Sinonasal Polyposis and Choanal Atresia in a Single Patient Exterminate the Theory of Aerodynamics: A Case Report
Abstract
Different theories have been proposed for the pathogenesis of sinonasal polyposis, However, there is no consensus of opinions on a single widely accepted theory. This case, which demonstrates nasal polyp formation within an atretic nasal cavity, suggests that the aerodynamic theory may have little effect in the pathogenesis of sinonasal polyposis. A 29-year-old female suffered a long history of nasal obstruction mainly on the left side. Nasal endoscopic evaluation showed bilateral nasal polyposis with unilateral choanal atresia. She had a history of nasal surgery for nasal polyposis, atresia repair, and septoturbinoplasty with recurrence of symptoms 2 years later. Revision functional endoscopic sinus surgery and choanal atresial repair are done with the polyps’ histopathological evaluation showing allergic nasal polyps. The formation of nasal polyps within an atretic nasal cavity suggests that the airflow and inhaled allergen-based explanation of nasal polyposis may have little to do with polyp formation at least in some patients and needs further evaluation. This leaves the door open for the many other possible etiologies.
References
- Fokkens WJ, Lund VJ, Mullol J. European position paper on nasal polyps. Rhinol Suppl. 2007;20:1-136.
- Pawankar R. Nasal polyposis: an update: editorial review. Curr Opin Allergy Clin Immunol. 2003;3(1):1-6.
- Hulse KE, Stevens WW, Tan BK, Schleimer RP. Pathogenesis of nasal polyposis. Clin Exp Allergy. 2015;45(2):328-346.
- Gray L. Deviated nasal septum III: its influences on the physiology and disease of the nose and ear. J Laryngol Otol. 1967;81(9):953-986.
- Newton JR, Ah-See KW. A review of nasal polyposis. Ther Clin Risk Manag. 2008;4(2):507-512.
- Lee B, Patel N, Ferguson BJ. Bilateral sinonasal polyposis in a patient with unilateral choanal atresia. Laryngoscope. 2013;123(3):574-576.
Details
| Primary Language | English |
|---|---|
| Subjects | Otorhinolaryngology |
| Journal Section | Case Report |
| Authors | |
| Submission Date | February 16, 2024 |
| Acceptance Date | May 2, 2024 |
| Publication Date | August 20, 2024 |
| Published in Issue | Year 2024 Volume: 7 Issue: 2 |
Cite
You can find the current version of the Instructions to Authors at: https://www.eurjrhinol.org/en/instructions-to-authors-104
Starting on 2020, all content published in the journal is licensed under the Creative Commons Attribution-NonCommercial (CC BY-NC) 4.0 International
License which allows third parties to use the content for non-commercial purposes as long as they give credit to the original work. This license
allows for the content to be shared and adapted for non-commercial purposes, promoting the dissemination and use of the research published in
the journal.
The content published before 2020 was licensed under a traditional copyright, but the archive is still available for free access.