Types and Clinical Profile of Unilateral Sinonasal Masses

Khammas, Ammar H.; Hameed, Husam S.; Alobaidy, Firas J.

doi:10.33091/amj.2022.174522

	Types and Clinical Profile of Unilateral Sinonasal Masses
Al- Anbar Medical Journal
Article 1, Volume 18, Issue 1, 2022, Pages 1-4 PDF (342.01 K)
Document Type: Original articles
DOI: 10.33091/amj.2022.174522
Authors
Ammar H. Khammas¹; Husam S. Hameed^* ²; Firas J. Alobaidy³
¹Department of Surgery (Otolaryngology), College of Medicine, Al-Mustansiriya University, Baghdad, Iraq.
²Department of Surgery (Otolaryngology), Baqubah Teaching Hospital, Diala Health Directorate, Diala, Iraq
³Department of Surgery (Otolaryngology), Baqubah Teaching Hospital, Diala Health Directorate, Diala, Iraq.
Abstract
Background: Unilateral mass in the sinonasal region is a common problem facing the otolaryngologist in daily clinical practice. There are various benign and malignant conditions originating in this area with different clinical features depending on their nature and extent. Objectives: To evaluate the types and clinical profile of unilateral sinonasal masses. Materials and methods: This study includes 60 patients who attended the outpatient clinic at Alyarmook Teaching Hospital, Baghdad, Iraq, between January 2017 and April 2018. A thourough history from each patient was taken. Moreover, the clinical examination was done according to standard clinical practice. The imaging results of the nose and paranasal sinuses were documented. Then biopsy was taken from the mass at the operating room under local or general anesthesia if indicated. The specimen was sent for histopathological examination and the results were documented on the data collection sheet. The patients were divided into two groups: non-neoplastic and neoplastic according to the histopathological results. Results: Out of 60 patients, there were 36 (60%) males. The age of our cases was ranged from 6 to 79 years with a mean age of 34.20 ± 18.126 years. Non-neoplastic causes were (n=38, 63.3%) more than the neoplastic group, and the majority of them were unilateral simple polyp (n=23, 38.3%). Inverted papilloma was the most common benign tumor (n=8, 13.3%), while, squamous cell carcinoma was the commonest malignant neoplasm (n=2, 3.3%). Non-neoplastic causes were more in both sexes. The most affected age group was 20-49 years (n=31, 51.7%). The non-neoplastic causes were mostly seen in the age group 20-49 years (n=22, 36.7%). There was no statistically significant difference between the age and gender and the causes of unilateral sinonasal lesions (P-value > 0.05). Nasal obstruction, nasal discharge, and hyposmia were more in non-neoplastic than neoplastic group. While epistaxis and facial pain were found to be higher in the neoplastic group. Conclusion: Non-neoplastic masses outnumber neoplastic ones. Among non-neoplastic lesions, inflammatory polyps were the most common. Benign neoplasms outnumber the malignant neoplasms with inverted papilloma and squamous cell carcinoma were the most common respectively.
Keywords
Clinical profile; Nasal polyposis; Unilateral sinonasal masses; types

References
[1] S. Belli, M. Yildirim, S. Eroglu, and F. K. Emre, “Single-sided sinonasal mass: A retrospective study,” North. Clin. Istanbul, vol. 5, no. 2, p. 139, 2018. [2] M. Paz Silva, J. M. Pinto, J. P. Corey, E. E. Mhoon, F. M. Baroody, and R. M. Naclerio, “Diagnostic algorithm for unilateral sinus disease: a 15‐year retrospective review,” in International forum of allergy & rhinology, vol. 5, no. 7, pp. 590–596, 2015. [3] I. Y. Shuaibu, M. A. Usman, and A. Ajiya, “Unilateral sinonasal masses: Review of clinical presentation and outcome in Ahmadu Bello university teaching hospital, Zaria, Nigeria,” Niger. Med. J. J. Niger. Med. Assoc., vol. 61, no. 1, p. 16, 2020. [4] S. Nair, E. James, S. Awasthi, S. Nambiar, and S. Goyal, “A review of the clinicopathological and radiological features of unilateral nasal mass,” Indian J. Otolaryngol. Head Neck Surg., vol. 65, no. 2, pp. 199–204, 2013. [5] A. H. Ibrahim, N. J. Metib, and H. J. Kehiosh, “Clinicopathological Profile of Patients with Unilateral Sinonasal Masses in Karbala,” Karbala J. Med., vol. 9, no. 1, pp. 2408–2416, 2016. [6] R. Corbridge and N. Steventon, Oxford handbook of ENT and head and neck surgery. Oxford University Press, 2019. [7] E. Erkul, İ. E. Çekin, O. Kurt, A. Güngor, and M. A. Babayiğit, “Evaluation of patients with unilateral endoscopic sinus surgery,” Turk Arch Otolaryngol, vol. 50, pp. 41–45, 2012. [8] H.-K. Chung, C.-J. Tai, P.-C. Wang, C.-D. Lin, and M.-H. Tsai, “Analysis of disease patterns in patients with unilateral sinonasal diseases,” Mid Taiwan J Med, vol. 13, pp. 82–88, 2008. [9] C. Kucur et al., “Unilateral nasal pathologies: clinical presentation and management.,” ENT Update., 2015. [10] J. R. Oliver et al., “Human papillomavirus and survival of patients with sinonasal squamous cell carcinoma,” Cancer, vol. 126, no. 7, pp. 1413–1423, 2020. [11] D. W. Kennedy and P. H. Hwang, “Rhinology: diseases of the nose, sinuses, and skull base,” J. Laryngol. Otol., vol. 126, p. 1194, 2012. [12] O. K. Kahveci, A. Duran, and M. C. Miman, “Our Histopathological Results for Intranasal Masses; Retrospective Study of 6 Years Burun,” J. Clin. Anal. Med., vol. 3, no. 3, pp. 289–292, 2012. [13] A. Bohman et al., “Heredity of nasal polyps,” Rhinology, vol. 53, no. 1, pp. 25–28, 2015. [14] D. J. Rogers, S. E. Bevans, and W. J. Harsha, “Endoscopic resection of juvenile nasopharyngeal angiofibroma,” in Pediatric Airway Surgery, vol. 73, Karger Publishers, pp. 132–136, 2012. [15] G. Leoncini and L. Zanetti, “The papillomas of the sinonasal tract. A comprehensive review,” Pathologica, vol. 109, no. 1, pp. 31–34, 2017.
Statistics Article View: 2,114 PDF Download: 593