Types and Clinical Profile of Unilateral Sinonasal Masses

Background: Unilateral mass in the sinonasal region is a common problem facing the otolaryngologist in daily clinical practice. There are various benign and malignant conditions originating in this area with different clinical features depending on their nature and extent.Objectives: To eva...

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Main Authors: Ammar Khammas, Husam Hameed, Firas Alobaidy
Format: Article
Language:English
Published: University of Anbar 2022-06-01
Series:Al-Anbar Medical Journal
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Online Access:https://amj.uoanbar.edu.iq/article_174522_099e380f22515d11343eeb285f5f474e.pdf
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author Ammar Khammas
Husam Hameed
Firas Alobaidy
author_facet Ammar Khammas
Husam Hameed
Firas Alobaidy
author_sort Ammar Khammas
collection DOAJ
description Background: Unilateral mass in the sinonasal region is a common problem facing the otolaryngologist in daily clinical practice. There are various benign and malignant conditions originating in this area with different clinical features depending on their nature and extent.Objectives: To evaluate the types and clinical profile of unilateral sinonasal masses.Materials and methods: This study includes 60 patients who attended the outpatient clinic at Alyarmook Teaching Hospital, Baghdad, Iraq, between January 2017 and April 2018. A thourough history from each patient was taken. Moreover, the clinical examination was done according to standard clinical practice. The imaging results of the nose and paranasal sinuses were documented. Then biopsy was taken from the mass at the operating room under local or general anesthesia if indicated. The specimen was sent for histopathological examination and the results were documented on the data collection sheet. The patients were divided into two groups: non-neoplastic and neoplastic according to the histopathological results.Results: Out of 60 patients, there were 36 (60%) males. The age of our cases was ranged from 6 to 79 years with a mean age of 34.20 ± 18.126 years. Non-neoplastic causes were (n=38, 63.3%) more than the neoplastic group, and the majority of them were unilateral simple polyp (n=23, 38.3%). Inverted papilloma was the most common benign tumor (n=8, 13.3%), while, squamous cell carcinoma was the commonest malignant neoplasm (n=2, 3.3%). Non-neoplastic causes were more in both sexes. The most affected age group was 20-49 years (n=31, 51.7%). The non-neoplastic causes were mostly seen in the age group 20-49 years (n=22, 36.7%). There was no statistically significant difference between the age and gender and the causes of unilateral sinonasal lesions (P-value > 0.05). Nasal obstruction, nasal discharge, and hyposmia were more in non-neoplastic than neoplastic group. While epistaxis and facial pain were found to be higher in the neoplastic group.Conclusion: Non-neoplastic masses outnumber neoplastic ones. Among non-neoplastic lesions, inflammatory polyps were the most common. Benign neoplasms outnumber the malignant neoplasms with inverted papilloma and squamous cell carcinoma were the most common respectively.
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spelling doaj-art-e4d390dfeddf4db69565c81fd229f5212024-12-01T20:13:41ZengUniversity of AnbarAl-Anbar Medical Journal2706-62072664-31542022-06-011811410.33091/amj.2022.174522174522Types and Clinical Profile of Unilateral Sinonasal MassesAmmar Khammas0Husam Hameed1Firas Alobaidy2Department of Surgery (Otolaryngology), College of Medicine, Al-Mustansiriya University, Baghdad, Iraq.Department of Surgery (Otolaryngology), Baqubah Teaching Hospital, Diala Health Directorate, Diala, IraqDepartment of Surgery (Otolaryngology), Baqubah Teaching Hospital, Diala Health Directorate, Diala, Iraq.Background: Unilateral mass in the sinonasal region is a common problem facing the otolaryngologist in daily clinical practice. There are various benign and malignant conditions originating in this area with different clinical features depending on their nature and extent.Objectives: To evaluate the types and clinical profile of unilateral sinonasal masses.Materials and methods: This study includes 60 patients who attended the outpatient clinic at Alyarmook Teaching Hospital, Baghdad, Iraq, between January 2017 and April 2018. A thourough history from each patient was taken. Moreover, the clinical examination was done according to standard clinical practice. The imaging results of the nose and paranasal sinuses were documented. Then biopsy was taken from the mass at the operating room under local or general anesthesia if indicated. The specimen was sent for histopathological examination and the results were documented on the data collection sheet. The patients were divided into two groups: non-neoplastic and neoplastic according to the histopathological results.Results: Out of 60 patients, there were 36 (60%) males. The age of our cases was ranged from 6 to 79 years with a mean age of 34.20 ± 18.126 years. Non-neoplastic causes were (n=38, 63.3%) more than the neoplastic group, and the majority of them were unilateral simple polyp (n=23, 38.3%). Inverted papilloma was the most common benign tumor (n=8, 13.3%), while, squamous cell carcinoma was the commonest malignant neoplasm (n=2, 3.3%). Non-neoplastic causes were more in both sexes. The most affected age group was 20-49 years (n=31, 51.7%). The non-neoplastic causes were mostly seen in the age group 20-49 years (n=22, 36.7%). There was no statistically significant difference between the age and gender and the causes of unilateral sinonasal lesions (P-value > 0.05). Nasal obstruction, nasal discharge, and hyposmia were more in non-neoplastic than neoplastic group. While epistaxis and facial pain were found to be higher in the neoplastic group.Conclusion: Non-neoplastic masses outnumber neoplastic ones. Among non-neoplastic lesions, inflammatory polyps were the most common. Benign neoplasms outnumber the malignant neoplasms with inverted papilloma and squamous cell carcinoma were the most common respectively.https://amj.uoanbar.edu.iq/article_174522_099e380f22515d11343eeb285f5f474e.pdfclinical profilenasal polyposisunilateral sinonasal massestypes
spellingShingle Ammar Khammas
Husam Hameed
Firas Alobaidy
Types and Clinical Profile of Unilateral Sinonasal Masses
Al-Anbar Medical Journal
clinical profile
nasal polyposis
unilateral sinonasal masses
types
title Types and Clinical Profile of Unilateral Sinonasal Masses
title_full Types and Clinical Profile of Unilateral Sinonasal Masses
title_fullStr Types and Clinical Profile of Unilateral Sinonasal Masses
title_full_unstemmed Types and Clinical Profile of Unilateral Sinonasal Masses
title_short Types and Clinical Profile of Unilateral Sinonasal Masses
title_sort types and clinical profile of unilateral sinonasal masses
topic clinical profile
nasal polyposis
unilateral sinonasal masses
types
url https://amj.uoanbar.edu.iq/article_174522_099e380f22515d11343eeb285f5f474e.pdf
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