Chronic rhinosinusitis with left unilateral nasal polyp in an old man

Authors

Keywords:

elderly, nose, polyps, rhinorrhea, rhinosinusitis, paranasal sinus.

Abstract

The case report of an 80 years patient is presented. He went to the otolaryngology service of Joaquin Castillo Duany Teaching Clinical Surgical Hospital in Santiago de Cuba, due to increase of volume in the left nostril, nasal obstruction, progressive secretion, migraine and bleeding. During the evaluation, a tumoral mass of approximately 3 cm of diameter was detected in the left nostril, with soft consistency and erythematous aspect, located in the superior portion of the nasal partition. The surgical exeresis of the lesion was carried out, and the histological and pathological study confirmed chronic rhinosinusitis with left unilateral nasal polyp. 

Downloads

Download data is not yet available.

Author Biographies

Yasmani Laugart Pérez, Hospital Clinicoquirúrgico Docente Dr. Joaquín Castillo Duany

Médico Especialista de Primer Grado en Medicina General Integral y Otorrinolaringología. Profesor Instructor. Servicio de Otorrinolaringología.  Hospital Militar Dr. Joaquín Castillo Duany. Santiago de Cuba

Alejandro Inclán Acosta, Hospital Clinicoquirúrgico Docente Dr. Joaquín Castillo Duany

Estomatólogo Especialista de Primer Grado en Cirugía Máxilo Facial. Máster en Atención de Urgencias Estomatológicas. Profesor Asistente. Servicio de Cirugía Máxilo Facial. Hospital Militar Dr. Joaquín Castillo Duany. Santiago de Cuba.

Oscar Rodríguez Reyes, Facultad de Estomatología, Universidad de Ciencias Médicas. Santiago de Cuba

Doctor en Ciencias Médicas. Máster en Atención de Urgencias Estomatológicas. Estomatólogo Especialista de Primer y Segundo Grado en Fisiología Normal y Patológica. Profesor Titular e Investigador Auxiliar. Facultad de Estomatología. Departamento de Ciencias Básicas Biomédicas. Santiago de Cuba. Cuba.

References

1. Shah SA, Kobayashi M. Pathogenesis of chronic rhinosinusitis with nasal polyp and a prominent T2 endotype. Heliyon. 2023[citado 17/04/2024];9(9):e19249. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10477494/

2. Palacios García J, Porras González C, Moreno Luna R, Maza Solano J, Polo Padillo J, Muñoz Bravo JL, et al. Role of Fibroblasts in Chronic Inflammatory Signalling in Chronic Rhinosinusitis with Nasal Polyps-A Systematic Review. J. Clin. Med. 2023 [citado 15/04/2024];12(9):3280. Disponible en: https://www.mdpi.com/2077-0383/12/9/3280

3. Merrill T, Kanaan A. Managing Chronic Rhinosinusitis with Nasal Polyps in the Elderly: Challenges and Solutions. Clin Interv Aging. 2022[citado 17/04/2024];17:685-98. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9077011/

4. Cai S, Lou H, Zhang L. Prognostic factors for post-operative outcomes in chronic rhinosinusitis with nasal polyps: a systematic review. Expert Rev Clin Immunol. 2023;19(8):867-81.

5. Stryjewska Makuch G, Glück J, Branicka O, Lisowska G. Phenotypes of Chronic Rhinosinusitis and Peripheral Blood Leukocytes Parameters in Elderly Patients. Medicina (Kaunas). 2023[citado 14/04/2024];59(1):126. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9863097/

6. Fiorentino V, Martini M, Galletti C, Pizzimenti C, Franchina M, Leni A, et al. The Morphology of Nasal Polyps in Different Age Groups: Histopathological Features. J. Pers. Med. 2024[citado 17/04/2024];14(4):414. Disponible en: https://www.mdpi.com/2075-4426/14/4/414

7. Cui Y, Wang K, Shi J, Sun Y. Endotyping Difficult-to-Treat Chronic Rhinosinusitis with Nasal Polyps by Structured Histopathology. Int Arch Allergy Immunol. 2023 [citado 01/05/2024];184(10):1036-46. Disponible en: https://karger.com/iaa/article/184/10/1036/845764

8. Martín Jiménez D, Moreno Luna R, Callejón Leblic A, del Cuvillo A, Ebert CS, Maza Solano J, et al. Long-Term Clinical Outcomes in Patients with Chronic Rhinosinusitis with Nasal Polyps Associated with Expanded Types of Endoscopic Sinus Surgery. J Clin Med. 2024[citado 10/04/2024];13(3):866. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10856470/

9. Fokkens WJ, Viskens AS, Backer V, Conti D, de Corso E, Gevaert P, et al. EPOS/EUFOREA update on indication and evaluation of Biologics in Chronic Rhinosinusitis with Nasal Polyps 2023. Rhinology. 2023; 61(3):194-202.

10. Benson VS, Fu Q, Yang S, Sousa AR, Chan RH, Howarth P, et al. Real-world characterization of patients with chronic rhinosinusitis with nasal polyps with and without surgery in England. Clin Otolaryngol. 2023[citado 13/04/2024];48(4):680-8. Disponible en: https://onlinelibrary.wiley.com/doi/10.1111/coa.14070

Published

2024-11-27

How to Cite

1.
Laugart Pérez Y, Inclán Acosta A, Rodríguez Reyes O. Chronic rhinosinusitis with left unilateral nasal polyp in an old man. MEDISAN [Internet]. 2024 Nov. 27 [cited 2025 Jun. 7];28(6):e5019. Available from: https://medisan.sld.cu/index.php/san/article/view/5019