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Nasopharyngeal polyp causing sensory disturbances: a case report
Abrar Majed Sabeh1, Iffat Mirza Ahmed2
1Department of Oral and Maxillofacial Sciences, Al-Farabi Colleges, Jeddah, Saudi Arabia; New Jersey Dental School, University of Medicine and Dentistry of New Jersey, New Jersey, USA.
Electronic Physician
|June 10, 2016
Summary
Nasopharyngeal polyps can cause unusual sensory symptoms like dental numbness. Cone Beam CT imaging aids in diagnosing these benign growths and resolving orofacial sensory disturbances.
Area of Science:
- Otolaryngology
- Neurology
- Radiology
Background:
- Nasopharyngeal polyps are benign mucosal growths that can affect individuals of all ages.
- Symptoms associated with these polyps are varied and can include nasal and pharyngeal discomfort.
Observation:
- A 52-year-old male presented with persistent dental midline numbness and breathing difficulties.
- Physical and neurological examinations revealed hyposensitivity in specific dental areas, prompting further investigation.
- Initial panoramic radiography indicated right sinus abnormalities.
Findings:
- Cone Beam CT (CBCT) revealed a thickened sinus membrane with a polypoid structure extending into the oropharynx.
- The diagnosis was confirmed as a nasal polyp by an Ear, Nose, and Throat (ENT) specialist.
- Treatment with a steroid spray led to symptom improvement, reducing numbness and resolving breathing issues.
Implications:
- This case highlights the utility of advanced imaging like CBCT in diagnosing orofacial sensory disturbances.
- Early and accurate diagnosis of nasopharyngeal polyps can lead to effective symptom management.
- Understanding the link between sinonasal pathology and neurological symptoms is crucial for comprehensive patient care.
