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PATHOLOGIC QUIZ CASE 1
J. R. CHANDLER, MD, MIAMI, FLA
A 46-year-old yacht captain had noticed some soreness on the left side of his face along the ascending ramus of his jaw ever since an abscessed left lower tooth has been removed nine years previously. For one year he had noticed some numbness in association with it. There was no impairment of hearing and no aggravation on jaw motion. There was no difficulty in breathing. He had never experienced bleeding.Examination revealed a marked nasal septal deviation to the right. There were marked atrophic changes present on the left. The left middle turbinate appeared to be absent but was replaced in part by a granular watery-like polypoid mass relatively high in the nasal fossa. It also appeared to involve the posterior portion of the nasal septum and was covered by some whitish exudate. Its surface was rough and papilliferous in appearance.
SATALOFF J. The Resident's Page. Arch Otolaryngol. 1966;83(4):392–395. doi:10.1001/archotol.1966.00760020394022
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