Surgical management of a sinonasal angiomatous polyp and associated cyst involving the paranasal sinuses and nasal cavity via standing axial rhinotomy

Abstract

This case report describes the successful surgical management of a sinonasal angiomatous polyp involving the dorsal conchal bullae, dorsal conchal sinus, ventral conchal sinus, ventral conchal bullae and ventral conchal recess of the left nasal cavity resulting in a secondary sinusitis and compression of the nasal passage.

Comparison of equine paranasal sinus trephination complications and outcome following standing computed tomography, radiography and sinoscopy guided approaches for the treatment of sinusitis

“…7,8 Surgical exploration via either flap sinusotomy or sinoscopy is used to assist diagnosis; however, inflammation and distortion of normal anatomy by the disease process can make diagnosis difficult. 9 Sinus surgery has been associated with several complications including surgical site infection (SSI) and suture line periostitis (SLP) that has been reported in 16%-38% of cases. 10,11 In a recent study, sinusotomy wound infections occurred in 22% (9/42) of cases compared to 6% (9/155) sinoscopy portal infections when made with a 5 mm trephine, 12 suggesting a less invasive approach may be preferred but there is little information available for larger trephination sizes.…”

“…The complex anatomy of the paranasal sinuses as well as superimposition of dental and sinus structures makes radiographic interpretation difficult and poor success in diagnosing periapical infection is well documented 7,8 . Surgical exploration via either flap sinusotomy or sinoscopy is used to assist diagnosis; however, inflammation and distortion of normal anatomy by the disease process can make diagnosis difficult 9 . Sinus surgery has been associated with several complications including surgical site infection (SSI) and suture line periostitis (SLP) that has been reported in 16%–38% of cases 10,11 .…”