NASAL POLYP

DR VIRAL PRAJAPATIMS(ENT)

ASSOCIATE PROFESSORGMERS MEDICAL COLLEGE

DHARPUR-PATAN

DEFINATION OF POLYPETIOLOGYPATHOGENESISTYPES OF NASAL POLYPSYMPTOMS AND SIGNSCOMPLICATIONMANAGMENT

Polyp is edematous mucosa due to repeated inflammation which is protruded from nasal sinus labyrinth.

It’s not growth but it’s edematous of normal lining mucosa.

DEFINATION

ETIOLOGY Inflammation of nasal

mucosa like chronic rhinosinusitis,

asthma, aspirin intolerance, Sampter’s tirad.

Disorder of ciliary motilityKartagener’s syndrome(BSSC)Yong’s syndrome(SpA)Churg Strauss Syndrome(AFEVG)

Abnormal composition of nasal mucusCystic Fibrosis

PATHOLOGY Inflamation of nasal mucosa

cause increase vascular permeability that causes collection of extracellular fluid so edema of normal nasal mucosa seen which causes narrowing of ostium as well as prolapsing normal mucosa from sinus labrynth. Due to repeat blowing of nose for clearing of nasal secretion cause decrease nasal cavity pressure(Burnoulli’s theory) so its inceasr size of polyp and pull down the polyp

ETIOPATHOGENESIS

ETHMOIDAL POLYP

ANTROCHOANL POLYP

TYPES OF NASAL POLYP

ETHMOIDAL POLYPAge-

Adult commonCause –

AllergicNumber-

MultipleOrigin-

Ethmoid air cell,uncinate process,middle meatus,medial surface and edge ofmiddle turbinate

Growth- forward Anteriorly

Size & Shape- bunch of grapes like

Recurrence- Common Color-Pale Grayish

ANTROCHOANAL POLYPAge-

Children commonCause –

InfectionNumber-

Solid singleOrigin-

Maxillary Sinus Growth-

Backward PosteriorlySize & Shape-

Tri lobe: Antrum,Nasal and Chonal part

Recurrence- Uncommon

Color-Red Pinkish

NASAL POLYP

SYMPTOMNasal BlockageNasal DischargeHeadacheLoss of Smell Sneezing

SIGNSBroadening of noseIncrease Medial inter canthal distance

SYMPTOMS AND SIGN

Fungal Sinusitis

Orbital cellulites

Pan sinusitis

Secretary Otitis media

Tonsilitis

COMPLICATION

INVESTIGATION

TREATMENT

MANAGMENT

PATHOLOGICAL CBC

ESR RFT LFT BT,CT,BGRH HIV,HBSAg RADIOLOGICAL

XRAY CHESTXRAY PNSCT PNS

SPECIAL INVESTIGATION:- NASAL ENDOSCOPY

INVESTIGATION

MEDICAL a) Antibiotic if infection is present b) Oral decongestant c) Oral systemic steroid in case of allergic polyp d) Nasal drops

SURGICAL a) Polypectomy : Intranasal

Transnasal

b)FESS(Functional Endoscopic Sinus Surgery):

It’s Modern advance surgery

TREATMENT

ETHMOIDAL POLYP ANTROCHOANAL POLYP

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