ENT- Nasal polyps and malignant neoplasms

Question 1

What is the etiology of nasal polyps?

Answer 1

unclear etiology

-it is associated with allergic rhinitis, asthma and cystic fibrosis

Question 3

When should you avoid giving aspirin?

Answer 3

If a patient has nasal polyps and asthma–> can cause severe rxn

-This is called Samter triad (immunologic salicylate sensitivity that causes severe episode of bronchospasm)

Question 4

What should you think about in children that present with nasal polyps?

Answer 4

Cystic Fibrosis

Question 5

What is the clinical presentation of Nasal polyps?

Answer 5

1. Nasal obstruction (congestion, decreased smell)
2. Anosmia
3. Rhinorrhea
4. Post nasal drip
5. Pale, edematous, mucus covered mass

Question 6

How are nasal polyps treated?

Answer 6

• Topical intranasal corticosteroids
• Surgical excision (high recurrence)

Question 7

Nose- Malignant neoplasms

Answer 7

• Squamous cell carcinoma and adenocarcinoma
• Rare, < 0.5% of all cancers
• Male > female; usually 50+ y/o

Question 8

What are risk factors of malignant neoplasms of the nose?

Answer 8

1. Tobacco smoke
2. Exposure to wood dust, glue, adhesives
3. HPV

Question 9

What is the presentation of malignant neoplasms of the nose?

Answer 9

Obstruction and epistaxis

Question 10

What is the presentation of ADVANCED malignant neoplasms of the nose?

Answer 10

1. facial swelling/pain
2. proptosis
3. diplopia
4. cranial nerve dysfunction
5. seizure
6. nodal masses

Question 11

How are malignant neoplasms of the nose diagnosed?

Answer 11

biopsy

Question 12

What type of imaging could be ordered for a malignant neoplasm of the nose?

Answer 12

CT, MRI

*diagnosis should be made by biopsy

Question 13

How are malignant neoplasms of the nose treated?

Answer 13

1. head/neck surgeon
2. neurosurgeon
3. radiation oncology