Fast Five Quiz: Sinus Conditions

Arlen D. Meyers, MD, MBA

Disclosures

October 24, 2022

During nasal polyp workup, a nasal and sinus endoscopy with evaluation of anatomy, past surgical changes, site of origin, and evidence of other disease-causing polyps (infection, tumor, and systemic diseases such as Wegener granulomatosis or sarcoidosis) may be appropriate for some patients.

Pseudostratified epithelium is usually found. Clinicians should pay special attention to unilateral polyps that may be neoplastic and examine them for cancer or possible malignant transformation of benign neoplasia (20% in inverting papilloma). The criterion standard for imaging in the preoperative assessment is CT of sinuses without contrast. Clinicians should specify a coronal CT with 3-4 mm cuts and appropriate soft tissue and bone windows. Nasal smears or cultures for fungus and bacteria may be indicated for some patients.

Learn more about nasal polyp surgery workup.

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