Sinonasal polyposis
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Sinonasal polyposis refers to the presence of multiple benign polyps in the nasal nasal cavity and paransal sinuses. It causes a specific specific pattern of chronic sinusitis.
Clinical presentation
Clinical symptoms may include 3
- progressive nasal stuffiness
- rhinorrhea
- facial pain
- headache
- anosmia
Radiographic features
CT
- extensive mucosal polyps occupying and obliterating the nasal
cavitycavity and the paranasal sinuses - associated local benign bone remodelling or erosion (as opposed to a mucocoele where the entire sinus is expanded 6)
- enlargement of infundibula
- attenuation of the ethmoid sinus walls and nasal septum
- occasionally sparing of the inferior nasal meatus
- truncation of middle turbinate4
- opacified ethmoid sinuses with convex lateral walls and air-fluid levels
- concurrentfungal sinus
infectioninfection may be common
-<p><strong>Sinonasal polyposis </strong>refers to the presence of multiple benign polyps in the nasal cavity and paransal sinuses. It causes a specific <a href="/articles/patterns-of-sinonasal-obstruction">pattern</a> of <a href="/articles/chronic-sinusitis">chronic sinusitis</a>.</p><h4>Clinical presentation</h4><p>Clinical symptoms may include <sup>3</sup></p><ul>- +<p><strong>Sinonasal polyposis </strong>refers to the presence of multiple benign polyps in the nasal cavity and paransal sinuses. It causes a specific <a href="/articles/patterns-of-sinonasal-obstruction">pattern</a> of <a href="/articles/chronic-sinusitis">chronic sinusitis</a>.</p><h4>Clinical presentation</h4><p>Clinical symptoms may include <sup>3</sup></p><ul>
-<li>extensive mucosal polyps occupying and obliterating the nasal cavity and the paranasal sinuses</li>-<li>associated local benign bone remodelling or erosion (as opposed to a <a title="Mucocoele" href="/articles/mucocoele">mucocoele</a> where the entire sinus is expanded <sup>6</sup>)<ul>- +<li>extensive mucosal polyps occupying and obliterating the nasal cavity and the paranasal sinuses</li>
- +<li>associated local benign bone remodelling or erosion (as opposed to a <a href="/articles/mucocoele">mucocoele</a> where the entire sinus is expanded <sup>6</sup>)<ul>
-<li>truncation of middle turbinate <sup>4</sup>- +<li>truncation of middle turbinate <sup>4</sup>
-<li>concurrent <a href="/articles/fungal-sinusitis">fungal sinus infection</a> may be common</li>- +<li>concurrent <a href="/articles/fungal-sinusitis">fungal sinus infection</a> may be common</li>
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