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Antrochoanal polyp vs investing papilloma eye
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Imaging differential diagnosis Terminology The term inverted papilloma is also used to describe an urothelial lesion. For a discussion of that entity, please refer to inverted papilloma of the urinary tract 4. Epidemiology Inverted papillomas account for approximately 0. Clinical presentation The presentation can be similar to other sinonasal masses, with nasal obstruction, sinus pain, and epistaxis.
As the mass enlarges it results in bony remodeling and resorption and often extends into the maxillary antrum 1. Due to the location, impairment of normal drainage of the maxillary antrum is common, although mucocele formation is rare 1. Macroscopic appearance Macroscopically, inverted papillomas appear as irregular polypoid masses of variable consistency, pink in color, with a tendency to bleed 1. Microscopic appearance Microscopically, they appear as ribbons of respiratory epithelium enclosed by basement membrane which grow into the subjacent stroma thus with an inverted pattern with characteristic micro-mucous cysts 1,3.
Radiographic features Plain radiograph Plain film no longer plays a significant role in the assessment of sinonasal disease. If obtained, the most common finding is that of a nasal mass with associated opacification of the adjacent maxillary antrum 1. Recurrence rate in our study was of 5. For the revision surgery, endoscopic resection was combined with Caldwell-Luc procedure.
Conclusion: The antrochoanal polyp happens predominantly in children and young adults of both male and female patients. Endoscopic sinus surgery is an effective, safe and reliable method with major advantage for the treatment of antrochoanal polyps. Publication types.
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