Endoscopic view of middle turbinate polyps.Most nasal poiyps arise from the anterior ethmoid ethmoid /eth·moid/ (eth´moid) 1. sievelike; cribriform. 2. the ethmoid bone; see Table of Bones. .ethmoi´dal eth·moid or eth·moi·dal adj. or its immediate vicinity. The most common sites are the contact areas of the uncinate process, the middle turbinate turbinate /tur·bi·nate/ (-nat) 1. shaped like a top. 2. any of the nasal conchae. tur·bi·nate or tur·bi·nat·ed adj. 1. Shaped like a top. 2. , and the ethmoid infundibulum. [1] Polyps Polyps A tumor with a small flap that attaches itself to the wall of various vascular organs such as the nose, uterus and rectum. Polyps bleed easily, and if they are suspected to be cancerous they should be surgically removed. might originate in the anterior face of the ethmoid bulla, frontal recess, ethmoid infundibulum, and hiatus semilunaris superior. These polyps are often responsible for recurrent or persistent sinusitis sinusitis Inflammation of the sinuses. Acute sinusitis, usually due to infections such as the common cold, causes localized pain and tenderness, nasal obstruction and discharge, and malaise. , and they are the most common indications for surgical intervention. [1,2] The middle turbinate itself can be the site of origin of nasal polyps. Polyps can originate in the anterior end of the middle turbinate or in its medial, lateral, or posterior surface. Marked polypoid polypoid /pol·yp·oid/ (pol´i-poid) resembling a polyp. pol·yp·oid adj. Resembling a polyp. polypoid resembling a polyp. changes in the anterior end of the middle turbinate and floppy mobile polyps arising from the anterior end of the middle turbinate can obstruct the middle meatus and cause maxillary max·il·lar·y adj. Of or relating to a jaw or jawbone, especially the upper one. n. A maxillar; a jawbone. maxillary (mak´siler´ē), adj , ethmoid, or frontal sinusitis. [1] The floppy polyps can be best diagnosed with a suction tip. [2,3] The patient shown in figure A had a middle turbinate polyp. The 0[degrees] telescopy te·les·co·py n. The art or study of making and operating telescopes. te·les  co·pist n.Noun 1. showed a floppy polyp arising from the anterior end of the right middle turbinate and obstructing the middle meatus. Polypectomy and partial middle turbinectomy were necessary to control the patient's recurrent sinusitis. The patient shown in figure B complained of frontal headaches and recurrent sinusitis. The 0[degrees] telescopic rhinoscopy rhinoscopy /rhi·nos·co·py/ (ri-nos´kah-pe) examination of the nose with a speculum, either through the anterior nares (anterior r.) or the nasopharynx (posterior r.) . rhi·nos·co·py n. showed polypoid changes in the anterior end of the left middle turbinate. Partial anterior middle turbinectomy, uncinectomy, and anterior ethmoidectomy cured this patient's sinusitis. The patient shown in figure C had a middle turbinate polyp. The 0[degrees] telescopic view of the left middle meatus showed a polyp arising from the lateral aspect of the medially retracted middle turbinate. The 0[degrees] telescopic view of the right nasal cavity of the patient shown in figure D demonstrated a polyp arising from the posteromedial aspect of the right middle turbinate. Only by endoscopic examination can these turbinate polyps (described above) be detected in their early stage. Endoscopic suction examination is a useful technique to detect a hidden polyp or floppy polypoid changes in the middle turbinate and middle meatus. From the Southern New England Ear, Nose, Throat, and Facial Plastic Surgery Group, New Haven, Conn., the Section of Otolaryngology, Yale University School of Medicine, New Haven, and the Section of Otolaryngology, the Hospital of St. Raphael, New Haven. References (1.) Stammberger HR. Functional Endoscopic Sinus Surgery functional endoscopic sinus surgery Functional endonasal endoscopic sinus surgery ENT A procedure that removes diseased nasal cavity and paranasal sinus tissue and restores mucociliary clearance Applications Chronic and/or recurrent sinusitis in Pts who fail : The Messerklinger Technique. Philadelphia: B.C. Decker, 1991:216-25. (2.) Yanagisawa E. Atlas of Rhinoscopy: Endoscopic Sinonasal Anatomy and Pathology. San Diego: Singular Thomson Learning, 2000. (3.) Vining EM, Yanagisawa K, Yanagisawa E. The importance of preoperative nasal endoscopy in patients with sinonasal disease. Laryngoscope 1993;103:512-9. |
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