Single-sided synonasal mass, retrospective study

Belli, Şeyda; Yıldırım, Metin; Eroglu, Sinan; Emre, Funda

doi:10.14744/nci.2017.57984

Cited by 12 publications

(14 citation statements)

References 10 publications

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“…8,9 Some studies even reported a higher prevalence of benign histopathological diagnosis of UNM's of 95.9%. 15 Our study showed 76.0% benign, and the remaining 24.0% were malignant.…”

Section: Resultsmentioning

confidence: 47%

Clinicopathologic and radiologic features of pediatric unilateral nasal masses at a tertiary hospital

Alanazi¹,

Almomen²,

Aljafer³

et al. 2020

Int J Otorhinolaryngol Head Neck Surg

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Background: Cases of unilateral nasal masses (UNM’s) are usually inflammatory but some are neoplastic in nature. We conducted this study to determine the clinic-pathologic features, radiological findings and patterns of UNM’s in our institution.Methods: We conducted a retroactive chart review of all pediatric cases followed and treated for medically untreatable UNM from 2015 till 2018 at King Fahad Specialist Hospital (KFSH) in Dammam, Saudi Arabia. Results: Cases of 25 patients (16 males and 9 females) with a mean age of 10.81±4.53 years were studied. There were 12 patients (48.0%) who presented with a nasal obstruction, and nasal polyp was found by fiberoptic nasal endoscopy (FNE) in 12 patients (48.0%). Two patients (8.0%) had unremarkable FNE findings. The most common site of origin of the mass was the ethmoid sinus (24.0%). Twenty patients (80.0%) had FESS, 3 (12.0%) had endoscopic excision, 1 had FESS plus abscess drainage and 1 (4.0%) had marsupialization. Two patients (8.0%) had recurrence 12 months after surgery, and one patient (4.0%) had recurrence six months after surgery. Six patients (24.0%) had malignant tumor of which 3 patients (12.0%) expired from the disease.Conclusions: Pediatric patients with a UNM may present with varied symptoms and may show unremarkable results with nasal endoscopy. However the risk of having an underlying malignant process is very high, thus a histopathologic diagnosis is warranted to confirm the diagnosis.

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“…8,9 Some studies even reported a higher prevalence of benign histopathological diagnosis of UNM's of 95.9%. 15 Our study showed 76.0% benign, and the remaining 24.0% were malignant.…”

Section: Resultsmentioning

confidence: 47%

Clinicopathologic and radiologic features of pediatric unilateral nasal masses at a tertiary hospital

Alanazi¹,

Almomen²,

Aljafer³

et al. 2020

Int J Otorhinolaryngol Head Neck Surg

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“…Unilateral nasal discharge, nasal congestion and nose bleeding in addition to dysosmia, migraine, and facial swelling are most common presenting clinical complaints in patients with unilateral nasal disease (7)(8)(9). Clinical characterization of a patient complaining of single-sided nasal symptoms mass is an essential challenging health issue because they are often accompanied by multifactorial underlying etiology (1,8,9).…”

Section: Introductionmentioning

confidence: 99%

“…Clinical characterization of a patient complaining of single-sided nasal symptoms mass is an essential challenging health issue because they are often accompanied by multifactorial underlying etiology (1,8,9). Evaluation of such health issue should include good history taking, thorough local examination and endoscopic investigation in addition to radiologic evaluation (1,7). Findings on imaging play a significant role in the diagnosis and workup of sinonasal pathology.…”

Section: Introductionmentioning

confidence: 99%

Characterization and Outcome of Patients Presented with Unilateral Nasal Disease to ENT unit at Hillah, Iraq

