Author(s)

N’gouan J. Michel^1*, Téa Basilide¹, Koné Samba², Chatigre Richard¹, Abounan Didier³, Adjoua Pascal¹

¹Otolaryngology and Cervico Facial Surgery of the University Hospital of Cocody, Abidjan, Cote d'Ivoire.
²Traumatology and Orthopedics Surgery of the University Hospital of Cocody, Abidjan, Cote d'Ivoire.
³Department of Anatomy-Pathology of the University Hospital of Cocody, Abidjan, Cote d'Ivoire.

Objective: To report a case of naso-sinus tuberculosis and discuss its diagnosis and management in our context. Clinical Case: A 37-year-old patient, with no previous history, visited us for a swelling under left orbital including a nasal obstruction and intermittent frontal headaches, which has been developed since about one year. Clinical Examination: The anamnesis founds no notion of epistaxis, visual disability, nor notion of fever. It has been noted a swelling under left angulo orbital during physical examination, a burgeoning mass filling the left nasal including a Lymphadenopathy under homolateral mandibular. Para clinical investigations in particular CT scan of the sinuses have highlighted a tissue process under orbital with a left naso-ethmoido-maxillary extension. The anatomical pathologic examination of the biopsy carried out through endoscopy permitted to highlight epithelioid giganto-cell granulomas with caseous necrosis evoking tuberculosis. The patient has been prescribed an anti-tuberculosis treatment. The course of illness is marked by the healing of the patient.

Nasal-Sinus Tuberculosis, Endoscopy, Biopsy

Michel, N. , Basilide, T. , Samba, K. , Richard, C. , Didier, A. and Pascal, A. (2016) Primary Naso-Sinus Tuberculosis (NST) at the ORL and Cervico Facial Surgery Department of the University Hospital of Cocody: About a Case. International Journal of Otolaryngology and Head & Neck Surgery, 5, 79-83. doi: 10.4236/ijohns.2016.52013.