Endoscopic view of an inferior meatal polyp

March 18, 2014     Jae Hoon Lee, MD

Most polyps in the nasal cavity develop from the mucosa of the anterior ethmoid sinus, the contact areas of the uncinate process, and the middle turbinate so that they are observed in the middle meatus.

Eosinophilic otitis media

February 12, 2014     Alejandro Vazquez, MD; Danielle M. Blake, BA; and Robert W. Jyung, MD

Eosinophilic otitis media is refractory to conventional therapy for otitis media and may lead to severe hearing impairment if not recognized promptly.

Laryngeal tuberculosis: Use of videostroboscopy in diagnosis

February 12, 2014     Michelle Levian, DO; Amy Chapman, MA-SLP; and Reena Gupta, MD

The diagnosis of laryngeal tuberculosis is often suspected clinically, but in patients with less specific symptoms, flexible laryngoscopy may reveal only an inflammatory picture.

Unusual presentations of choanal polyps: Report of 3 cases

February 12, 2014     Ali Ozdek, MD; Halil Erdem Ozel, MD


Most choanal polyps arise from the maxillary sinus, and they are called antrochoanal polyps. Their typical endoscopic and radiologic appearance makes them easy to diagnose. However, some choanal polyps originate in unusual sites in the paranasal sinuses and nose, such as the sphenoid sinus and the lateral wall of the nose. These polyps usually present unilaterally, although bilateral presentations are possible. We describe 3 cases of atypical choanal polyps: a sphenochoanal polyp, bilateral antrochoanal polyps, and a giant antrochoanal polyp. In each case, nasal endoscopy and computed tomography clinched the diagnosis, and endoscopic surgery was performed to successfully remove the polyp. We discuss the clinical characteristics of these 3 cases.

A case of a nasal polyp originating in the cribriform plate

September 18, 2013     Osman Kursat Arikan, MD; Nuray Bayar Muluk, MD; Ozden Cirpar, MD


Nasal polyps were once believed to originate in sinus cavities, and from there to pass through ostia and into the nasal cavity. However, data gained from subsequent anatomic studies revealed that they can actually originate in numerous locations in the sinonasal area. We report a case of a nasal polyp that originated in the cribriform plate, which is a very rare site of origin for a nasal polyp.

Larynx: Nodules and polyps

September 18, 2013     Lester D.R. Thompson, MD

Nodules usually affect the anterior to middle thirds of the true vocal folds, and they are nearly always bilateral.

Endoscopic view of an ethmochoanal polyp

July 21, 2013     Jae Hoon Lee, MD

The main symptom of a choanal polyp is unilateral nasal obstruction. Most of these masses arise from the maxillary sinus.

Endoscopic view of ostial polyps of the maxillary sinus

June 11, 2013     Dewey A. Christmas, MD; Joseph P. Mirante, MD, FACS; and Eiji Yanagisawa, MD, FACS

Ostial polys in the maxillary sinus can cause recurring maxillary sinus disease by obstructing the ethmoid infundibulum and natural ostium of the maxillary sinus.

Endoscopic view of a septochoanal polyp

April 17, 2013     Jae Hoon Lee, MD

Most nasal cavity polyps develop from the mucosa of the anterior ethmoid sinus, the contact areas of the uncinate process, and the middle turbinates.

Otic polyp

October 31, 2012     Lester D.R. Thompson, MD

An uncommon entity, otic polyp arises in response to a long-standing inflammatory or infectious process of the middle ear, most often in young boys.

Osseous metaplasia in a nasal polyp: Report of a rare case and review of the literature

September 7, 2012     Hasan Mercan, MD; Deniz Tuna Edizer, MD; Erkan Kilic, MD; Tugce Esen, MD; Rana Ramazanoglu, MD; Harun Cansiz, MD


Metaplasia is the conversion of one adult tissue or cell type into another tissue or cell type. Although osseous metaplasia has been described in many parts of the body, it is rarely encountered in the head and neck region, especially in nasal polyps. This article reports a case of unilateral sinonasal polyp containing areas of osseous metaplasia in a 44-year-old woman presenting with nasal obstruction. Also included are a brief discussion of osseous metaplasia in the head and neck region and a literature review.

Bipolar microdebrider may reduce intraoperative blood loss and operating time during nasal polyp surgery

August 10, 2012     Nishant Kumar, MD; Raj Sindwani, MD, FACS


Bleeding during endoscopic sinus surgery (ESS) can interrupt the flow of the procedure and increase the risk of complications. Advances in microdebrider design now allow for bleeding to be controlled by bipolar energy during the suctioning and shaving of polyps. We conducted a retrospective study to examine the effects of this technology on blood loss and operating times during ESS for chronic rhinosinusitis with nasal polyps (CRS+P). Our patient population was made up of 80 patients who had undergone ESS for CRS+P by the same surgeon from January 2007 through May 2008. All surgeries were performed with either the PK diego bipolar microdebrider (Gyrus ACMI, ENT Division; Bartlett, Tenn.) or a standard microdebrider. There were 40 patients in each group. The PK group was made up of 23 males and 17 females, aged 14 to 66 years (mean: 43.1), and the control group included 21 males and 19 females, aged 17 to 71 years (mean: 43.1); there were no statistically significant differences between the two groups in terms of sex and age. In addition to demographic data, the charts were reviewed for comorbidities and operative variables; the latter included blood loss, operating room (OR) time, and complications. The preoperative treatment and anesthesia protocols were similar for all patients, and all patients demonstrated a similar disease burden on imaging (mean Harvard CT stage: 3.12 for the PK group and 3.15 for the controls; p > 0.05). We found that during ESS, the PK group experienced significantly less intraoperative blood loss than did the controls (means: 86.0 and 123.0 ml, respectively; p = 0.015). In addition, the PK device was associated with significantly shorter OR times (means: 88.9 and 101.4 min, respectively; p = 0.026). There were no complications in either group. We conclude that using a microdebrider with bipolar capabilities during ESS may offer the advantages of less blood loss and shorter operating times in patients with nasal polyps.

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