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  Vol. 129 No. 9, September 2003 TABLE OF CONTENTS
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  Clinical Problem Solving: Pathology
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Pathology Quiz Case

Samuel L. Hill III, MD; John H. Krouse, MD, PhD
Wayne State University, Detroit, Mich

Arch Otolaryngol Head Neck Surg. 2003;129:1015.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 39-YEAR-OLD woman presented with a 3-year history of total nasal obstruction. She also complained of facial pain and postnasal drainage that had been increasing for several months. She denied any history of facial trauma but did admit to a long history of intermittent cocaine abuse. She denied any symptoms of epistaxis, epiphora, otalagia, diplopia, or weight loss. The rest of her medical and surgical history was unremarkable.

Nasal examination revealed bilateral total nasal stenosis. The nasal cavities ended in blind mucosal-covered bony pits approximately 1 cm from the anterior rim of the nares. An anterior septal perforation was also noted. No lymphadenopathy was noted in the neck. The findings of the rest of the head and neck examination were normal. A computed tomographic scan of the head and neck region (Figure 1) revealed bilateral bony thickening of . . . [Full Text of this Article]



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RELATED ARTICLE

Pathology Quiz Case—Diagnosis
Arch Otolaryngol Head Neck Surg. 2003;129(9):1016-1017.
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