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A comprehensive nursing assessment is essential for patients with valvular heart disease, which involves any dysfunction of the heart valves that could impact blood flow and overall heart function.Subjective Data Collection:Chief Complaint and Present Illness: Start with the patient's primary concerns, focusing on the onset, duration, and progression of cardiac symptoms such as dyspnea, fatigue, chest pain, and palpitations.Past Medical History: Collect detailed information on any previous...
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Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
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The nose is composed of an observable exterior segment (external nose) and an internal segment within the skull known as the nasal cavity (internal nose). The external nose, visible on the face, consists of a framework of bone and hyaline cartilage enveloped in skin and muscle and lined with a mucous membrane. This structure is supported by the frontal bone, nasal bones, and maxillary bone and is supplemented by a cartilaginous framework comprising the septal nasal cartilage, lateral nasal...
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Midnasal stenosis in adults with normative values.

O Ozturan1, E Senturk1, R Dogan1

  • 1Department of Otorhinolaryngology, Medical Faculty, Bezmialem Vakif University, Fatih, Istanbul, Turkey.

The Journal of Laryngology and Otology
|January 7, 2022
PubMed
Summary

Midnasal stenosis, a nasal obstruction cause in adults, is reported here for the first time. This study defines normative measurements and suggests diagnostic criteria and surgical options for this condition.

Keywords:
Maxillary SinusNasal ObstructionNoseParanasal SinusesTurbinates

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Area of Science:

  • Otolaryngology
  • Rhinosinusology
  • Medical Imaging

Background:

  • Congenital midnasal stenosis is known in infants, but its occurrence and characteristics in adults remain undocumented.
  • Normative anatomical measurements for adult midnasal stenosis have not been previously established.

Purpose of the Study:

  • To report the first cases of midnasal stenosis in adults.
  • To establish normative anatomical measurements for the adult midnasal region.
  • To suggest diagnostic and treatment strategies for adult midnasal stenosis.

Main Methods:

  • Case series of three adult patients diagnosed with midnasal stenosis.
  • Computed tomography (CT) scans analyzed for anatomical measurements.
  • Comparison of patient measurements with those of 161 healthy individuals.

Main Results:

  • Adult midnasal stenosis was identified in three patients presenting with nasal obstruction.
  • Significant differences in endonasal cavity dimensions were observed between males and females.
  • Patients exhibited a constricted midnasal region compared to healthy controls.

Conclusions:

  • This study introduces midnasal stenosis as a condition affecting adults, providing the first normative data.
  • Endoscopic visualization of medially located middle turbinates and uncinate processes suggests potential midnasal stenosis.
  • Paranasal sinus CT scans are crucial for definitive diagnosis, with surgical interventions like turbinectomy and uncinectomy proposed for relief.