Study on 24 patients who suffer from nasal papilome treated at E.N.T hospital from Jun 2002 to August 2003. The result showed that: inversion papilome: 12 patients, mushroom-like papilome:10 patients and cylinder cell papilome: 2 patients. The original source of papilome sinus xoang is the effect of sinustits cause by bacterium, virus or allergy. There is no relation between macro- and microscopic pathological findings. Rhinocleisis oftent occur in inversion papilome group, nasal heamorrhage often occured in mushroom-like papilome.
Nasal Polyps ; Diagnosis

Antrochoanal polyp (ACP) is usually unilateral and occurs most commonly in children. However, bilateral ACP in children is extremely rare. In this paper, we report two such cases of bilateral antrochoanal polyps removed by functional endoscopic sinus surgery and discuss the etiology, diagnosis and management of nasal polyps in children.
Child* ; Diagnosis ; Humans ; Nasal Polyps ; Polyps*

BACKGROUND AND OBJECTIVES: Antrochoanal polyp (ACP) is defined as a polyp that originates in the maxillary sinus and passes through the sinus ostia. Physical examination and radiologic findings are the two most important aspects in the diagnosis and treatment of ACPs. However, there have been little attempts to describe the OMU CT findings of ACPs. In this study, authors reviewed the preoperative OMU CT findings of ACPS. MATERIALS AND METHOD: A total of 21 patients without the history of any previous nasal operations were entered into the study. The following seven radiologic parameters were reviewed: presence of polyp, origin of ACP, identification of accessory ostium, destruction in the OMU area, bony changes of the medial maxillary sinus wall, shapes of ACP that extended into nasopharynx in relation with sinusitis. RESULTS: ACPs were classified into three stages according to the level of extension. Of those 21 patients, polyps were observed in 20 patients, destructive changes only in 2 patients and bony changes of the medial wall in 17 patients. Lobulated contour in shape was observed in 24% of the patients. CONCLUSION: ACP is originated in the maxillary sinus and it grows into the nasal cavity via the posterior fontanelle area. It may regress due to insufficient blood supply, but its shape is retained.
Cranial Fontanelles ; Diagnosis ; Humans ; Maxillary Sinus ; Nasal Cavity ; Nasal Polyps ; Nasopharynx ; Physical Examination ; Polyps* ; Sinusitis

Humans ; Nasal Cavity ; pathology ; Nasal Obstruction ; diagnosis ; Nasal Polyps ; diagnosis ; Turbinates

Europe ; Humans ; Nasal Polyps ; diagnosis ; therapy ; Sinusitis ; diagnosis ; therapy

We present a case of huge nasal polyp with metaplastic ossification, which obstructed left nasal cavity and nasopharynx, and provoked both nasal obstruction and sleep apnea. The patient had a history of previous sinus surgery at local hospital 30 years ago. Nasal polyp with metaplstic ossification was removed by endoscopic sinus surgery. This case highlights the importance of including metaplastic ossification of nasal polyp in the differential diagnosis of nasal cavity mass.
Diagnosis, Differential ; Humans ; Metaplasia ; Nasal Cavity ; Nasal Obstruction ; Nasal Polyps* ; Nasopharynx* ; Sleep Apnea Syndromes

We present a case of huge nasal polyp with metaplastic ossification, which obstructed left nasal cavity and nasopharynx, and provoked both nasal obstruction and sleep apnea. The patient had a history of previous sinus surgery at local hospital 30 years ago. Nasal polyp with metaplstic ossification was removed by endoscopic sinus surgery. This case highlights the importance of including metaplastic ossification of nasal polyp in the differential diagnosis of nasal cavity mass.
Diagnosis, Differential ; Humans ; Metaplasia ; Nasal Cavity ; Nasal Obstruction ; Nasal Polyps* ; Nasopharynx* ; Sleep Apnea Syndromes

OBJECTIVE: To report the first case of primary bilateral antro-choanal polyps in the elderly age group.

METHODS:
Design: Case report
Setting: Tertiary Government Hospital
Patient: One
Result: A 60-year-old, non-allergic female with progressive bilateral nasal obstruction was subsequently diagnosed with bilateral antro-choanal polyps. Endoscopic sinus surgery was performed and the patient remained asymptomatic on one year follow-up.

Conclusion: Antro-choanal polyps can occur bilaterally in the elderly age group. To the best of our knowledge, this is the first reported case of primary bilateral antro-choanal polyps in an elderly female.

Samter's triad (ST) is a well-known disease characterized by the triad of bronchial asthma, nasal polyps, and aspirin intolerance. Over the past few years, a rapid development in the knowledge of the pathogenesis and clinical characteristics of ST has happened. The aim of this paper is to review the recent investigations on the pathophysiological mechanisms and genetic background, diagnosis, and different therapeutic options of ST to advance our understanding of the mechanism and the therapeutic control of ST. As concern for ST increase, more application of aspirin desensitization will be required to manage this disease successfully. There is also a need for continued research efforts in pathophysiology, treatment, and possible prevention.
Aspirin ; Asthma ; Diagnosis ; Genetic Background ; Nasal Polyps ; Sinusitis

PURPOSE: Several kinds of nasal cavity lesions located in the region of the infundibulum on CT. At such time,the visualization of these lesions is very sinilar. The purpose of this study was to differentially diagnose thesenasal cavity lesions through evaluation of the MR findings. MATERIALS AND METHODS: In 51 cases of pathologicallyproven nasal cavity masses which on CT showed infundibular widening, we retrospectively evaluated the MR findings.The cases involved prolapsed antral mucosa from sinusitis(n=15), inverted papilloma(n=10), antrochoanalpolyp(n=10), aspergillosis(n=9), and nasal polyp(n=7). All patients underwent both CT and MR. imaging. RESULTS: In all cases, CT findings were similar ; soft tissue masses filling the maxillary sinus and nasal cavity wereassociated with infundibular widening caused by pressure on the uncinate process, leading to erosion. Differentialdiagnosis by CT was very difficult ; MR T2 weighted imaging was most effective for differential diagnosis of thesenasal cavity masses. Prolapsed antral mucosa showed central inhomogeneous mixed signal intensity, with aperipheral rim of hyperintensity along the sinus wall and nasal component. Antrochoanal polyps showed homogeneousbright signal intensity of the antral and nasal component. Aspergillosis showed central dark signal foci. Invertedpapillomas showed mixed intermediate and high intensity mixed with high signal intensity. Nasal polyps showedstriation mixed of intermediate and high signal intensity, while nasal polyp showed striation of intermediate andhigh intensity. On Gd-enhanced T1 weighted images, prolapsed antral mucosa and antrochoanal polyp showedperipheral rim enhancement of the antral and nasal component. In contrast, inverted papilloma and nasal polypshowed intense enhancement of the mass and can be separate from the sinus inflammatory disease. CONCLUSION: Various nasal cavity masses showing infundibular widening on CT can be differentiated on MR images, especially ofthese are T2 weighted or contrast enhanced T1 weighted.
Aspergillosis ; Diagnosis, Differential ; Humans ; Maxillary Sinus ; Mucous Membrane ; Nasal Cavity* ; Nasal Polyps ; Papilloma, Inverted ; Paranasal Sinuses ; Polyps ; Retrospective Studies