PATHOLOGIC QUIZ CASE 1
Robert E. Fechner, MD, Charlottesville, Va
A 36-year-old woman was admitted to the hospital with the complaint of nasal obstruction and an intermittent discharge. She also had a sense of fullness and discomfort in the region of her left maxillary sinus. A roentgenogram showed opacification of the sinus. On physical examination, the left nasal fossa was partially filled by a mass covered with purulent exudate. The mass originated from the lateral wall.The patient had had polyps removed from the nose on several occasions during the preceding eight to ten years. Seven months before hospital admission, nasal polyps had been excised, and a nasoantral window was created on the left side. At the conclusion of the procedure, sterile gauze impregnated with 3% tetracycline hydrochloride antibiotic ointment was placed into the wound.A review of the polyps removed previously, both from the nasal fossa and the left
FECHNER RE. Resident's Page. Arch Otolaryngol. 1981;107(10):646–649. doi:10.1001/archotol.1981.00790460058018
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