Study of Nasal Polyps in a Tertiary Care Hospital (original) (raw)
Related papers
An Overview of Nasal polyps and its pathogenesis, commodities and treatment
IOSR Journals , 2019
The seditionary noncancerous extensions of nasal and paranasal mucosa are called nasal polyps affecting up to 4% of population. They arise from the long-term inflammation of the mucosa of the nasal cavity leading to changes of olfactory, rhinorhea, nasal blockage. If nasal polyps presents with at least two or more of the following symptoms persistently occur for 12 weeks or more, nasal discharge occurring anteriorly or runny nose, post nasal dripping, blockage of nasal cavity. Blockage of nose is the chief complain of patients with nasal polyps that is consistent with variety in severity depending on the size of the polyps, With the help of anterior Rhinoscopy or endoscopy polyps, hyperemia of the mucosa of nasal cavity, narrowing of the nasal pathway could be noticed. Risk Factors of nasal polyps include Asthma, cystic fibrosis, AERD, allergic fungal sinusitis. Treatment options includes with topical intranasal steroids. Glucocorticosteroids are the best to treat nasal polyps. In case of patients with AERD daily high dosage of acetylsalicylic acid have showed reduced the polyps recurrence and sinal infections, use of oral and topical corticosteroids have been reduced and also microsmia got improved. The aim of the contemporary study was to review the available literature regarding the etiologic factors, causative agents, diagnosis and treatment options of nasal polyps.
Chronic rhinosinusitis patient with nasal polyps at Dr. Soetomo General Academic Hospital Center
Bali Medical Journal, 2022
Background: Nasal polyps are benign chronic inflammatory masses with epithelial tissues of the nasal mucosa and paranasal sinuses. The clinical diagnosis is made based on sinonasal symptoms for more than three months and the presence of polyps in the nasal cavity. The classification of nasal polyps based on the histopathological structure is divided into three types, i.e., oedematous, eosinophilic polyps, inflammatory polyps, and chronic seromucous inflammatory polyps. This study aims to describe the profile of patients with nasal polyps at Dr. Soetomo Public Hospital Surabaya. Methods: This study applied a descriptive method with a retrospective approach by obtaining data from the medical records of the outpatient unit in the Ear, Nose, Throat, and Head-Neck (ENT-HN) Department of Dr. Soetomo Public Hospital Surabaya for the period January 2017-December 2018 based on age, gender, clinical symptoms, symptoms duration, polyp types, location of nasal polyp, and comorbidities. Results: The number of patients with nasal polyps was slightly more in women, as many as 13 patients or 52%, mostly aged 51-60 years old, amounting to 11 patients or 44%. The most common clinical symptom experienced by patients was nasal obstruction, as many as 24 patients or 96%. Patients who experienced symptom duration for one to three years before treatment amounted to 13 patients or 52%. Patients with histopathology of inflammatory nasal polyps were 19 patients or 76%, while patients of nasal eosinophil polyps were six patients or 24%. Additionally, patients with comorbidity in nasal polyps of allergic rhinitis medical history were 11 patients or 44%. Also, bilateral nasal polyps were mostly experienced by patients, reaching 14 patients or 56%. Conclusion: This study reveals nasal polyps in women aged 51-60 years with clinical symptoms of nasal obstruction with the results of a histopathological examination of the inflammation type at bilateral polyps.
Risk factors for nasal polyps, a case-control study
2022
Background Nasal polyposis is considered one of the most common diseases that cause obstruction of the respiratory tract and impede the patient's quality of life. Aims The aim is to determine if smoking and body mass index are risk factors for hyperplastic nasal polyps in patients with chronic obstructive rhinitis and allergic rhinitis, and thus conducting early diagnostic investigations to detect the disease early and limit its development. Methods A cross-sectional case control study was conducted that includes patients who came to Damascus Hospital with complaints of chronic obstruction of the nose and chronic allergies that doesn’t respond to conventional treatments and who met the entry criteria and patients from ENT Division without symptoms of obstructive respiratory tracts . Results 120 patients were included in the study and were distributed as follows: 60 patients with nasal polyps and 60 patients without nasal polyps. The arithmetic mean of age in the group of cases w...
Consensus Document on Nasal Polyposis POLINA PROJECT. SEAIC-SEORL
2011
Nasal polyposis (NP) is a chronic inflammatory disease affecting the nasal mucosa and paranasal sinuses, and which leads to the formation of polyps. The most recent studies suggest NP to be a chronic rhinosinusitis subtype with differential characteristics that could advise a specific diagnostic and therapeutic approach to the disorder. Although the precise prevalence of NP is not known, different epidemiological studies have suggested a fi gure of 2-4%. This indicates that the condition is an important health problem, with a high sociosanitary cost. The management of NP involves the following specialties: Primary Care, Pediatrics, Pneumology, Allergology and Otorhinolaryngology (Ear, Nose and Throat, ENT). For this reason we consider a multidisciplinary approach to be essential for both diagnostic evaluation and treatment strategy of the disease. Two years ago, on occasion of a joint meeting between ENT specialists and allergologists in Lisbon, Antonio Valero (Coordinator of the Rh...
