This document defines and describes nasal polyps and two main types - ethmoid and antrochoanal polyps. Ethmoid polyps arise from the ethmoid sinuses and appear as grape-like structures visible on anterior rhinoscopy. Antrochoanal polyps originate in the maxillary sinus and may extend through the nasal cavity and choana. Both cause nasal obstruction and other symptoms. Diagnosis involves nasal endoscopy, imaging, and biopsy. Treatment options include medical management, functional endoscopic sinus surgery, steroids, and polypectomy.

1. NASAL POLYPOSIS
Dr. Gangaprasad Waghmare
MS,PhD(Sch),PGDCS

2. DEFINITION
 It is a prolapse edematous, penduculated growth in
nasal mucosa .
 Arise from sinus or the nasal cavity
 Inflammatory condition of Unknown Origin

4. • Round, Smooth , Jelly like ,Non tender
• Translucent ,Yellow or pale glistening
structure
• Attached to nasal mucosa by relatively
narrow stalk or pedicle
• Commonly arise from Ethamoid Sinuses
• Bilateral & Multiple.

5. TYPES
 Common
1.Ethamoid
2.Antrochoanal
Rare
1.Sphenocoanal
2.True Choanal

6. Etiology-
• Combination of Allergy & Infection
• Cystic fibrosis & Salicylic acid
Hypersensitivity
• Repeated insult to nasal mucosa
• Repeated blowing of nose

8. ETHAMOID POLYP
 Arise from air cells of ethamoid labyrinth
 Grape like structure
 Examined by Anterior Rhinoscopy

9. Clinical Features-
Symptoms-
1. Nasal obstruction
2. Hyposmia or Anosmia
3. Nasal Discharge
4. Broadening of Nose
5. Headache
Signs-
1. Frog Face deformity
2. Reduced or absence of fogging

10. Anterior Rhinoscopy-
• Pale grayish or bluish white grape like masses
• Vascular pinkish appearance if infected
• Insensitive to touch .dont bleed on touch
• Present more anteriorly

12. Differential Diagnosis
1.Antrochoanal Polyp
2.Sphenochoanal Polyp
3.Rhinosporidiosis
4.Rhinoscleroma
5.Inverted Papiloma
6.Angiofibroma

13. Investigation-
1.Nasal Endoscopy
2.Radiography-a. X Ray PNS
b. CT-Scan –OMC
3. Allergy Test
4.Nasal Swab
5.Biopsy

14. Treatment-
1.Medical- Incomplete & aim at to relieve
Symptoms
2. FESS
3.Steroid Nasal Sprays
4.Antifungal
5.Nasal polypectomy
6.Ethamoidectomy

15. ANTROCHOANAL POLYP
 Polyp originated in the maxillary sinus
 Protruding in the meatus
 May extend posteriorly through the choana into
NPX/OPX

16. • Uncommon Polyp
• Good inspiratory airway with blockage on
expiration
• Three Parts
1. Antral
2. Nasal
3. Choanal

17. Clinical Features-
Symptoms-
• Nasal obstruction- during expiration & mostly BL
• Like antrochoanal

18. Signs-
• In early stage polyp may be unilateral in
middle meatus
• Post Rhinoscopy- Pale , transluscent
chonal mass
• Comes out into OPX/NPX

19. Investigation-
 X Ray PNS
 X Ray NPX
 CT-Scan- OMC
 Nasal Endoscopy
DD-
 Juvenile NPX Angiofibroma
 Meningocoele
 Sphenochoanal Polyp
 Rhinosporidiosis

21. Treatment-
 Complete Removal
 Transnasal/ Transoral
 Intranasal antrostomy
 Cald Well-Luc Operation
 Endoscopic Polypectomy

22. THANK YOU