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Unilateral nasal pathologies: clinical presentation and management

Year 2015, Volume: 5 Issue: 1, 23 - 29, 19.09.2015
https://doi.org/10.2399/jmu.2015001007

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

References

  • Ikeda K, Tanno N, Suzuki H, Oshima T, Kano S, Takasaka T. Unilateral sinonasal disease without bone destruction. Differential diagnosis using diagnostic imaging and endonasal endoscopic biopsy. Arch Otolaryngol Head Neck Surg 1997;123:198–200.
  • Uysal IÖ, Misir M, Polat K, et al. Primary malignant melanoma of the nasal cavity. J Craniofac Surg 2012;23:e2–5.
  • Bohman A, Oscarsson M, Holmberg K, Johansson L, Millqvist E, Nasic S, Torinsson-Naluai A, Bende M. Heredity of nasal polyps. Rhinology 2015;53:25–8.
  • Ahsan F, El-Hakim H, Ah-See KW. Unilateral opacification of paranasal sinus CT scans. Otolaryngol Head Neck Surg 2005;133:178–80.
  • Lehnerdt G, Weber J, Dost P. Unilateral opacification of the paranasal sinuses in CT or MRI: an indication of an uncommon histological finding. Laryngorhinootologie 2001;80:141–5.
  • Rudralingam M, Jones K, Woolford TJ. The unilateral opaque maxillary sinus on computed tomography. Br J Oral Maxillofac Surg 2002;40:504–7.
  • Kahveci OK, Duran A, Miman MC. Our histopathological result for intranasal masses: Retrospective study of 6 years. J Clin Anal Med 2012;3:289–92.
  • Han MW, Lee BJ, Jang YJ, Chung YS. Clinical value of office- based endoscopic incisional biopsy in diagnosis of nasal cavity masses. J Otolaryngol Head Neck Surg 2010;143:341–7.
  • Ikiz AÖ, Sutay S, Edag TK, Guneri EA. ‹nverted papillom ve cer- rahi tedavisi. KBB ve BBC Dergisi 2001;134–8.
  • Unlu HH, Songu M, Ovali GY, Nese N. Inverted papilloma with new bone formation: report of three cases. Am J Rhinol 2007;21:607–10.
  • Chi TH, Yuan CH, Chien ST. Lobular capillary hemangioma of the nasal cavity: a retrospective study of 15 cases in taiwan. Balkan Med J 2014;31:69–71.
  • Rogers DJ, Bevans SE, Harsha WJ. Endoscopic resection of juve- nile nasopharyngeal angiofibroma. Adv Otorhinolaryngol 2012;73:132–6.
  • Rinaldo A, Eerlito A, Shaha AR, Wei WI. Is elective neck treat- ment indicated in patients with squamous cell carcinoma of the maxillary sinus? Acta Otolaryngol 2002;122:443–7.
  • Tiwari R, Hardillo JA, Mehta D, et al. Squamous cell carcinoma of maxillary sinus. Head Neck 2000;22:164–9.
  • Wolf J, Schmezer P, Fengel D, Schroeder HG, Scheithauer H, Woeste P. The role of combination effects on the etiology of malignant nasal tumours in the wood-working industry. Acta Otolaryngol Suppl 1998;535:1–16.
  • Deyrup AT, Tighiouart M, Montag AG, Weiss SW. Epithelioid hemangioendothelioma of soft tissue: a proposal for risk stratifica- tion based on 49 cases. Am J Surg Pathol 2008;32:924–7.
  • Di Girolamo A, Giacomini PG, Coli A, Castri F, de Padova A, Bigotti G. Epithelioid haemangioendothelioma arising in the nasal cavity. J Laryngol Otol 2003;117:75–7.
  • Requena L, Kutzner H. Hemangioendothelioma. Semin Diagn Pathol 2013 ;30:29–44.
  • Semino L, Pagella F, Delù G, et al. Endoscopic treatment of eth- moidal hemangioendothelioma: case report and review of the lit- erature. Am J Otolaryngol 2006;27:287–90.
  • Blitzer A, Lawson W. Fungal infections of the nose and paranasal sinuses. Otolaryngol Clin North Am 1993;26:1007–35.
  • Cody T, Neel Hb, Ferreiro Sa, Roberts Gd: Allergic fungal sinusi- tis: The Mayo Clinic experience. Laryngoscope 1994;104:1074–9.
  • Stammberger H. Endoscopic surgery for mycotic and chronic recurring sinusitis. Ann Otol Rhinol Laryngol 1985;119:1– 11.
  • Ferguson BJ. Mucormycosis of the nose and paranasal sinuses. Otolaryngol Clin North Am 2000;33:349–65.
  • Songu M, Unlu HH, Gunhan K, Ilker SS, Nese N. Orbital exen- teration: A dilemma in mucormycosis presented with orbital apex syndrome. Am J Rhinol 2008;22:98–103.
  • This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported (CC BY
  • NC-ND0) Licence (http://creativecommons.org/licenses/by-nc-nd/3.0/) which permits unrestricted noncommercial use, distribution, and reproduc
  • tion in any medium, provided the original work is properly cited.
  • Please cite this article as: Kucur C, O¤han F, Özbay ‹, Erdo¤an O, Tok Ş, Şanal B, Korkmaz M, Yıldırım N. Unilateral nasal pathologies: clinical presen
  • tation and management. ENT Updates 2015;5(1):23–29.

