Kim Byung Hun, Hong Seongman, Jang Younil, Myung Jae Kyung, Cho Seok Hyun
Department of Otolaryngology-Head and Neck Surgery, Hanyang University Hospital, Seoul, Republic of Korea.
Department of Pathology, Hanyang University Hospital, Seoul, Republic of Korea.
J Rhinol. 2023 Jul;30(2):120-124. doi: 10.18787/jr.2023.00020. Epub 2023 Jul 28.
A nasal polyp is a distinct mucosal pathology that obstructs the nasal cavity and paranasal sinuses, with various phenotypes and endotypes. Nasal polyps should be distinguished from inverted papillomas, squamous cell carcinomas, juvenile angiofibromas, lymphomas, and olfactory neuroblastomas. A choanal polyp is a solitary benign lesion that originates in the paranasal sinus and extends to the choana through the natural ostium of the sinus. Choanal polyps usually originate from the maxillary sinus; however, we recently experienced the case of 41-year old women with sinochoanal polyp originated from the ethmoid sinus. As choanal polyps can recur even after appropriate surgery, complete resection, including the surrounding mucosa at the site of origin, is required. Therefore, it is essential to consider anatomical differences in polypectomy. We recently diagnosed and successfully performed surgery on an ethmochoanal polyp; herein, we report our experience and present a literature review.
鼻息肉是一种独特的黏膜病变，可阻塞鼻腔和鼻窦，具有多种表型和内型。鼻息肉应与内翻性乳头状瘤、鳞状细胞癌、青少年血管纤维瘤、淋巴瘤和嗅神经母细胞瘤相鉴别。后鼻孔息肉是一种孤立的良性病变，起源于鼻窦，通过鼻窦自然开口延伸至后鼻孔。后鼻孔息肉通常起源于上颌窦；然而，我们最近遇到了一例41岁女性患者，其鼻窦后鼻孔息肉起源于筛窦。由于后鼻孔息肉即使在适当手术后也可能复发，因此需要完整切除，包括起源部位的周围黏膜。因此，在息肉切除术中考虑解剖差异至关重要。我们最近诊断并成功地对一例筛窦后鼻孔息肉进行了手术；在此，我们报告我们的经验并进行文献综述。
