Drtbalu at 10:43, 15 May 2019

2019-05-15T10:43:46Z

Drtbalu: Created page with " Category:Case Report === Clinical details: === 18 years old boy came with c/o blocking sensation both nasal cavity - 1 year duration Decreased sensation of smell - 6..."

2018-11-05T16:12:48Z

Created page with " Category:Case Report === Clinical details: === 18 years old boy came with c/o blocking sensation both nasal cavity - 1 year duration Decreased sensation of smell - 6..."

New page

[[Category:Case Report]]

=== Clinical details: ===

18 years old boy came with c/o blocking sensation both nasal cavity - 1 year duration

Decreased sensation of smell - 6 months duration

He gave h/o repeated attacks of upper respiratory infection

He gave no h/o bleeding from nose

No h/o head ache

=== On examination: ===

Anterior rhinoscopy:

A pale mass could be seen occupying the posterior portion of right nasal cavity.

Post nasal examination:

The same mass could be seen occupying the nasopharynx occluding both choana.
CT scan nose and paranasal sinuses plain / contrast were taken.

It showed non enhancing mass arising from sphenoid sinus entering the post nasal space and the posterior portion of right nasal cavity

[[File:Fib sphe.jpg|framed|center|CT scan non enhancing mass arising from sphenoid sinus entering the post nasal space and the posterior portion of right nasal cavity]]

=== Management: ===

This patient was taken up for endoscopic sinus surgery and the mass was removed completely in toto.

Histopathology report - fibroma

Fibroma involving sphenoid sinus and post nasal space are commonly vascular (angiofibroma). In this case the fibrous elements predominated and hence the mass was not enhancing in contrast CT. There was no abnormal bleeding during surgery.

=== Surgery video clipping: ===

<youtube width="200" height="120">ILidYEyl7uc</youtube>

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	Fibroma involving sphenoid sinus and post nasal space are commonly vascular (angiofibroma). In this case the fibrous elements predominated and hence the mass was not enhancing in contrast CT. There was no abnormal bleeding during surgery.		Fibroma involving sphenoid sinus and post nasal space are commonly vascular (angiofibroma). In this case the fibrous elements predominated and hence the mass was not enhancing in contrast CT. There was no abnormal bleeding during surgery.
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−	~~<youtube width="200" height="120">ILidYEyl7uc</youtube>~~

Interesting case of fibroma sphenoid sinus - Revision history

Drtbalu at 10:43, 15 May 2019

Drtbalu: Created page with " Category:Case Report === Clinical details: === 18 years old boy came with c/o blocking sensation both nasal cavity - 1 year duration Decreased sensation of smell - 6..."