Case Report


Idiopathic Nasal Septal Mucocele: A Case Report

Urmila Gurung, Rahul Bathwal

Journal of Otorhinolaryngology and Facial Plastic Surgery, Vol. 10 No. 1 (2024), 13 March 2024,
https://doi.org/10.22037/orlfps.v10i1.44880

Background: Septal mucocele is very uncommon. Those reported mostly have a prior history of trauma however; idiopathic septal mucocele is even rarer.

Case presentation: We report a case of idiopathic septal mucocele who presented with bilateral, progressive nasal obstruction. Clinical examination revealed bilateral, smooth bulge on the anterior cartilaginous septum, which on radiology indicated an expansile cystic mass. As it extended to the nasal spine superiorly, an open rhinoplasty approach was taken for its complete removal. The septal cartilage was absent inside the cyst.

Discussion: Histology showed tissue lined by respiratory epithelium with mucinous glands in the stroma is confirmative of mucocele. Two months post-surgery, the septal perforation had healed well with no evidence of recurrence.

Conclusion: Although rare, septal mucocele should also be considered as differential diagnosis of long-standing septal swelling.

Review Article


Pre-Operative Workup of Cochlear Implant

Syed Qasim Hashmi, Saad Irfan, Syed Rayyan Ahmed, Zaid Hussain, Muhammad Arsalan Bashir, Wajeeh Ahmed Khan

Journal of Otorhinolaryngology and Facial Plastic Surgery, Vol. 10 No. 1 (2024), 13 March 2024, Page 1-9
https://doi.org/10.22037/orlfps.v10i1.45407

Hearing loss, an increasing problem across the globe, results in an important solution in the form of cochlear implants, highlighting the critical need for effective interventions. This review involves analyzing 46 relevant publications via databases such as PubMed and Google Scholar, providing current insights into pre-operative issues. Studies through databases such as PubMed and Google Scholar, ensuring contemporary insights into the pre-operative considerations. The pre-operative evaluation encompasses medical history, covering prenatal events and immediate post-natal health, along with physical examinations and complete audiometric assessments. High-Resolution Computed Tomography (HRCT) and Magnetic Resonance Imaging (MRI) emerge as crucial imaging techniques, guiding surgical planning and electrode placement. Brainstem Evoked Response Audiometry (BERA) supplements inconclusive MRI data, while vestibular screening aids in candidate selection. Cochlear duct length determination, often assessed through imaging techniques, contributes to optimal electrode array selection. Models in cochlear implant research, spanning computational, animal, tissue engineering, and physical models, further enhance our understanding and refinement of cochlear implant designs. In conclusion, this comprehensive pre-operative workup plays a significant role in assessing patient health, identifying causes of deafness, and contributing to the overall success of cochlear implantation, a transformative solution for profound hearing impairment.