Complications of nasal polyps

By | 14th May 2012

Nasal Polyps>>Definition>>Classification>>Ethmoidal polyp>>Antrocoanal polyp>>Prevention>>Complication>>Differential diagnosis

PREVENTION OF RECURRENCE OF NASAL POLYPS

 Identify the underlying cause of polyps and treat it accordingly.

COMPLICATIONS OF NASAL POLYPS.

1.     Nasal obstruction

2.     Insomnia

3.     Sinusitis

4.     Respiratory tract infections

5.     Broadening of nose and increased intercanthal distance.

6.     Headache

7.     Facial pain.

IMPORTANT POINTS TO REMEMBER IN A CASE OF NASAL POLYPS.

  • If a polypus is red and fleshy, friable and has granular surface, especially in older patients, think of malignancy.
  • Simple nasal polyp may masquerade a malignancy underneath .Hence all polypi should be subjected to histology.
  • A simple polyp in a child may be glioma, an encephalocele or a meningoenccephalocele. It should always be aspirated and fluid examined for CSF.
  • Multiple nasal poltpi in children may be associated with mucovisidosis.
  • Epistaxis and orbital symptoms associated with a polyp should always arouse the suspicion of malignancy.

DIFFERENTIAL DIAGNOSIS BETWEEN MUCOUS AND ANTROCOANAL POLYPI

S.No
FEATURES
MUCOUS POLYP
ANTROCOANAL POLYP
1 Basis Usually allergic Usually infective
2 Origin Ethmoid sinuses and middle meatus Maxillary sinus
3. Age Usually adult Usually young.
4. Side Usually bilateral Usually unilateral
5. Number Usually multiple Usually single
6. Surface epithelium Ciliated columnar Stratified squamous
7. Examination Easily seen on anterior rhinoscopy Easily seen on posterior rhinoscopy

 

   REFERENCES

1.     Diseases of Ear, Nose and Throat by P.L.Dhingra.( second edition)

2.     Current Medical Diagnosis and Treatment 2000.

3.     Textbook of ear, Nose and Throat by Abdul Ghani.

4.     Web sites

   http://www.allergyweb.com/articles/nasalpolyps.html

   http://www.rxmed.com/illnesses/nasal_polyps.html

   http://www.clevelandent.com/polyps.htm