Abstract:A 64 year old female with no underlying medical illness presented with 3 months history of unilateral nasal blockage and rhinorrhoea. Nasopharyngeal examination revealed a smooth surface mass in the posterior nasal space. Endoscopic biopsy confirmed the mass to be Extramedullary Plasmacytoma. Investigation pertaining to multiple myeloma revealed no evidence of the disease. The mass was excised endoscopically and the patient completed 25 cycles (50Gy) radiotherapy. Patient had no evidence of recurrence after 6 months follow up.

The aim of the study was to determine the association of angulation of nasal septum with the severity of rhinosinusitis as measured by symptom score and Visual Analog Score (VAS). Method: The study was performed as a cross sectional study conducted at two different centres in Malaysia. Ninety-eight patients who were diagnosed with rhinosinusitis and fulfilled the selection criteria were assessed as for the symptom score and VAS and the measurement of angulation of nasal septum was performed through a coronal view of CT paranasal sinuses in bone window setting at osteomeatal complex level. Results: The result obtained from one-way ANOVA test revealed a significant association between category of severity of septal angulation and the symptom score of rhinosinusitis (p=0.025). In addition, the result obtained from one-way ANOVA test also revealed a significant association between category of severity of septal angulation and the VAS of rhinosinusitis (p<0.05). Conclusion: Severity of nasal septum angulation may be significantly associated with severity of rhinosinusitis based on symptom score and VAS. These findings could be used in tailored management of patient with rhinosinusitis especially during functional endoscopic sinus surgery.