its useful for teaching purpose of undergraduate student of M.B.B.S.

1. DR VIRAL PRAJAPATI
MS(ENT)
ASSOCIATE PROFESSOR
GMERS MEDICAL COLLEGE
DHARPUR-PATAN

2. DEFINATION OF POLYP
ETIOLOGY
PATHOGENESIS
TYPES OF NASAL POLYP
SYMPTOMS AND SIGNS
COMPLICATION
MANAGMENT

3. Polyp is edematous mucosa due to repeated
inflammation which is protruded from nasal
sinus labyrinth.
It’s not growth but it’s edematous of normal
lining mucosa.

4. ETIOLOGY
 Inflammation of nasal
mucosa
like chronic rhinosinusitis,
asthma, aspirin intolerance,
Sampter’s tirad.
 Disorder of ciliary motility
Kartagener’s
syndrome(BSSC)
Yong’s syndrome(SpA)
Churg Strauss
Syndrome(AFEVG)
 Abnormal composition of
nasal mucus
Cystic Fibrosis
PATHOLOGY
Inflamation of nasal mucosa
cause increase vascular
permeability that causes
collection of extracellular fluid
so edema of normal nasal
mucosa seen which causes
narrowing of ostium as well as
prolapsing normal mucosa
from sinus labrynth.
Due to repeat blowing of nose
for clearing of nasal secretion
cause decrease nasal cavity
pressure(Burnoulli’s theory) so
its inceasr size of polyp and
pull down the polyp

5. ETHMOIDAL POLYP
ANTROCHOANL POLYP

6. ETHMOIDAL POLYP
Age-
Adult common
Cause –
Allergic
Number-
Multiple
Origin-
Ethmoid air cell,uncinate
process,middle meatus,medial surface
and edge ofmiddle turbinate
Growth-
forward Anteriorly
Size & Shape-
bunch of grapes like
Recurrence-
Common
Color-
Pale Grayish
ANTROCHOANAL POLYP
Age-
Children common
Cause –
Infection
Number-
Solid single
Origin-
Maxillary Sinus
Growth-
Backward Posteriorly
Size & Shape-
Tri lobe: Antrum,Nasal and Chonal
part
Recurrence-
Uncommon
Color-
Red Pinkish

7.  SYMPTOM
Nasal Blockage
Nasal Discharge
Headache
Loss of Smell
Sneezing
 SIGNS
Broadening of nose
Increase Medial inter canthal distance

8. Fungal Sinusitis
Orbital cellulites
Pan sinusitis
Secretary Otitis media
Tonsilitis

9.  INVESTIGATION
 TREATMENT

10.  PATHOLOGICAL
CBC
ESR
RFT
LFT
BT,CT,BGRH
HIV,HBSAg
 RADIOLOGICAL
XRAY CHEST
XRAY PNS
CT PNS
 SPECIAL INVESTIGATION:- NASAL ENDOSCOPY

11. MEDICAL
a) Antibiotic if infection is present
b) Oral decongestant
c) Oral systemic steroid in case of allergic polyp
d) Nasal drops
SURGICAL
a) Polypectomy : Intranasal
Transnasal
b)FESS(Functional Endoscopic Sinus Surgery):
It’s Modern advance surgery

12. ETHMOIDAL POLYP ANTROCHOANAL POLYP