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Nasal polyp kmct
- 1. NASAL POLYP
- 2. • Non neoplastic masses of edematous nasal or sinus mucosa
- 3. TYPES
- 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
- 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
- 16. AETIOLOGY • Common in children and young adults • Nasal allergy +sinus infection-most common cause • Usually single and unilateral
- 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