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December 1992


Arch Otolaryngol Head Neck Surg. 1992;118(12):1356-1360. doi:10.1001/archotol.1992.01880120082015

Pathologic Quiz Case 1  Jon Workman, MS, Cincinnati, Ohio; Marcus S. Albernaz, MD; Charles Gilbert, MD, Greenville, NCA 38-year-old black woman presented with a 4-year history of increasing nasal airway compromise. Systemic and topical nasal steroids were required to wean her from over-the-counter oxymetazoline hydrochloride nasal spray. A strict regimen of nasal steroid spray was only marginally successful in improving her nasal airway. Allergy tests were negative.Examination revealed severe inferior turbinate hypertrophy, which responded poorly to vasoconstrictive spray. A fiberoptic examination revealed minimal turbi nate cobblestoning, a clear nasopharynx, and a normal larynx. A preoperative chest roentgenogram was unremarkable, and an uneventful bilateral inferior turbinoplasty with preservation of the medial inferior turbinate mucosa was performed.What is your diagnosis?

Pathologic Quiz Case 2  Daniel G. Becker, MD; Christopher D. McKinney, MD; John F. Huhn, MD; James F. Reibel, MD, Charlottesville, VaA 26-year-old man presented for evaluation

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