Abstract Background Numbness of the nasal skin is one of the most common complications following rhinoplasty. Objectives The present study investigated postoperative changes in nasal skin sensation among primary and revision rhinoplasty patients and evaluated the recovery outcomes for both groups. Methods A prospective, randomized blinded study was undertaken involving 100 primary and 34 revision open rhinoplasty patients and 50 volunteers as control group. Semmes-Weinstein monofilament testing was performed on 7 designated nasal points preoperatively and at postoperative months 1, 3, 6, and 12, and the results were evaluated. Results Among the primary rhinoplasty patients, the change in reduced sensation on pressure to the tip and infratip over time was significant (P < 0.001), whereas there was no statistically significant difference for the other points. Among the revision rhinoplasty patients, the change in reduced sensation on pressure to the tip, infratip, and base of columella over time was significant (P < 0.001), whereas there was no statistically significant difference at the other points. In a comparison of the revision and primary rhinoplasty patients at all timepoints, a statistically significant reduction in sensation was noted on the application of pressure to all points in the revision patient group (P < 0.001). Conclusions This study found that the sense of touch on pressure returned to normal, aside from at the tip and infratip, by the end of month 12 in primary rhinoplasty patients. The revision rhinoplasty patients, in turn, were observed to have reduced sensation on pressure by the end of month 12, with the greatest reduction at the tip, infratip, and columellar base. Level of Evidence: 3
An epithelioid hemangioendothelioma (EHE) is a rare vascular tumor of the head and neck region, which carries a risk of recurrence and metastasis. Its etiology is still unclear. It frequently involves the lungs, liver, and bones. Rarely, it may manifest in other parts of the body. Pathologic immunohistochemical investigations are essential to make the definite diagnosis. As it is uncommon, there is no standardized protocol for the treatment of EHE. Herein, the authors report a rare patient with of an EHE localized in the head and neck region.
Objective: Although nasal septal abscesses are mostly caused by trauma, they may occur due to non-traumatic causes. In the present study, we aimed to review patients who underwent electrocauterization of the nasal mucosa for epistaxis and subsequently developed a nasal septal abscess. Methods: The study included 11 patients who underwent nasal electrocauterization for epistaxis and were subsequently admitted to our clinic with a pre-diagnosis of septal abscess for drainage of the abscess. The medical records of the patients, including details such as age, sex, duration of follow-up, symptoms, chronic diseases, microbiological cultures, radiological investigations and complications were retrospectively evaluated. Results: Of the 11 patients included, seven were male and four were female with a mean age of 66.18±3.7 years. The mean duration of follow-up was 29.09±17.5 months; five patients had both hypertension and diabetes mellitus, three patients had only diabetes mellitus and three patients had only hypertension. Microbiological culture of the purulent material collected during septal abscess drainage revealed no bacterial growth in six patients, growth of Staphylococcus aureus in two patients and growth of Corynebacterium amycolatum in one patient. Four patients underwent preoperative computed tomography (CT) of the paranasal sinuses and five patients developed a saddle nose deformity in the long-term follow-up. Conclusion: All surgical interventions to the nose or cauterization procedures should be performed under sterile conditions, especially in patients with chronic diseases, and such patients should be followed up after the procedure.
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