun shot injury in maxillary sinus is being presented and the effect of FESS and CWL procedure in pediatric population are discussed. Keywords: Caldwell- Luc procedure, Functional endoscopic sinus surgery, Maxillary sinus, Table of Contents Abstract Case Report Discussion References Dear Sir, A case with entrapment of a metallic foreign body in the maxillary sinus following a ballistic injury, which was managed [...]

Table of Contents Abstract Introduction Material and Methods Results Discussion References Abstract Pilonidal sinus has been accepted as an acquired condition that can present in many ways and bears a [...]

Table of Contents Abstract Introduction Case report Discussion Conclusion References Abstract The term Sinus histiocytosis with massive lymphadenopathy (SHML) was introduced by Rosai and Dorfman in 1969 and is now [...]

Table of Contents Abstract Introduction Materials & Methods Results Discussion Conclusions References Abstract Introduction: Functional Endoscopic Sinus Surgery is a method used with success in the treatment of chronic or [...]

Table of Contents Abstract Introduction Case Report Summary Conclusion References Abstract We present an 11 years old female with the complaints of persistent left frontal headache, unilateral nasal obstruction, and [...]

Septic cavernous sinus thrombosis is a rare and potentially life-threatening complication of infections involving the paranasal sinuses or the middle one-third of the face. We report a challenging.... Murat Songu, [...]