Presentation
Runny nose and difficult breathing and nasal obstruction.
Patient Data
Age: 40 years
Gender: Female
From the case:
Sinonasal polyposis with small ethmoidal osteoma
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Diffuse and polypoid mucosal thickening and fluid in all paranasal sinuses with sinus cavities obliteration more prominent in ethmoid sinus are seen. A small osteoma in the right ethmoid sinus and a similar one in the left ethmoid sinus are seen. Note also right side nasal septum deviation with spur.
Case Discussion
The chronic inflammatory process and polyposis within paranasal sinuses can lead to osteoma formation due to chronic bone irritation. Atopy and cystic fibrosis (CF) are the leading causes of chronic rhinosinusitis and sinonasal polyposis. Biopsy was done and chronic and eosinophilic cell inflammatory changes were reported by the pathologist.
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