Fibroepithelial polyps, which are rare, benign lesions arising from mesodermal tissue, are rarely seen in the oral cavity and upper airway. We report a case of a 55-year-old female who presented with dysphagia and sensation of a foreign body in the throat for five months duration. There was no history of change in voice, difficulty in breathing or history of trauma. Clinical examination revealed a 2x2 cm unilateral pedunculated mass over the superior pole of the left tonsil. The polyp was excised, and histopathological examination showed features suggestive of fibroepithelial polyp.
Objective: Rhinoliths in adult are rare and uncommon.
Clinical Presentation and Intervention:We present two cases of rhinoliths in adult. The first case reports an interesting case of a healthy adult male who presented with symptoms of foul-smelling nasal discharge and nasal block. The second case report merely shows an adult with the same clinical symptoms in which a rhinolith was diagnosed. Both cases report incidental findings of huge rhinoliths in the right nasal cavity.
Conclusion:Management of the rhinolith and possible genesis of the rhinolith are discussed.
BACKGROUND. Polyps, cysts and mucocele are the commonest sinonasal tumors present unilaterally, as well as invasive tumors, such as inverted papillomas and squamous cell carcinomas. On the contrary, Schwannomas are rare lesions found in this area.MATERIAL AND METHODS. We present a case of a 48-year-old female who presented with a 2-year progressive history of left nasal obstruction, cranio-facial fullness sensation and pain, with intermittent epistaxis. The CT scan of the nose and paranasal sinuses showed complete opacification of the entire left nasal cavity and maxillary sinus, causing a deviated nasal septum to the right side.RESULTS. The tumor was completely excised endoscopically without any complication. Histopathology was consistent with that of a schwannoma.CONCLUSION. The diagnosis of sinonasal Schwannomas remains challenging, as it is a rare tumor and sometimes its clinical behaviour and imaging may be misleading. The treatment of choice for paranasal sinus schwannoma is complete excision of the tumor with good prognosis.
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