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Clinical Problem Solving
August 2013

Nasal Obstruction and Anosmia

Author Affiliations
  • 1Department of Otolaryngology–Head and Neck Surgery, Massachusetts Eye and Ear Infirmary, Boston
  • 2Department of Otology and Laryngology, Harvard Medical School, Boston, Massachusetts
  • 3Division of Otolaryngology–Head and Neck Surgery, Beth Israel Deaconess Medical Center, Boston, Massachusetts
JAMA Otolaryngol Head Neck Surg. 2013;139(8):851-852. doi:10.1001/jamaoto.2013.3823

A 56-year-old woman presented with a several-year history of nasal obstructive symptoms and anosmia. Despite previous courses of fluticasone propionate, she experienced no improvement. She had no associated pain, rhinorrhea, headaches, changes in vision, or epistaxis, and her medical history was negative for either allergic rhinitis or chronic rhinosinusitis. Findings from the physical examination were notable for bilateral, obstructing nasal masses arising from the superior nasal cavity (Figure, A).

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