Praxis of Otorhinolaryngology

Efser Başaran1, Ali Ahmet Şirin2, Hakan Kaya2, Ali Muhammedoğlu3, Fatma Tülin Kayhan2

1Karabük Üniversitesi, Karabük Eğitim ve Araştırma Hastanesi, KBB Kliniği, Karabük, Türkiye.
2Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi, KBB Kliniği, İstanbul, Türkiye.
3Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi, Patoloji Kliniği, İstanbul, Türkiye.

Keywords: Nasal cavity, neoplasms, papilloma, paranasal sinuses.

Abstract

Schneiderian papillomas (SPs) are rare benign exophytic neoplastic proliferations originating from Schneiderian mucosa which surrounds the nasal cavity and paranasal sinuses. Histomorphologically, they are classified into three groups including inverted, fungiform, and oncocytic SPs. In contrary with inverted and oncocytic Schneiderian variants, fungiform SPs occur in younger age and typically originate from the nasal septum and are not related with malignancy. Complete surgical excision is the best treatment modality for fungiform SPs. A 68-year-old female patient was admitted to our clinic with unilateral nasal obstruction and xerostomia. The endoscopic examination revealed a polipoid mass obstructing the left nasal airway. Histopathological examination of the mass, which was excised totally, revealed as SP fungiform type. The clinical and histopathological characteristics of fungiform SPs were presented in the light of related literature, as it is rarer in elder people unlike other Schneiderian variants.