Isolated sphenoethmoid recess poiyps

Sethi, Divya; Lau, David P.; L, Chee; Chong, Vincent

doi:10.1017/s0022215100141386

Cited by 22 publications

(35 citation statements)

References 10 publications

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“…The few reports of sphenoethmoidal recess involvement by inverted papilloma are, in fact, tumors of the sphenoid sinus, which progressed towards the sphenoethmoidal recess 1,3,7,8 . In the literature there is no report of an inverted papilloma affecting the sphenoethmoidal recess.…”

Section: Case Reportmentioning

confidence: 99%

“…Most of the times, the inverted papilloma cause unilateral nasal obstruction followed by epistaxis 1 . Nasal obstruction is much more common in cases of disease originating in the middle meatus, being less frequent in the sphenoid sinus 1,7,8 . In theses cases, the disease tends to be more insidious and inespecific, more associated with the vulnerable nerve-vessel bundles associated with this sinus 13 .…”

Section: Case Reportmentioning

confidence: 99%

“…Many authors believe that if we have the involvement of the sphenoid sinus alone, the most common symptoms are headaches and visual disorders 14,15 . However, the simultaneous involvement of the sphenoethmoidal recess tends to produce a decompressive effect on the noble structures in contact with the sphenoid sinus 8 . Regarding our patient in this case the papilloma was present in the sphenoethmoidal recess only, without involving the sphenoid sinus; thus, not causing the symptoms stemming from the compression of the vessel-nerve bundles in this sinus.…”

Section: Case Reportmentioning

confidence: 99%

“…Choanal masses, such as the inverted papilloma, like the case hereby presented, tend to cause nasal obstruction, and symptoms matching those of rhinosinusitis, reaching rare manifestations of auditory symptoms associated with Eustachian tube dysfunction. 8 More advanced image methods, such as CT scan and MRI may contribute to an increase in the number of cases diagnosed in regions such as the sphenoethmoidal recess and sphenoid sinus 2 . Prior evaluation with nasal endoscopy and CT scan are paramount in order to manage patients with polyps in the sphenoethmoidal recess 7,8 .…”

Section: Case Reportmentioning

confidence: 99%

“…When there are polyps located in the sphenoethmoidal sinus, it is highly suggestive of sphenoidal sinus involvment 8 . Our goal with the present investigation is to present a case of inverted papilloma involving the sphenoethmoidal recess only, without involving the sphenoid sinus.…”

Section: Introductionmentioning

confidence: 99%

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Papiloma invertido isolado em recesso esfenoetmoidal

Kosugi¹,

Santos

Ganança

et al. 2008

Rev. Bras. Otorrinolaringol.

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O papiloma invertido é um tumor benigno nasal que geralmente se origina na parede lateral da fossa nasal, mais especificamente da região do meato médio. Apresenta grande potencial invasivo local, com alta taxa de recorrência e potencial para transformação maligna. O acometimento do recesso esfenoetmoidal é raro e, quando ocorre, é decorrente de doença primária do seio esfenoidal. Não há relato de papiloma invertido isolado em recesso esfenoetmoidal na literatura. Relatamos um caso de papiloma invertido originado em recesso esfenoetmoidal, sem comprometimento do seio esfenoidal.

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Section: Case Reportmentioning

confidence: 99%

Section: Case Reportmentioning

confidence: 99%

Section: Case Reportmentioning

confidence: 99%

Section: Case Reportmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Papiloma invertido isolado em recesso esfenoetmoidal

Kosugi¹,

Santos

Ganança

et al. 2008

Rev. Bras. Otorrinolaringol.

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The Spheno-Ostio-Choanal Polyp

