Outline of Presentation I. History & Physical Examination, Differential Diagnoses Timothy Rejano , MD II. Diagnostics and Imaging, Evaluation Tools Napoleon Arnaiz, MD Glormina Avena , MD III. Discussion Timothy Rejano , MD Ariana Ramos, MD IV. Surgical and Medical Management Fritz Sustino , MD Moderator: Dr. Ria Sophia B. Perales, MD
Objective To present a case of a 19-year old male with a chief complaint of nasal congestion To present the differential diagnosis, diagnostic approach to patients with chronic rhinosinusitis with nasal polyp To chronic rhinosinusitis with nasal polyp and its management
Diagnostics and Imaging Manzano, Beatrix, MD 2nd Year Rhinology Rotator
Work Up
Plain X-Ray Plain X-ray Frontal sinus mucoceles can be diagnosed But mucoceles in the maxillary antrum, sphenoid, and ethmoid sinuses may be missed. The Journal of Laryngology and Otology. (200)144, 233-236
CT Scan Homogeneous radiolucent lesion "soap bubble" appearance or "honeycombed" Buccal and lingual cortical expansion Resorption of the roots of teeth adjacent to the tumor is common I rregular scalloping Surgical Planning The Journal of Laryngology and Otology. (200)144, 233-236
Classical Appearance: unilocular or multilocular radiolucent lesion Buccolingual cortical expansion "soap bubble" The Journal of Laryngology and Otology. (200)144, 233-236
The Journal of Laryngology and Otology. (200)144, 233-236
Work Up
Working Impression: To consider Frontal Mucocoele , Left