The role of powered instrumentation in the removal of antrochoanal polyps: a 10-Year Review

Antrochoanal polyps are rare lesions. We report a series of 40 consecutive cases of antrochoanal polyps treated in our tertiary centre over a period of ten years between May 1998 and April 2008. The median age of the patients was 37 years. The most common clinical symptom was nasal obstruction (92.5%) followed by rhinorrhoea (45%), postnasal drip (35%) and snoring (22.5 %). The median period of follow-up of these patients was 30 months. Various surgical approaches were used; the commonest was powered endoscopic polypectomy and middle meatal antrostomy in 28 patients (70%), followed by endoscopic polypectomy and middle meatal antrostomy in seven patients (17.5%). Five patients (12.5%) underwent powered endoscopic polypectomy without middle meatal antrostomy. In addition, two patients had septoplasty and one had a frontal sinustomy. There were six patients (15%) who had combined sublabial antrostomy. No major complications occurred; four patients relapsed; three patients had initial operation performed elsewhere and one patient developed recurrence after the first surgery. The median hospitalization period was three days. We conclude that, the use of powered instrumentation in the removal of antrochoanal polyps is safe, effective and associated with minimal morbidity

Hereditary Hemorrhagic Telangiectasia or Osler-Weber -Rendu Syndrome: Management of Epistaxis in 4 Cases

Hereditary Hemorrhagic Telangiectasia, also known as Osler-Weber-Rendu Syndrome is an autosomal dominant disorder causing systemic abnormalities of the vascular structure. There are multiple arteriovenous malformations present in the skin and mucosal surface of the nail beds, nose, gastrointestinal tract, lungs and brain. Epistaxis is the common presentation symptom, which may require multiple hospital admissions and blood transfusions. It is extremely rare disease in our population. We report 4 cases of HHT who presented to us with moderate to severe epistaxis and how we managed these patients

Hereditary Hemorrhagic Telangiectasia or Osler-Weber -Rendu Syndrome: Management of Epistaxis in 4 Cases

Hereditary Hemorrhagic Telangiectasia, also known as Osler-Weber-Rendu Syndrome is an autosomal dominant disorder causing systemic abnormalities of the vascular structure. There are multiple arteriovenous malformations present in the skin and mucosal surface of the nail beds, nose, gastrointestinal tract, lungs and brain. Epistaxis is the common presentation symptom, which may require multiple hospital admissions and blood transfusions. It is extremely rare disease in our population. We report 4 cases of HHT who presented to us with moderate to severe epistaxis and how we managed these patients.</jats:p

Sinonasal Schwannoma: Retrospective Review of Cases from 1997-2016 at A Tertiary Referral Centre

Sinonasal schwannomas (SNS) are benign neoplasms of peripheral nerve sheaths within sinonasal cavities and little is known about them. We aim to expand current literature by analysing all cases of SNS at the National University of Malaysia Medical Centre (UKMMC). There were five females and one male in this study. Mean age was 52.3±2.1 years (range 42-75). The mean tumour size was 3.6cm±0.1 (range 1.50-5.90cm). Tumours originated from outside the sinonasal cavities (n=4) and inside (n=2). Extension was present in five patients. The sinonasal cavity most frequently involved is the maxillary sinus (n=3). Clinical presentation corresponded to site of involvement with facial numbness being the most common presentation. All histopathologically diagnosed cases showed regions of Antoni A, Antoni B, Verocay Bodies and immunoreactivity with S100 protein. Four patients underwent Functional Endoscopic Sinus Surgery (FESS). The presentation of SNS corresponds to their site. Site of involvement is more informative than the site of origin. Endoscopy, CT scans and MRIs are helpful in facilitating an accurate diagnosis. SNS show specific histopathological findings and its main treatment is FESS.</jats:p