Safaa Hussain Alturaihy

2020

MLU

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Background: A common finding during daily otolaryngological practice is a patient with unilateral nasal symptoms, nasal polyp or mass. The causes behind most cases of unilateral nasal disorder are inflammatory in nature and responds well to medical intervention and rarely there is need for surgical management. The possibility of neoplastic nature is high when there is unilateral nasal complaint or pathology as neoplastic conditions during their early stages may mimic inflammatory pathologies. Aim of the Study:The aim of the current study was to highlight the causes of unilateral nasal disease, their most frequent mode of presentation, management strategies and outcome in a sample of Iraqi patients. Patients and Method:The current prospective study included 96 patients, 42 males and 54 females, with signs and symptoms suggestive of unilateral nasal disease. The study was carried out at Hillah General Teaching Hospital, Babel province, mid-Euphrates region of Iraq and the work with this study has extended from January 2014 to August 2019. All enrolled patients were subjected to routine ENT examination and office flexible endoscopy. Patients were managed by functional endoscopic sinus surgery for purpose of excisional or incisional biopsy. Results:The current study included 96 patients with a mean age of 49.09± 7.43 years and an age range of 39 to 67 years. There were 42 males and 54 females. The results of complete evaluation have shown the following pathologies at the end of the study: nasal polyposis (31, 32.3%), chronic rhinosinusitis without polyp (16, 16.7%), antrochoanal polyp (14, 14.6%), inverted papilloma (11, 11.5%), frontoethmoidal mucocele (7, 7.3%), concha bullosa (4, 4.2%), squamous cell carcinoma (3, 3.1%), rhinolith (2, 2.1%), fibrous dysplasia (2, 2.1%), adenocarcinoma (2, 2.1%), malignant melanoma (1, 1.0%), cavernous hemangioma (1, 1.0%), pyocele in concha bullosa (1, 1.0%) and non Hodgkin's (1, 1.0%). Therefore, in the current study, nasal polyposis was the commonest cause of unilateral sinonasal disease followed by chronic rhinosinusitis without polyp, antrochoanal polyp and inverted papilloma. The rate of malignant neoplasms was low. Conclusion:Differentiating the neoplastic nature form non-neoplastic nature of unilateral nasal pathology is the most critical management step and in the current study, nasal polyposis was the commonest cause of unilateral sinonasal disease followed by chronic rhinosinusitis without polyp, antrochoanal polyp and inverted papilloma. The rate of neoplastic malignant conditions was low.

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“…Tek taraflı sinonazal hastalıklara sık rastlanmasına rağmen literatürde bu hastalık grubunu analiz eden çalışma sayısı oldukça azdır (5). Bu retrospektif çalışmada kliniğimize tek taraflı sinonazal semptomlarla başvuran ve ameliyat edilip kesin tanısı konan hastalar semptom ve histopatolojik tanıları yönünden analiz edilmiştir.…”

Section: Introductionunclassified

Tek taraflı sinonazal cerrahi: semptomlar ve patolojik tanıların analizi

Ata

2019

Harran Üniversitesi Tıp Fakültesi Dergisi

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Çalışmanın amacı tek taraflı sinonazal semptomlarla başvuran ve opere edilen hastaların klinik semptom ve histopatolojik tanılarını analiz etmektir. Materyal ve Metot: Haziran 2013-Mayıs 2017 tarihleri arasında ikinci basamak tek merkezde tek taraflı sinonazal hastalık nedeniyle opere edilen ve patolojik tanısı bulunan 54 hastanın dosyaları retrospektif analiz edildi. Hastaların başvuru şikayetleri ve histopatolojik tanıları analiz edildi. Bulgular: Elli dört hastanın tamamına endoskopik sinonazal cerrahi uygulandı. Hastaların 40'ında tümöral olmayan patolojiler saplanırken 14 hastada tümöral patoloji saptandı. Tümöral olmayan lezyonlardan 29 hastada kronik sinüzit-nazal polip, 5 hastada izole alt konka mulberry hipertrofisi, 3 hastada rinolit, 2 hastada mukosel, 1 hastada ise aksesuar orta konka tespit edildi. Tümöral patolojilerden 6 hastada hemanjiom, 5 hastada inverted papillom, 2 hastada osteom ve 1 hastada malign melanom tespit edildi. En sık görülen başvuru nedeni burun tıkanıklığı iken, tümöral patolojilerde epistaksis daha sık tespit edildi. Sonuç: Tek taraflı sinonazal patolojilerin çoğunluğunu benign lezyonlar oluşturmasına rağmen tümöral patolojiler iki taraflı hastalıklara göre daha yaygındır. Bizim çalışmamızda önemli bir bulgu alt konka mulberry hipertrofisi ve nazal hemanjiomların nadir görülmeyip tek taraflı nazal lezyonların önemli bir kısmını oluşturmasıdır.

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Single-sided synonasal mass, retrospective study

Cited by 12 publications

References 10 publications

Clinicopathologic and radiologic features of pediatric unilateral nasal masses at a tertiary hospital

Clinicopathologic and radiologic features of pediatric unilateral nasal masses at a tertiary hospital

Characterization and Outcome of Patients Presented with Unilateral Nasal Disease to ENT unit at Hillah, Iraq

Tek taraflı sinonazal cerrahi: semptomlar ve patolojik tanıların analizi

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