Inverted Papilloma - An Unusual Presentation (Foreign-Body like)

Area of Science:

• Otolaryngology
• Head and Neck Surgery
• Pathology

Background:

• Inverted papilloma is an uncommon sinonasal tumor originating from the mucosal lining.
• Typical symptoms include unilateral nasal obstruction, discharge, and anosmia.
• Rarely, extensive tumors can cause airway compromise and dysphagia.

Purpose of the Study:

• To report a rare case of inverted papilloma with extensive laryngopharyngeal extension.
• To highlight the unusual presentation of dyspnea and dysphagia caused by this sinonasal condition.

Main Methods:

• Case report presentation.
• Review of clinical presentation, diagnostic findings, and management of a patient with extensive inverted papilloma.

Main Results:

• The patient presented with severe dyspnea and dysphagia due to a large papillomatous mass.
• The tumor extended from the nasal cavity to the maxillary antrum, nasopharynx, oropharynx, and laryngopharynx.
• This extensive growth pattern is highly unusual for inverted papilloma.

Conclusions:

• Inverted papilloma can present with rare, severe symptoms like dyspnea and dysphagia when significantly extended.
• Early recognition and management are crucial for patients with extensive sinonasal tumors causing airway obstruction.