Polyps

Figure 16.2 One nasal polyp with edema and tiny blood vessels

Figure 16.4 Multiple polyps with a retention cyst in one of them

Figure 16.5 Polyps in the posterior aspect of the right middle meatus. The arrow points to the middle turbinate

between the middle turbinate (short arrow) and the septum (long arrow)

Figure 16.7 Polyps in the posterior part of the right superior meatus. The arrow points to the tail of the middle turbinate

Figure 16.8 A thin right middle turbinate sandwiched between polyps originating from both the superior and the middle meati

middle turbinate (long arrow)

Figure 16.10 Sessile polyps (short arrows) on the left side of the septum. The long arrow points to the middle turbinate

Figure 16.12 A large polyp in the anterior aspect of the left middle meatus (short arrow). Note a flat part of the polyp (long arrow) that obliterates the frontal recess. The arrowhead points to the middle turbinate

Figure 16.13 A small polyp seen through the ostium of a left concha bullosa

Figure 16.14 A small polyp in the left frontal recess (short arrow). Note the edema of the mucosa overlying the uncinate process (long arrow). The arrowhead points to the midle turbinate

Note the purulent discharge around it. The long arrow points to the middle turbinate

Figure 16.16 A polyp arising from the belly of a split right middle turbinate

lateral wall of the left middle turbinate (long arrow)

Figure 16.18 A small pale polyp (short arrow) arising from the right bulla ethmoidalis. Note the middle turbinate (long arrow) and the uncinate process (arrow head)

Figure 16.19 A sessile congested polyp (short arrow) on the inferior aspect of a prominent right bulla ethmoidalis (long arrow). The arrowhead points to the middle turbinate

Figure 16.20 A pedunculated polyp (short arrow) arising from the medial aspect of a prominent left uncinate process (long arrow). The arrowhead points to the middle turbinate

arrow) of a prominent right superior turbinate. The long arrow points to the septum and the arrowhead to the middle turbinate

Figure 16.22 One polyp (short arrow) inferior to the right sphenoid ostium (long arrow)

left sphenoid sinus (long arrow)

Figure 16.24 A small sessile polyp (short arrow) over the right agger nasi. The long arrow points to the middle turbinate

Figure 16.25 A sessile polyp (short arrow) on the tail of the right middle turbinate in a patient with bilateral cleft lip and palate. Note the short vomer (long arrow) and the violaceous color of the tail of the left middle turbinate ( arrow head)

Figure 16.26 A sessile polyp (short arrow) on the left side of the vomer edge (long arrow) at the posterior choana

discoloration. The long arrow points to the uncinate process and the arrowhead to the middle turbinate

Figure 16.28 The CT appearance of a left antrochoanal polyp (short arrow). The long arrow points to the totally opaque maxillary sinus

Figure 16.29 A congested stalk (short arrow) of a right antrochoanal polyp. The long arrow points to the middle turbinate and the arrowhead to the inferior turbinate

Figure 16.30 The stalk of a left antrochoanal polyp (short arrow). Note its pseudocystic degeneration. The long arrow points to the middle turbinate

third of the right inferior turbinate (long arrow)

Figure 16.32 A large fleshy polyp (short arrow) arising from the anterior third of the left inferior turbinate (long arrow)

Figure 16.34 Congested polyps on both sides of the left inferior turbinate. Those in the inferior meatus (long arrow) proved to be arising from the maxillary sinus and growing into the inferior meatus through a nasoantral window from a previous Caldwell-Luc operation. The short arrow points to the inferior turbinate

Figure 16.35 A congested polyp (short arrow) in the right frontal recess in a patient who had had an endoscopic ethmoidectomy. The long arrow points to the middle turbinate

right nasal cavity

Figure 16.37 Polyps in the right ethmoid cavity. This patient had had an ethmoidectomy

Figure 16.38 Recurrent polyps in the left nasal cavity. Note the thick rubber -glue appearance of the allergic fungal mucin

posterior aspect of the right middle meatus. A third polyp, with a bluish discoloration (short arrow), is seen through the middle meatal antrostomy. This discoloration suggests a pseudocystic degeneration of the core of the polyp. The arrowhead points to the stump of the middle turbinate

Figure 16.40 Two polyps (short arrows) arising posterior to a left secondary septal turbinate (long arrow) which developed after a middle turbinectomy

Figure 16.41 Polypoid tissue (long arrows) narrowing a left middle meatal antrostomy (short arrow)

the left ethmoid cavity. Note the stump of a partially resected inferior turbinate (long arrow). The arrowhead points to the middle turbinate

Figure 16.43 Fleshy appearance of recurrent polyps

Figure 16.44 Pale grape-like polyps, measuring around 3 mm each; which arose from the medial surface of the right inferior turbinate. This is the only case of such small polyps that the author has encountered

They bulge out of the nose with every exacerbation of the nasal allergies. Their embarrassing appearance motivated the patient to accept, finally a surgical treatment

Figure 16.46 A patient with chronic polyposis. Note the lateral displacement of the nasal bones, the subsequent widening of the nose, and the hypertelorism

Figure 16.47 A 40 -year-old female whose only symptom was

Figure 16.48 Nasal endoscopy in the same patient as in Figure 16.47 revealed polyps (short arrow) filling the space between the septum (long arrow) and the right middle turbinate (arrowhead), and hence the anosmia. The same findings were noted on the left