Clinico-Pathological Study And Endoscopic Management of SinoNasal Masses
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 10
Abstract
Objective: To observe the incidence, clinical presentation and to perform comparative study of different sinonasal masses. The present prospective study “clinico-pathological study and endoscopic management of sino-nasal masses” was carried out in the Department of Otorhinolaryngology and Head and Neck Surgery, JLN Medical College and Hospital, Ajmer. Materials and methods: Study included the 50 patients presented with sino-nasal masses and willing to participate in the study and completed minimum of 6 months follow up on out-patient basis. Study based on history, clinical, radiological, laboratory and histopathological examination. Results and conclusion: Mean age of study group was 31.2 years. Overall male to female ratio was 2.13:1. M: F. Highest frequency was noted in second decade. 50 patients presented with the sino-naasal masses, among them 35 (70%) cases were non-neoplastic masses i.e. inflammatory or AC polyp (31.42%) and allergic or ethmoid polyps (65.7%). 24 % were benign neoplastic lesions which included haemangioma (8.33%), inverted papilloma (58.33%), mucolele (25%) and angiofibroma (8.33%). Malignant neoplasm comprises 6 % cases of our study; all of them were squamous cell carcinoma, Nasal obstruction and nasal discharge which was present in over 90% cases. Nasal mass was present 60 % cases of non-neoplastic lesions, 41.7 % cases of benign lesions and 33 % cases of malignant. In our study, endoscopic sinus surgery was performed in 36 patients. All the patients of non-neoplastic lesions were underwent FESS except one case of recurrent antrochoanal polyp for which Caldwell operation was done. Single case of angiofibroma was operated through transpalatal excision and for malignant lesions; partial maxiilectomy was done in one case and total maxillectomy in 2 cases.
Authors and Affiliations
Dr. Vipul Kumar Chaudhary, Dr. Manish Kumar Tailor, Dr. Anant Kotia, Dr. Yogesh Aseri, Dr. P. C Verma
Keywords
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- EP ID EP243685
- DOI 10.9790/0853-1610061619
- Views 111
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