Philip F. Anthony, MD, Marcella Klima, MD, Houston
A 58-year-old man had a history of "sinus trouble" for five years prior to facial congestion and intermittent, bilateral anterior, mild facial discomfort. Four years prior to admission, the patient had undergone a maxillary molar extraction on the right side with oro-antral fistula formation that was closed surgically. Two years prior to presentation, the patient began to note progressive weakness and, one week before his original examination, he noted rhinorrhea (clear), increased postnasal drip without nasal obstruction, epistaxis, or facial pain. He denied smoking or significant alcohol intake, but he had postnecrotic cirrhosis.Physical examination disclosed clear mucus in his nostrils bilaterally, a 2 × 2 × 1-cm, smooth, nonulcerated, sessile swelling in the superior lateral portion of the right side of the nasopharynx. There was no serous otitis media nor was there any cervical, axillary, inguinal, or epitrochlear
FECHNER RE. Resident's Page. Arch Otolaryngol. 1979;105(6):373–374. doi:10.1001/archotol.1979.00790180071019
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