June 30, 2010 Mohannad Ahmad Al-Qudah, MD, FICS, FAAOHNS
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Abstract
Choanal polyps arise from inflamed, edematous mucosa in the paranasal sinuses. They extend into the choana and cause nasal obstruction and mouth breathing. In most cases, these polyps arise in the maxillary sinus, but rare cases of origin in the sphenoid sinus and other nasal structures have been reported. The presence of a choanal polyp in an atypical location can lead to diagnostic confusion and exploration of the wrong sinus at surgery. The author reports the case of a 15-year-old girl who was diagnosed with a sphenochoanal polyp. The patient was successfully treated via an endoscopic surgical approach.
March 1, 2010 Gursel Dursun, MD, Selmin Karatayli-Ozgursoy, MD, Ozan Bagis Ozgursoy, MD, Zahide Ciler Tezcaner, MD, Isil Coruh, Audiometrist, and Mehmet Akif Kilic, MD
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Abstract
We conducted a study to examine six macroscopic features of vocal fold polyps and to investigate their influence on quality of voice. We retrospectively reviewed the records of 101 consecutive patients with vocal fold polyps who had undergone microlaryngeal surgery for polyp removal after conservative measures had failed. All patients had undergone videolaryngostroboscopy and perceptual and acoustic voice analyses. The six macroscopic features of these vocal fold polyps were morphologic type, location, position, shape, size, and the presence or absence of a reactive lesion on the contralateral vocal fold. Among our statistically significant findings were that gelatinous polyps tended to be broad-based; polyps located on the superior surface tended to be hemorrhagic; small polyps were mostly located on the middle one-third of the vocal fold, and most of them were broad-based; and all of the polyps that were accompanied by reactive lesions on the contralateral vocal fold were located on the free edge. Moreover, jitter was found to be low in small polyps. Finally, noise-to-harmonics ratios were significantly higher in patients with anterior polyps and in those with pedunculated polyps. We conclude that each of the six macroscopic features of vocal fold polyps affected vocal function to a certain degree. We believe that our study provides additional information to otolaryngologists and speech language pathologists who deal with vocal fold polyps.
December 1, 2009 Takeshi Kusunoki, MD, Ryohei Fujiwara, MD, Kiyotaka Murata, MD, and Katsuhisa Ikeda, MD
April 30, 2009 Alper Nabi Erkan, MD, Özcan Çakmak, MD, and Nebil Bal, MD
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Abstract
Choanal polyps are solitary benign growths that can cause unilateral nasal obstruction. A frontochoanal polyp originates from the frontal sinus and extends to the nasopharynx. These lesions are rare and are usually diagnosed by endoscopic examination and computed tomography. A 20-year-old man presented with unilateral nasal obstruction and headache. Findings on endoscopy and computed tomography suggested frontochoanal polyp, and endoscopic treatment was successful. We discuss the case and review the pertinent literature.
December 1, 2008 Omar Rahmat, MD, MS and Narayanan Prepageran, FRCS
March 31, 2008 Robert Eller, MD, Mary Hawkshaw, RN, BSN, CORLN, and Robert T. Sataloff, MD, DMA
March 1, 2008 Ibrahim Ozcan, MD, K. Murat Ozcan, MD, Serdar Ensari, MD, and Huseyin Dere, MD
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Abstract
Rhinoliths are uncommon mineralized masses that form as a result of calcification of an endogenous or exogenous nidus. The most common manifestations of rhinolithiasis are unilateral nasal discharge, nasal obstruction, and facial pain. The diagnosis is made by nasal endoscopy and computed tomography. The differential diagnosis includes chronic inflammation, osteomyelitis, benign tumors (e.g., calcified nasal polyps, ossifying fibromas, osteomas, and chondromas), and malignant tumors (e.g., osteosarcomas, chondrosarcomas, and squamous cell carcinomas). Rhinoliths may cause rhinosinusitis, erosion of the nasal septum and medial wall of the maxillary sinus, and perforations of the palate. To the best of our knowledge, the occurrence of a nasal polyp associated with rhinolithiasis has not been previously reported in the English-language literature. In this article, we describe such a case.
September 30, 2007 Catherine J. Rees, MD; Peter C. Belafsky, MD, PhD
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A 56-year-old man was referred to the Center for Voice and Swallowing for management of a large upper esophageal mass. He complained of intermittent regurgitation of the mass and associated dyspnea.
July 31, 2007 Robert Eller, MD; Mary Hawkshaw, RN, BSN, CORLN; Robert T. Sataloff, MD, DMA
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A 27-year-old Web site designer experienced sudden hoarseness after yelling at a sporting event. Over the next 6 to 8 weeks, he experienced a general, but incomplete, improvement in his voice. Following a videostroboscopic examination (figure), he was diagnosed with a posthemorrhagic vocal fold polyp.
June 30, 2007 Ji-Eon Kim, MD; Stilianos E. Kountakis, MD, PhD
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Abstract
We conducted a retrospective study to determine the prevalence of Samter's triad (nasal polyps, asthma, and aspirin sensitivity) in 208 consecutively presenting patients who had undergone functional endoscopic sinus surgery (FESS) for chronic rhinosinusitis from September 2001 through August 2003. Overall, Samter's triad was found in 10 patients (4.8%); subgroup analyses showed that the prevalence of Samter's triad was 5.9% in adults, 9.4% in patients with nasal polyps alone, 16.9% in patients with asthma alone, and 25.6% among patients with both polyps and asthma. On average, patients with Samter's triad had undergone approximately 10 times as many previous FESS procedures as had the patients without Samter's triad (mean: 5.2 vs. 0.53; p < 0.001). In addition to Samter's triad, four other factors were independently and significantly associated with a higher number of previous FESS procedures: nasal polyps alone, asthma alone, both polyps and asthma, and cystic fibrosis alone. Finally, at 6 months following their most recent surgery, patients with Samter's triad had significantly higher rates of symptom recurrence (nasal obstruction, facial pain, postnasal drip, and anosmia) and a recurrence of nasal polyps.
May 31, 2007 Lester D.R. Thompson, MD, FASCP
April 30, 2007 Dewey A. Christmas Jr., MD; Joseph P. Mirante, MD, FACS; Eiji Yanagisawa, MD, FACS
