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Nasal mass mimicking antrochoanal polyp
Shalini Jadia1, Rashmi Goyal, Rakesh Biswas
1Peoples Medical College and Research Center, Otolaryngology, Bhanpur Road, Bhopal (MP), Bhopal, 462037, India.
Sphenochoanal polyps, a rare nasal condition, originate in the sphenoid sinus. Accurate diagnosis via endoscopy and CT scans is crucial to avoid misdiagnosis and ensure complete surgical removal.
Area of Science:
- Otolaryngology
- Rhinology
- Surgical Pathology
Background:
- Choanal polyps are typically antral, originating from the maxillary sinus.
- Sphenochoanal polyps are rare variants, originating from the sphenoid sinus and extending inferiorly.
- Misdiagnosis as antrochoanal polyps can lead to suboptimal surgical outcomes.
Observation:
- A 40-year-old female presented with progressive left nasal obstruction and an oropharyngeal mass.
- Nasal endoscopy revealed a polypoid mass.
- Computed tomography (CT) scan confirmed the sphenoid sinus origin.
Findings:
- The diagnosis of sphenochoanal polyp was confirmed.
- Endoscopic surgical removal was performed successfully.
- Histopathological examination confirmed the diagnosis.
Implications:
- Highlights the importance of differentiating sphenochoanal from antrochoanal polyps.
- Emphasizes the role of advanced imaging (CT) and endoscopy in diagnosis.
- Underscores the need for complete endoscopic removal to prevent recurrence.
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