Salaria Neha, Sharma Naveen, Garg Uma, Saluja Swaran Kaur, Agarwal Ruchi
Department of Otorhinolaryngology, BPS Government Medical College for Women, Khanpur Kalan, Haryana, India.
Department of Pathology, BPS Government Medical College for Women, Khanpur Kalan, Haryana, India.
Iran J Otorhinolaryngol. 2015 Jul;27(81):319-23.
Nasal polyps are benign prolapsed mucosal lesions which commonly arise from the paranasal sinuses and lateral walls of the nose especially the contact areas of osteomeatal complex. Though nasal polyps arising from the nasal septum have been reported, those arising from its anterior part are extremely rare and present a diagnostic dilemma. Aetiology is multifactorial and is mainly a result of the inflammatory response of the lining mucosa.
The case of a 28-year-old male, with a history of progressively increasing nasal complaints since 4 months and with a nasal mass arising from the anterior nasal septum on examination, is reported. Diagnosis of an inflammatory nasal polyp was made on histopathological examination after surgical excision of the mass.
The diagnosis of an inflammatory nasal polyp was not only unusual in terms of its location but also in its appearance on anterior rhinoscopy and tomographic scanning images. The definitive diagnosis in such cases can only be achieved through surgical resection and detailed histopathological examination.
鼻息肉是良性的脱垂性黏膜病变，通常起源于鼻窦和鼻腔外侧壁，尤其是骨迷路复合体的接触区域。虽然有报道称鼻息肉可起源于鼻中隔，但起源于鼻中隔前部的鼻息肉极为罕见，且存在诊断难题。其病因是多因素的，主要是黏膜衬里炎症反应的结果。
报告一例28岁男性患者，自4个月以来鼻腔不适症状逐渐加重，检查发现鼻腔肿物起源于鼻中隔前部。肿物手术切除后经组织病理学检查诊断为炎性鼻息肉。
炎性鼻息肉的诊断不仅在其位置上不常见，在前鼻镜检查和断层扫描图像上的表现也不常见。此类病例的明确诊断只能通过手术切除和详细的组织病理学检查来实现。