Tek taraflı nazal patolojilerin klinik prezentasyonu ve yönetimi

Year 2015, Volume: 5 Issue: 1, 23 - 29, 19.09.2015
https://doi.org/10.2399/jmu.2015001007

Abstract

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

References

  • Ikeda K, Tanno N, Suzuki H, Oshima T, Kano S, Takasaka T. Unilateral sinonasal disease without bone destruction. Differential diagnosis using diagnostic imaging and endonasal endoscopic biopsy. Arch Otolaryngol Head Neck Surg 1997;123:198–200.
  • Uysal IÖ, Misir M, Polat K, et al. Primary malignant melanoma of the nasal cavity. J Craniofac Surg 2012;23:e2–5.
  • Bohman A, Oscarsson M, Holmberg K, Johansson L, Millqvist E, Nasic S, Torinsson-Naluai A, Bende M. Heredity of nasal polyps. Rhinology 2015;53:25–8.
  • Ahsan F, El-Hakim H, Ah-See KW. Unilateral opacification of paranasal sinus CT scans. Otolaryngol Head Neck Surg 2005;133:178–80.
  • Lehnerdt G, Weber J, Dost P. Unilateral opacification of the paranasal sinuses in CT or MRI: an indication of an uncommon histological finding. Laryngorhinootologie 2001;80:141–5.
  • Rudralingam M, Jones K, Woolford TJ. The unilateral opaque maxillary sinus on computed tomography. Br J Oral Maxillofac Surg 2002;40:504–7.
  • Kahveci OK, Duran A, Miman MC. Our histopathological result for intranasal masses: Retrospective study of 6 years. J Clin Anal Med 2012;3:289–92.
  • Han MW, Lee BJ, Jang YJ, Chung YS. Clinical value of office- based endoscopic incisional biopsy in diagnosis of nasal cavity masses. J Otolaryngol Head Neck Surg 2010;143:341–7.
  • Ikiz AÖ, Sutay S, Edag TK, Guneri EA. ‹nverted papillom ve cer- rahi tedavisi. KBB ve BBC Dergisi 2001;134–8.
  • Unlu HH, Songu M, Ovali GY, Nese N. Inverted papilloma with new bone formation: report of three cases. Am J Rhinol 2007;21:607–10.
  • Chi TH, Yuan CH, Chien ST. Lobular capillary hemangioma of the nasal cavity: a retrospective study of 15 cases in taiwan. Balkan Med J 2014;31:69–71.
  • Rogers DJ, Bevans SE, Harsha WJ. Endoscopic resection of juve- nile nasopharyngeal angiofibroma. Adv Otorhinolaryngol 2012;73:132–6.
  • Rinaldo A, Eerlito A, Shaha AR, Wei WI. Is elective neck treat- ment indicated in patients with squamous cell carcinoma of the maxillary sinus? Acta Otolaryngol 2002;122:443–7.
  • Tiwari R, Hardillo JA, Mehta D, et al. Squamous cell carcinoma of maxillary sinus. Head Neck 2000;22:164–9.
  • Wolf J, Schmezer P, Fengel D, Schroeder HG, Scheithauer H, Woeste P. The role of combination effects on the etiology of malignant nasal tumours in the wood-working industry. Acta Otolaryngol Suppl 1998;535:1–16.
  • Deyrup AT, Tighiouart M, Montag AG, Weiss SW. Epithelioid hemangioendothelioma of soft tissue: a proposal for risk stratifica- tion based on 49 cases. Am J Surg Pathol 2008;32:924–7.
  • Di Girolamo A, Giacomini PG, Coli A, Castri F, de Padova A, Bigotti G. Epithelioid haemangioendothelioma arising in the nasal cavity. J Laryngol Otol 2003;117:75–7.
  • Requena L, Kutzner H. Hemangioendothelioma. Semin Diagn Pathol 2013 ;30:29–44.
  • Semino L, Pagella F, Delù G, et al. Endoscopic treatment of eth- moidal hemangioendothelioma: case report and review of the lit- erature. Am J Otolaryngol 2006;27:287–90.
  • Blitzer A, Lawson W. Fungal infections of the nose and paranasal sinuses. Otolaryngol Clin North Am 1993;26:1007–35.
  • Cody T, Neel Hb, Ferreiro Sa, Roberts Gd: Allergic fungal sinusi- tis: The Mayo Clinic experience. Laryngoscope 1994;104:1074–9.
  • Stammberger H. Endoscopic surgery for mycotic and chronic recurring sinusitis. Ann Otol Rhinol Laryngol 1985;119:1– 11.
  • Ferguson BJ. Mucormycosis of the nose and paranasal sinuses. Otolaryngol Clin North Am 2000;33:349–65.
  • Songu M, Unlu HH, Gunhan K, Ilker SS, Nese N. Orbital exen- teration: A dilemma in mucormycosis presented with orbital apex syndrome. Am J Rhinol 2008;22:98–103.
  • This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported (CC BY
  • NC-ND0) Licence (http://creativecommons.org/licenses/by-nc-nd/3.0/) which permits unrestricted noncommercial use, distribution, and reproduc
  • tion in any medium, provided the original work is properly cited.
  • Please cite this article as: Kucur C, O¤han F, Özbay ‹, Erdo¤an O, Tok Ş, Şanal B, Korkmaz M, Yıldırım N. Unilateral nasal pathologies: clinical presen
  • tation and management. ENT Updates 2015;5(1):23–29.
There are 29 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Cüneyt Kucur This is me

