Sinonasal papilloma: diagnosis following dental pain

Abstract

Sinonasal papillomas (SPs) are benign neoplasms that arise within the nasal cavity. Diagnosis may be challenging, given the often non-specific symptoms including nasal obstruction, headaches and rhinorrhoea. SPs can be locally destructive, have a high tendency to reoccur and may be associated with transformation to squamous cell carcinoma. Management, therefore often, involves surgical excision and careful follow-up.We present the case of a 48-year-old male who was referred to the oral and maxillofacial surgery (OMFS) department following a 2-week history of dental pain affecting the upper right quadrant. This case report aims to raise awareness of SPs among dentists to ensure they are considered as part of a comprehensive differential diagnosis. The case report also highlights the complexities with both diagnosis and treatment, often requiring a multidisciplinary approach.