NASAL POLYP
• Non neoplastic masses of edematous
nasal or sinus mucosa
TYPES
Bilateral ethmoidal
polyp
Aetiology
Chronic rhinosinusitis
Sampter’s triad
Cystic fibrosis
Allergic fungal sinusitis
kartagener’s syndrome
Young’s s...
PATHOGENESIS
Aetiology
Collection of
extracellular fluid
Edema of nasal mucosa
PATHOLOGICAL CHANGES
Atmosph
eric
irritation
Ciliated
columnar
epitheliu
m
(normal)
Metaplas
tic
change
to
transition
al...
• Sub mucosa- large intercellular space
filled with serous fluid
• Infiltration with eosinophils and round cells
COMMON SITES
Uncinate
process
Bulla
ethmoidalis
Ostia of
sinus
Medial surface
and edge of
middle turbinate
SYMPTOMS
Nasal stiffness—Nasal
obstruction
Loss of smell
Head ache
Sneezing
Watery nasal discharge
Mass protruding from n...
SIGNS
Anterior rhinoscopy--smooth glistening
grape like mass
Nasal cavity--purulent discharge
Long standing
cases---broa...
DIFFERENTIAL
DIAGNOSIS
TREATMENT
Antihistaminics
Medical
treatment
Steroids
Polypectomy
Intranasal
etmoidectomy
Extranasal
etmoidectomy
Trasantral
etmoidectomy
FESS
Surgical
treatment
ANTROCHOANAL POLYPI
Antral
Nasal
Choanal
AETIOLOGY
• Common in children and young adults
• Nasal allergy +sinus infection-most
common cause
• Usually single and un...
SYMPTOMS
Nasal
disharge
Thick
and dull
voice
Unilateral
nasal
obstruction
SIGNS
anterior rhinoscopy
Large
polypgreyish
mass+nas
al
discharge
small
polypmasked
Soft&can
be moved
up&down
with prob...
Posterior rhinoscopy
Globular mass
filling the
choana/oropharyn
x
Large polyp-hang
ddown beneath
soft
palate&present in
o...
DIFFERENTIAL DIAGNOSIS
A blob of
mucus
Hypertrop
hied
middleturb
inate
Angiofibro
ma
neoplasm
INVESTIGATIONS
• X-ray of paranasal sinuses
• X-ray of softtissue nasopharynx
TREATMENT
Avulsion
through
nasal/oral
route
Caldwellluc
operation
Endoscopic
sinuss
surgery
Nasal polyp kmct
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Nasal polyp kmct

Published on: Mar 3, 2016
Published in: Health & Medicine      Entertainment & Humor      
Source: www.slideshare.net


Transcripts - Nasal polyp kmct

  • 1. NASAL POLYP
  • 2. • Non neoplastic masses of edematous nasal or sinus mucosa
  • 3. TYPES
  • 4. Bilateral ethmoidal polyp
  • 5. Aetiology Chronic rhinosinusitis Sampter’s triad Cystic fibrosis Allergic fungal sinusitis kartagener’s syndrome Young’s syndrome Churg strauss syndrome nasal mastocytosis
  • 6. PATHOGENESIS Aetiology Collection of extracellular fluid Edema of nasal mucosa
  • 7. PATHOLOGICAL CHANGES Atmosph eric irritation Ciliated columnar epitheliu m (normal) Metaplas tic change to transition al and squamou s type
  • 8. • Sub mucosa- large intercellular space filled with serous fluid • Infiltration with eosinophils and round cells
  • 9. COMMON SITES Uncinate process Bulla ethmoidalis Ostia of sinus Medial surface and edge of middle turbinate
  • 10. SYMPTOMS Nasal stiffness—Nasal obstruction Loss of smell Head ache Sneezing Watery nasal discharge Mass protruding from nostrils
  • 11. SIGNS Anterior rhinoscopy--smooth glistening grape like mass Nasal cavity--purulent discharge Long standing cases---broadening of nose and increased intercanthal distance
  • 12. DIFFERENTIAL DIAGNOSIS
  • 13. TREATMENT Antihistaminics Medical treatment Steroids
  • 14. Polypectomy Intranasal etmoidectomy Extranasal etmoidectomy Trasantral etmoidectomy FESS Surgical treatment
  • 15. ANTROCHOANAL POLYPI Antral Nasal Choanal
  • 16. AETIOLOGY • Common in children and young adults • Nasal allergy +sinus infection-most common cause • Usually single and unilateral
  • 17. SYMPTOMS Nasal disharge Thick and dull voice Unilateral nasal obstruction
  • 18. SIGNS anterior rhinoscopy Large polypgreyish mass+nas al discharge small polypmasked Soft&can be moved up&down with probe
  • 19. Posterior rhinoscopy Globular mass filling the choana/oropharyn x Large polyp-hang ddown beneath soft palate&present in oropharynx
  • 20. DIFFERENTIAL DIAGNOSIS A blob of mucus Hypertrop hied middleturb inate Angiofibro ma neoplasm
  • 21. INVESTIGATIONS • X-ray of paranasal sinuses • X-ray of softtissue nasopharynx
  • 22. TREATMENT Avulsion through nasal/oral route Caldwellluc operation Endoscopic sinuss surgery

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