Nasal actinomycosis is a rare disease. We present a case of nasal actinomycosis causing symptoms similar to those of a nasal foreign body. A 34-year-old woman presented with a long history of halitosis and unilateral offensive, purulent rhinorrhea. Rigid nasendoscopy showed a hard, dark gray mass between the middle and inferior turbinates. Computed tomography findings were typical of a nasal foreign body. Endoscopic removal of the mass was performed, and histopathology established a diagnosis of actinomycosis. We suggest that every clinician confronted with unilateral nasal symptoms and/or signs should have this clinical entity in mind, since it has justifiably been characterized as the head and neck “mimic.”

Adhesion molecules may relate to nasal polyp prognosis and recurrence rates.

Tumours of the parapharyngeal region represent 0.5 % of all head and neck tumours. Most of them are benign and derive from the salivary gland tissue or have neurogenic offspring (neurolemmoma and paraganglioma). Fibrolipoma of the parapharyngeal space are extremely rare. There are only case reports found occasionally in the literature. We report about case of fibrolipoma in the parapharyngeal space of a 65-years-old man. Symptoms, diagnostic, differential diagnostic, as well as treatment will be discussed in context with the international literature.