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Chapter-029 Benign Tumors of the Nasal Cavity and Nasopharynx

BOOK TITLE: Head & Neck Surgery (2 Volumes)

Author
1. Youngs Robin
2. Maitra Suchir
ISBN
9788184486797
DOI
10.5005/jp/books/10351_29
Edition
1/e
Publishing Year
2009
Pages
10
Author Affiliations
1. Gloucestershire Hospitals NHS Foundation Trust, Gloucester, UK
2. Gloucestershire Royal Hospital Gloucester, UK
Chapter keywords
benign tumors, nasal cavity, nasopharynx, vascular neoplasms, frank epistaxis, Thudicum’s speculum, papilloma, nonepithelial lesions

Abstract

This chapter discusses benign tumors of the nasal cavity and nasopharynx, where vascular neoplasms can also present with unilateral bloodstained discharge or frank epistaxis. A nasal cavity neoplasm may be observed by examination with a Thudicum’s speculum and headlight. Benign tumors of the nasal cavity can be subdivided into epithelial and nonepithelial lesions, where inverted papilloma is by far the most common benign epithelial neoplasm occurring in the nasal cavity and paranasal sinuses. The treatment of sinonasal inverted papilloma is surgical removal, where factors influencing the choice of surgical approach include the site of origin, extent and the high rate of local recurrence after removal. Fibroma is usually presented as a single pedunculated polypoid mass in the nasal cavity. Hemangioma commonly occurs on the anterior part of the nasal septum where it presents with frequent brisk epistaxis. True chondromas of the nasal cavity are rare, and usually are found in the nasal septum and nasopharynx.

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