Fatih Oğhan This is me

İsa Özbay This is me

Onur Erdoğan This is me

Şermin Tok This is me

Bekir Şanal This is me

Mehmet Korkmaz This is me

Nadir Yıldırım This is me

Publication Date September 19, 2015
Submission Date September 19, 2015
Published in Issue Year 2015 Volume: 5 Issue: 1

Cite

APA Kucur, C., Oğhan, F., Özbay, İ., Erdoğan, O., et al. (2015). Tek taraflı nazal patolojilerin klinik prezentasyonu ve yönetimi. ENT Updates, 5(1), 23-29. https://doi.org/10.2399/jmu.2015001007
AMA Kucur C, Oğhan F, Özbay İ, Erdoğan O, Tok Ş, Şanal B, Korkmaz M, Yıldırım N. Tek taraflı nazal patolojilerin klinik prezentasyonu ve yönetimi. ENT Updates. March 2015;5(1):23-29. doi:10.2399/jmu.2015001007
Chicago Kucur, Cüneyt, Fatih Oğhan, İsa Özbay, Onur Erdoğan, Şermin Tok, Bekir Şanal, Mehmet Korkmaz, and Nadir Yıldırım. “Tek Taraflı Nazal Patolojilerin Klinik Prezentasyonu Ve yönetimi”. ENT Updates 5, no. 1 (March 2015): 23-29. https://doi.org/10.2399/jmu.2015001007.
EndNote Kucur C, Oğhan F, Özbay İ, Erdoğan O, Tok Ş, Şanal B, Korkmaz M, Yıldırım N (March 1, 2015) Tek taraflı nazal patolojilerin klinik prezentasyonu ve yönetimi. ENT Updates 5 1 23–29.
IEEE C. Kucur, F. Oğhan, İ. Özbay, O. Erdoğan, Ş. Tok, B. Şanal, M. Korkmaz, and N. Yıldırım, “Tek taraflı nazal patolojilerin klinik prezentasyonu ve yönetimi”, ENT Updates, vol. 5, no. 1, pp. 23–29, 2015, doi: 10.2399/jmu.2015001007.
ISNAD Kucur, Cüneyt et al. “Tek Taraflı Nazal Patolojilerin Klinik Prezentasyonu Ve yönetimi”. ENT Updates 5/1 (March 2015), 23-29. https://doi.org/10.2399/jmu.2015001007.
JAMA Kucur C, Oğhan F, Özbay İ, Erdoğan O, Tok Ş, Şanal B, Korkmaz M, Yıldırım N. Tek taraflı nazal patolojilerin klinik prezentasyonu ve yönetimi. ENT Updates. 2015;5:23–29.
MLA Kucur, Cüneyt et al. “Tek Taraflı Nazal Patolojilerin Klinik Prezentasyonu Ve yönetimi”. ENT Updates, vol. 5, no. 1, 2015, pp. 23-29, doi:10.2399/jmu.2015001007.
Vancouver Kucur C, Oğhan F, Özbay İ, Erdoğan O, Tok Ş, Şanal B, Korkmaz M, Yıldırım N. Tek taraflı nazal patolojilerin klinik prezentasyonu ve yönetimi. ENT Updates. 2015;5(1):23-9.