| Popis: |
Background: The aim of the study is to analyze the clinical symptoms and histopathologic diagnoses of patients with unilateral sinonasal symptoms who have been operated on in our clinic. Methods: We performed a retrospective review of the medical records of 54 patients with unilateral sinus disease who underwent surgical intervention and had pathological specimens between June 2013 and May 2017. Presenting symptoms, medical histories, and previous treatments were analyzed. Results: Fifty-four patients were diagnosed pathologically by endoscopic sinonasal surgery. In 40 of the patients non-tumoral pathologies were stabbed and in 14 patients tumoral pathology was detected. Of the non-tumoral lesions, 29 patients had chronic sinusitis-nasal polyps, 5 patients had isolated inferior turbinate mulberry hypertrophy, 3 patients had rhinolitis, 2 patients had mucocele, and 1 patient had accessory middle turbinate. In tumoral pathologies, 6 patients had hemangiomas, 5 patients had inverted papillomas, 2 patients had osteomas and 1 patient had malignant melanomas. Epistaxis was more frequently detected in tumoral pathologies, while the most frequent cause was nasal obstruction. Conclusion: Although the majority of unilateral sinonasal pathologies are benign lesions, tumoral pathologies are more common than bilateral diseases. An important finding in our study is that inferior turbinate mulberry hypertrophy and nasal hemangiomas are not uncommon and constitute a significant part of unilateral nasal lesions. |