Sindwani

Marino²

2010

Arch Otolaryngol Head Neck Surg

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S phenochoanal polyps originate from within the sphenoid sinus and extend into the choana.There are a few descriptions in the literature of an isolated choanal polyp arising from the external face of the sphenoid. These spheno-ostio-choanal polyps occur in the setting of an otherwise normal sphenoid sinus; they are a curious entity.Choanal polyps represent only approximately 4% to 6% of all nasal polyps. 1 Most commonly, these large solitary polyps arise from the antrum of the maxillary sinus and are referred to as antrochoanal polyps; however, more rare variants of choanal polyps include those that arise from within the sphenoid and ethmoid sinuses. A sphenochoanal polyp originates from within the sphenoid sinus and extends through the ostium into the choana; polyps arising from the mucosa adjacent to the sphenoid ostium externally also have been described. 2 These polyps, which occur in the setting of an otherwise normal sphenoid sinus and are more aptly termed spheno-ostio-choanal, are an exceedingly rare and curious entity. We describe the first report, to our knowledge, of isolated, bilateral spheno-ostiochoanal polyps causing nasal obstruction. We obtained approval from the institutional review board of the Saint Louis University School of Medicine. REPORT OF A CASEAn 80-year-old man presented with severe, long-standing bilateral nasal obstruction no longer responsive to medical treatment. He reported no constitutional symptoms. His medical history was significant for hypertension, coronary artery disease, and prostatectomy. Nasal endoscopy revealed a large mucosa-coveredmassobstructingbothchoanae. Findings from the remainder of the ex-amination were normal. Computed tomographic imaging revealed a large mass filling the nasopharynx. Close review suggested the presence of 2 distinct masses, each emanating from the sphenoid region on either side. Nobonydestructionwasnoted;allthesinuses (including maxillary and sphenoid) were completely normal.The patient was prepared for a surgical procedure. During the operation, a large pedunculatedpolypattachedtothesphenoid faceadjacenttotheostiumwithinthesphenoethmoid recess was discovered on both sides (Figure). The masses were resected endoscopically via a transnasal, paraseptal approach. There were no complications; the patient was discharged home. The final pathology report was consistent with benign inflammatory polyp for left-side and rightside specimens. The patient had complete resolution of his obstruction and recovered well, with no endoscopic evidence of recurrence 13 months after the operation. COMMENTPatients with choanal polyps typically present with symptoms of nasal obstruction; purulent discharge, headache, and visual changes can also occur. 2 Because antrochoanal and sphenochoanal polyps can extrude into the nasal cavity, it may be difficult to distinguish the 2 entities on routine examination. Thus, computed tomography or magnetic resonance imaging is essential. An opacified sphenoid sinus combined with a clear maxillary sinus on imaging suggests that a...

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Outcomes of sinonasal inverted papilloma resection by surgical approach: an updated systematic review and meta‐analysis

Peng

Thamboo

Choby

et al. 2019

Int Forum Allergy Rhinol

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BackgroundSelecting the optimal surgical approach for resection of sinonasal inverted papilloma (SIP) remains a challenge, with endoscopic, external, and combined approaches being utilized. This systematic review was conducted as an update to a 2006 systematic review to determine the preferred surgical approach for tumor control.MethodsThe study protocol was developed a priori following the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) process. Data were collected and outcomes were analyzed according to surgical approach and sites of tumor involvement.ResultsA total of 96 papers and 4134 SIP patients were included. The overall recurrence rate was 12.80% (322/2515) for the endoscopic approach group, 16.58% (182/1098) for the external approach group, and 12.60% (65/516) for the combined approach group. Meta‐analysis by random effects model showed that the summarized risk ratio (RR) of recurrence was 0.61 (95% confidence interval [CI], 0.44 to 0.85, p = 0.003), I2 = 37.95% for the endoscopic vs external approach; 0.98 (95% CI, 0.69 to 1.39, p = 0.901), I2 = 9.06% for the endoscopic vs combined approach; 1.61 (95% CI, 1.06 to 2.43, p = 0.025), I2 = 0.00% for the external vs combined approach. After adjusting for publication bias, the adjusted RRs were 0.66 (p = 0.014) for endoscopic vs external; 0.99 (p = 0.955) for endoscopic vs combined; and 1.33 (p = 0.224) for external vs combined.ConclusionAn enlarging and maturing body of literature continues to indicate that endoscopic approaches result in significantly lower recurrence rates than open approaches for surgical resection of SIP.

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Isolated sphenoethmoid recess poiyps

Cited by 22 publications

References 10 publications

Papiloma invertido isolado em recesso esfenoetmoidal

Papiloma invertido isolado em recesso esfenoetmoidal

The Spheno-Ostio-Choanal Polyp

Outcomes of sinonasal inverted papilloma resection by surgical approach: an updated systematic review and meta‐analysis

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