Unilateral nasal pathologies: clinical presentation and management

Abstract

Objective: To evaluate the histopathological examination results, frequency of lesions and associated symptoms in patients with established unilateral nasal pathology. Methods: Medical records of 73 patients with unilateral nasal lesions who undergone histopathological examination were analyzed retrospectively. Clinical presentation, examination and radiological findings, treatment and follow-up process of the patients were evaluated. Results: Neoplastic (n=16) and non-neoplastic (n=57) pathologies were detected in 73 patients. Non-neoplastic lesions consisted of inflammatory polyps (n=16), chronic sinusitis (n=11), anthrocoanal polyps (n=6) which were the most striking unilateral nasal pathologies. Neoplastic group (n=16) comprised of 2 malignant and 14 benign cases which were classified as adenocarcinoma (n=1), adenoid cystic carcinoma (n=1), inverted papilloma (n=8), hemangioendothelioma (n=1), capillary hemangioma (n=1), fibrous dysplasia (n=1), osteoma (n=1) and pyogenic granuloma (n=2). The most frequently observed symptom was unilateral nasal obstruction. Especially in cases with neoplasms, the frequency of epistaxis increased significantly (p

Keywords

• Nasal pathologies, unilateral, nasal obstruction

Tek taraflı nazal patolojilerin klinik prezentasyonu ve yönetimi

Öz

Amaç: Tek taraflı nazal patoloji tespit edilmiş olan hastalarda, patolojik inceleme sonuçları ile lezyonların sıklığı ve eşlik eden semptomların değerlendirilmesi. Yöntem: Tek taraflı nazal lezyonu mevcut olan ve patolojik incelemesi yapılmış olan 73 hastanın kayıtları retrospektif olarak incelendi. Hastaların klinik prezentasyonu, muayene ve radyolojik görüntüleme bulguları, tedavi ve takip süreci değerlendirildi. Bulgular: Bulguları incelenen 73 hastanın; 16'sında neoplastik, 57'sinde neoplastik olmayan patoloji tespit edildi. Neoplastik olmayan lezyonlara baktığımızda; 16 olguda inflamatuar polip, 11 olguda kronik sinüzit, 6 olguda antrokoanal polip, en çok göze çarpan nedenlerdi. Neoplastik grubu ise 2'si malign, 14'ü benign 16 olgu oluşturmaktaydı. Bu olgular; 1 adenokarsinom, 1 adenoid kistik karsinom, 8 inverted papillom, 1 hemanjioendotelyoma, 1 kapiller hemanjiom, 1 fibröz displazi, 1 osteom, 2 pyojenik granülomdan oluşmaktaydı. En sık gözlenen semptom, tek taraflı burun tıkanıklığıydı. Özellikle neoplazm olgularında burun kanaması sıklığı anlamlı olarak artmıştı (p

Anahtar Kelimeler

• Nazal patolojiler, tek taraflı, burun tıkanıklığı

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