Department of Otolaryngology, University of Miami, Miami, Florida, USA.
Am J Rhinol Allergy. 2012 Mar-Apr;26(2):157-63. doi: 10.2500/ajra.2012.26.3732.
Benign lesions of the nasal cavity represent a diverse group of pathologies. Furthermore, each of these disorders may present differently in any given patient as pain and discomfort, epistaxis, headaches, vision changes, or nasal obstruction. Although these nasal masses are benign, many of them have a significant capacity for local tissue destruction and symptomatology secondary to this destruction. Advances in office-based endoscopic nasendoscopy have equipped the otolaryngologist with a safe, inexpensive, and rapid means of directly visualizing lesions within the nasal cavity and the initiation of appropriate treatment.
The purpose of this study is to review the diagnosis, management, and controversies of many of the most common benign lesions of the nasal cavity encountered by the primary care physician or otolaryngologist.
This includes discussion of inverted papilloma (IP), juvenile angiofibroma, squamous papilloma, pyogenic granuloma, hereditary hemorrhagic telangiectasia, schwannoma, benign fibro-osseous lesions, and other benign lesions of the nasal cavity, with particular emphasis on IP and juvenile angiofibroma.
A diverse array of benign lesions occur within the nasal cavity and paranasal cavities. Despite their inability to metastasize, many of these lesions have significant capability for local tissue destruction and recurrence.
鼻腔良性病变是一组具有多种病理学特征的病变。此外，这些疾病在任何特定患者中可能表现不同，其症状包括疼痛和不适、鼻出血、头痛、视力改变或鼻塞。尽管这些鼻内肿块是良性的，但其中许多由于其造成的局部组织破坏和继发症状而具有很大的破坏性。基于诊室的鼻内镜下鼻窦内视镜技术的进步使耳鼻喉科医生能够安全、经济且快速地直接观察鼻腔内的病变，并开始进行适当的治疗。
本研究旨在回顾初级保健医生或耳鼻喉科医生最常遇到的鼻腔内许多常见良性病变的诊断、治疗和争议。
包括对鼻腔内翻性乳头状瘤（IP）、青少年型血管纤维瘤、鳞状细胞乳头状瘤、化脓性肉芽肿、遗传性出血性毛细血管扩张症、神经鞘瘤、良性纤维-骨病变以及其他鼻腔良性病变的讨论，特别强调了 IP 和青少年型血管纤维瘤。
鼻腔和鼻旁窦内存在多种良性病变。尽管这些病变不会转移，但其中许多病变具有很大的局部组织破坏性和复发性。
