Downloaded 1,405 times
More Related Content
Similar to Nasal polyp ppt
Nasal polyp ppt
- 1. DR VIRAL PRAJAPATI MS(ENT) ASSOCIATEPROFESSOR GMERS MEDICAL COLLEGE DHARPUR-PATAN
- 2. DEFINATION OF POLYP ETIOLOGY PATHOGENESIS TYPESOF NASAL POLYP SYMPTOMS AND SIGNS COMPLICATION MANAGMENT
- 3. Polyp is edematousmucosa due to repeated inflammation which is protruded from nasal sinus labyrinth. It’s not growth but it’s edematous of normal lining mucosa.
- 4. ETIOLOGY Inflammation ofnasal mucosa like chronic rhinosinusitis, asthma, aspirin intolerance, Sampter’s tirad. Disorder of ciliary motility Kartagener’s syndrome(BSSC) Yong’s syndrome(SpA) Churg Strauss Syndrome(AFEVG) Abnormal composition of nasal mucus Cystic Fibrosis PATHOLOGY Inflamation of nasal mucosa cause increase vascular permeability that causes collection of extracellular fluid so edema of normal nasal mucosa seen which causes narrowing of ostium as well as prolapsing normal mucosa from sinus labrynth. Due to repeat blowing of nose for clearing of nasal secretion cause decrease nasal cavity pressure(Burnoulli’s theory) so its inceasr size of polyp and pull down the polyp
- 5.
- 6. ETHMOIDAL POLYP Age- Adult common Cause– Allergic Number- Multiple Origin- Ethmoid air cell,uncinate process,middle meatus,medial surface and edge ofmiddle turbinate Growth- forward Anteriorly Size & Shape- bunch of grapes like Recurrence- Common Color- Pale Grayish ANTROCHOANAL POLYP Age- Children common Cause – Infection Number- Solid single Origin- Maxillary Sinus Growth- Backward Posteriorly Size & Shape- Tri lobe: Antrum,Nasal and Chonal part Recurrence- Uncommon Color- Red Pinkish
- 7. SYMPTOM Nasal Blockage NasalDischarge Headache Loss of Smell Sneezing SIGNS Broadening of nose Increase Medial inter canthal distance
- 8. Fungal Sinusitis Orbital cellulites Pansinusitis Secretary Otitis media Tonsilitis
- 9.
- 10. PATHOLOGICAL CBC ESR RFT LFT BT,CT,BGRH HIV,HBSAg RADIOLOGICAL XRAYCHEST XRAY PNS CT PNS SPECIAL INVESTIGATION:- NASAL ENDOSCOPY
- 11. MEDICAL a) Antibiotic ifinfection is present b) Oral decongestant c) Oral systemic steroid in case of allergic polyp d) Nasal drops SURGICAL a) Polypectomy : Intranasal Transnasal b)FESS(Functional Endoscopic Sinus Surgery): It’s Modern advance surgery
- 12.