Sinonasal polyposis

Changed by Ian Bickle, 23 Nov 2015

Updates to Article Attributes

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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 cavity cavity 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 infection infection 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>
Images Changes:

Image 5 CT (bone window) ( create )

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