ENT Updates

Clinical Research

Unilateral nasal pathologies: clinical presentation and management

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https://doi.org/10.2399/jmu.2015001007
Kucur, C., Oğhan, F., Özbay, İsa, Erdoğan, O., Tok, Şermin, Şanal, B., Korkmaz, M., & Yıldırım, N. (2015). Unilateral nasal pathologies: clinical presentation and management. ENT Updates, 5(1). https://doi.org/10.2399/jmu.2015001007
Volume 5 Issue 1 (2015)
Copyright (c) 2015 Cüneyt Kucur, Fatih Oğhan, İsa Özbay, Onur Erdoğan, Şermin Tok, Bekir Şanal, Mehmet Korkmaz, Nadir Yıldırım
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This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors

  • Cüneyt Kucur
    Department of Otorhinolaryngology, Faculty of Medicine, Dumlupınar University, Kütahya, Turkey
  • Fatih Oğhan Department of Otorhinolaryngology, Faculty of Medicine, Dumlupınar University, Kütahya, Turkey
  • İsa Özbay Department of Otorhinolaryngology, Faculty of Medicine, Dumlupınar University, Kütahya, Turkey
  • Onur Erdoğan Department of Otorhinolaryngology, Faculty of Medicine, Dumlupınar University, Kütahya, Turkey
  • Şermin Tok Department of Radiology, Faculty of Medicine, Dumlupınar University, Kütahya, Turkey
  • Bekir Şanal Department of Radiology, Faculty of Medicine, Dumlupınar University, Kütahya, Turkey
  • Mehmet Korkmaz Department of Radiology, Faculty of Medicine, Dumlupınar University, Kütahya, Turkey
  • Nadir Yıldırım Department of Otorhinolaryngology, Faculty of Medicine, Dumlupınar University, Kütahya, Turkey

Objective: To evaluate the histopathological examination results, frequency of lesions and associated symptoms in patients with established unilateral nasal pathology.

Methods: Medical records of 73 patients with unilateral nasal lesions who undergone histopathological examination were analyzed retrospectively. Clinical presentation, examination and radiological findings, treatment and follow-up process of the patients were evaluated.

Results: Neoplastic (n=16) and non-neoplastic (n=57) pathologies were detected in 73 patients. Non-neoplastic lesions consisted of inflammatory polyps (n=16), chronic sinusitis (n=11), anthrocoanal polyps (n=6) which were the most striking unilateral nasal pathologies. Neoplastic group (n=16) comprised of 2 malignant and 14 benign cases which were classified as adenocarcinoma (n=1), adenoid cystic carcinoma (n=1), inverted papilloma (n=8), hemangioendothelioma (n=1), capillary hemangioma (n=1), fibrous dysplasia (n=1), osteoma (n=1) and pyogenic granuloma (n=2). The most frequently observed symptom was unilateral nasal obstruction. Especially in cases with neoplasms, the frequency of epistaxis increased significantly (p<0.05).

Conclusion: In cases with unilateral sinonasal symptoms, neoplasias should be kept in mind. A detailed anamnesis, attentive endoscopic examination and appropriate radiological imaging modalities in suspected cases and recurrent biopsies in case of need can reveal underlying pathologies.

Keywords:

Nasal pathologies unilateral nasal obstruction