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Anales de Otorrinolaringología Mexicana

2020, Number 4

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Otorrinolaringología 2020; 65 (4)

Clinical behavior, diagnosis and treatment of polypoid chronic rhinosinusitis

García JA, Carías A, Díaz V

Language: Spanish
References: 24
Page: 161-167
PDF size: 182.18 Kb.


ABSTRACT

Background: Chronic polypoid rhinosinusitis is characterized by the presence of two or more symptoms that persist for a period greater than twelve weeks, these symptoms can be nasal obstruction, rhinorrhea, facial pain or tightness and alteration in olfaction.
Objective: To analyze the clinical behavior, diagnosis and treatment of patients with chronic rhinusinusitis with polyps, at the Hospital Escuela Universitario.
Material and Method: A descriptive, cross-sectional, observational study, submitted and approved by the ethics, research and bioethics committee of the National Autonomous University of Honduras, Faculty of Medical Sciences, from January 2018 to March 2019.
Results: It included 36 patients hospitalized in the otolaryngology ward of the University Hospital. The average age was 40.5 ± 13.4 years, 61.1% of the cases were female, the most common clinical manifestations were nasal obstruction and rhinorrhea with 97.2% and 86.1%, respectively, complementing the diagnosis of these patients with nasal endoscopy and computed tomography, the pharmacological treatment was based on topical nasal steroids and antihistamines. The 36 patients underwent endoscopic nasal surgery, finding an inverted nasal papilloma on histopathological study.
Conclusions: Chronic polypoid rhinosinusitis was more frequent in females, managed with topical nasal steroids and nasal endoscopic surgery, reporting an inverted nasal papilloma as a histopathological finding in a patient, which determines the importance of this study.


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