2 Nasal PolypHypertrophied, oedematous, prolapsed mucosa of nose & paranasal sinus.Properties of nasal polyp: Gray in colour Glistening Smooth surface Pedunculated Insensitive to pain Mobile Does not bleed on probing
10 Examination of nasal mass Inspection = side, size, number, color, surface, pedunculated or sessile, origin, attachmentProbing = consistency, sensitivity to touch, bleeding on touch, can be passed all aroundShrinkage with decongestant drops
11 Hypertrophied turbinate Probe can be passed all around Probe testAntrochoanal polypHypertrophied turbinateInsensitive to painSensitiveProbe can be passed all aroundCannot be passedMobileNot mobile
12 Etiology & origin Etiology: Infective maxillary sinusitis Anomaly of maxillary sinus ostiumOrigin:Arises from maxillary sinus mucosa & exits via its natural or accessory ostium
13 Why AC polyp goes back? 1. Maxillary ostium is directed posteriorly 2. Cilia beat posteriorly3. Air current flows posteriorly4. Nasal floor slopes posteriorly5. Posterior nasal cavity is larger6. Negative oropharynx pressure while swallowing
14 Investigations Diagnostic Nasal Endoscopy X-ray PNS (Waters view) X-ray nasopharynx lateral view:presence of air b/w skull base & polypCT scan PNS (coronal cuts)
48 Antrochoanal polyp Ethmoid polyp Seen in adolescents & children Adult Etiology is infectionAllergicSingleMultipleUnilateralBilateralShape is tri-lobed (dumbbell)Grape likeGrows backwardForwardTreatment is surgicalMedical + SurgicalRecurrence is uncommonCommon
Your consent to our cookies if you continue to use this website.