Benign lesions of the sinonasal tract: clinical study
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20191734Keywords:
Polyp, Nasal mass, Neoplastic, SurgeryAbstract
Background: Benign nasal mass lesions may remain asymptomatic for a long time. Bothersome symptoms like nasal obstruction, bleeding from nose, headache prompts the patient to visit the hospital. Although these are not life threatening, but yet timely intervention not only relieves patient symptoms but also prevents its further progress which may necessitate a more extensive surgical approach. The aim of the study was to determine the incidence of various benign nasal mass lesions presenting to the ENT outpatient department, by reviewing the histopathological report postoperatively.
Methods: It’s a retrospective study over a period of 4 years and 1 month (from November 2012 to November 2016). Both males and females in the age group 1 yr to 70 yrs, who underwent surgery for nasal mass and histopathologically proved as benign mass, were included in the study. Patient data was collected from medical record section, operation theatre surgical records and histopathology register from the department of pathology.
Results: Histopathology review of 146 cases was done. Majority of the patients (139/146) had non neoplastic lesions and only 7 patients had benign neoplastic lesion. Majority were males and in the age group of 20 to 60 yrs.
Conclusions: Though the majority of nasal mass lesions studied are benign non neoplastic, yet these cause bothersome symptoms to the patients thereby requiring surgical intervention.
Metrics
References
Hillman JE. Otolaryngologic manifestations of pregnancy-The Baylor college of Medicine in Houstan, Texas Grand Rounds Archive. 1995.
Christensen FC, Hoover LA. Malignant tumours of nasal cavity. Am J Rhinol. 1994;8(3):129-37.
Rhowedder J. Upper respiratory tract tuberculosis. Sixteen cases in a general hospital. Ann Intern Med. 1974;80:708-13.
Lund VJ. Diagnosis and treatment of nasal polyps. BMJ. 1995;311:1411-4.
Dasgupta A, Ghosh RN, Mukherjee C. Nasal polyps –histopathological spectrum. Indian J Otolaryngol. 1997;49:32-7.
Mysorekar VV, Dandekar CP, Rao SG. Polypoidal lesions in the nasal cavity. Bahrain Med Bull. 1997;19:67-9.
Bruckner AL, Freiden IJ. Hemangiomas of infancy.J Am Acad Dermatol. 2003;48:477-93.
Tan SL, Neoh CY, Tan HH. Rhinoscleroma:a case series. Singapore Med J. 2012;53(2):24-7.
Samaddar RR, Sen MK. Rhinosporidiosis in Bhankura. Indian J Pathol Microbiol. 1990;33:129-36.
Polson CJ. On rhinoliths. J Laryngol Otol. 1943;58(3):79-116.
Linnert D. Exogene Ursachen Fur die Entstehung von Nasensteinen. Zeitschrift fur Laryngologie, Rhinologie, Otologie und ihre Grenzgebiete. 1966;45(8):524-8.
Olbrich H. Rhinolith in einem Gaumendefekt. HNO. 1965;13:116-7.
Monu JUV, Mc Manus CH, ward WG, Haygood TM, Pope TL, et al. Soft tissue masses caused by long standing foreign bodies in extremities:MR imaging findings. AMJR Entgenol. 1995;165:395-7.
Barzilai M. Case report: Bilateral nasoalveolar cysts. Clin Radiol. 1994;49(2):140-1.
Das Gupta TK, Brasfield RD, Strong EW, Hajdu SI. Benign solitary Schwannomas (neurilemomas). Cancer. 1969;24:355-66.
Shinohara K, Hashimoto K, Yamashita M, Omori K. Schwannoma of the nasal septum removed with endoscopic surgery. Otolaryngol Head Neck Surg. 2005;132:963-4.
Unganont K, Byers RM, Weber RS, Callender DL, Wolf PE, Goepfer H. Juvenile nasopharyngeal angiofibroma: an update of therapeutic management. Head Neck. 1996;18:60-6.
Guerrissi JO, Miranda MG, Olivier R. Giant hemangiopericytoma of mandible: A propos of a case: A variant of the surgical technique for protection of the articular fossa. J Craniofac Surg. 2006;17:523-7.