International Journal of Otorhinolaryngology and Head and Neck Surgery, 2019
Background: Nasal polyps are defined as pearly white, prolapsed, pendunculated oedematous Sino-nasal mucosa. They are unique in their position and their composition. Many hypotheses concerning its pathogenesis have been proposed. But till now there is no clear evidence for any single cause. This study was taken-up to study the clinical profile of cases with sino-nasal polyps. Methods: Cross-sectional descriptive study was conducted in the Department of Otolaryngology at Vijayanagara Institution of Medical Sciences, Bellary, between January 2016 to April 2016 involving 60 patients fulfilling inclusion and exclusion criteria. Pre-tested and edited proforma was used to collect the data. Results: Out of 60 participants, 63.4% were males, mean age was 29.5 years. Ethmoidal polyp (63.4%) was the most common polyp followed by antrochoanal polyp (33.4%). Ethmoidal polyp was most commonly observed 31-40 years age while antrochoanal polyp was observed in 11-20 years age. Ethmoidal polyp and antrochoanal polyp were observed more commonly in males and females respectively. The most common presenting symptoms were nasal obstruction and nasal discharge. Conclusions: Ethmoidal polyps are the most commonly observed sino-nasal polyps followed by antrochoanal polyp. Ethmoidal polyp was more commonly observed in adult age group while antrochoanal polyp was observed in children. The most common presenting symptoms were nasal obstruction and nasal discharge.
Patterns, Presentations and Prognosis of Nasal Polyps
Indian Journal of Otolaryngology and Head & Neck Surgery, 2017
Few studies have documented the characteristic features of nasal polyps in the developing countries. In this study, we described the patterns, presentations and prognosis of nasal polyps seen in clinical setting, with a view to improve our understanding of its clinical and epidemiological characteristics. The study was a 10-year retrospective analysis of histologically-confirmed nasal polyps seen between January 2006 and December 2015. Records of patients with intranasal masses were retrieved from our hospital’s records department, clinics, wards and theatre suites. Those with nasal polyps were recruited into the study. The results were descriptively analyzed using SPSS statistical soft ware package version 10. There were 84 patients with intranasal masses seen within the reviewed period. Of this, 52 (61.9%) were histologically-confirmed nasal polyps. There were 22 males and 30 females. Their age ranges from 16 to 69 years. The most frequent symptom is nasal obstruction occurring in 76.9% of the cases. None of the patients had epistaxis. Thirty-one (59.6%) were associated with various complications either singly or multiple (Table 1). All (100%) were treated with conventional forceps excision. Eleven (21.2%) of them had recurrence between 3 and 5 years after surgery. None of the polyps or their recurrence exhibited malignant transformation. Nasal polyp is the most common intranasal mass seen in clinical practice. Its rarity in children and propensity for recurrence are reaffirmed. Although, recurrence is a major prognostic challenge, nasal polyp does not exhibit malignant transformation.Table 1Showing frequency distribution of the presenting complaints, radiological findings and complicationsVariableFrequency% Presenting complaints Nasal obstruction4076.9 Snoring3261.5 Visible nasal mass2548.1 Nasal discharge (watery, mucous, purulent)1426.9 Paroxysmal sneezing1019.2 Loss of sense of smell917.3 Headache815.4 Facial pain59.6Radiological findings Opacification of ethmoid and maxillary sinuses4688.5 Soft tissue opacity in the nasal cavity4178.9 Soft tissue opacity in the nasopharynx2650.0 Dome-shaped soft tissue opacity in the maxillary sinus1223.1 Fluid level in the maxillary sinus611.5 Clear paranasal sinuses47.7Complications Acute rhinosinusitis59.6 Epiphora611.5 Anosmia917.3 Obstructive sleep apnoea2853.8Open in a separate windowSome patients have multiple complaints/radiological findings/complications
European position paper on rhinosinusitis and nasal polyps 2007
Rhinology. Supplement, 2007
Rhinosinusitis is a significant and increasing health problem which results in a large financial burden on society. This evidence based position paper describes what is known about rhinosinusitis and nasal polyps, offers evidence based recommendations on diagnosis and treatment, and considers how we can make progress with research in this area. Rhinitis and sinusitis usually coexist and are concurrent in most individuals; thus, the correct terminology is now rhinosinusitis. Rhinosinusitis (including nasal polyps) is defined as inflammation of the nose and the paranasal sinuses characterised by two or more symptoms, one of which should be either nasal blockage/obstruction/congestion or nasal discharge (anterior/posterior nasal drip), +/- facial pain/pressure, +/- reduction or loss of smell; and either endoscopic signs of polyps and/or mucopurulent discharge primarily from middle meatus and/or; oedema/mucosal obstruction primarily in middle meatus, and/or CT changes showing mucosal ch...
Nasal polyps - clinical profile and management in Ibadan, Nigeria
Nigerian Journal of Surgical Research, 2006
BACKGROUND Nasal polyps are benign mucosal protrusions into the nasal cavity of multifactorial origin and are characterized by chronic mucosal inflammation. They result from the prolapsed lining of the ethmoid sinuses and block the nose to a variable degree depending on their sizes. This study aims to evaluate the clinical profile and management of nasal polyposis as seen in Ibadan, Nigeria. METHOD A 5-year (1998-2002) prospective study of 63 nasal polyposis patients depicting the clinical profile and implications was done at the