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Sharma N.,Indra Gandhi Medical College
Otorhinolaryngology Clinics | Year: 2011

Introduction: Angiectatic nasal polyp (ANP) is a rare entity of inflammatory sinonasal polyp, constituting 4 to 5% of all nasal polyps.1 An angiomatous polyp originates from a sinochoanal polyp, either an antrochoanal or a sphenochoanal polyp. Their hallmark feature is extensive vascular proliferation and ectasia with deposition of pseudoamyloid and the presence of atypical stromal cells. This pseudoneoplastic entity is the result of extensive reactive and reparative changes in inflammatory SNPs. Case report: We came across an interesting case of angiomatous nasal polyp. CT finding also supported the clinical impression of neoplastic mass but repeated biopsies were negative for malignancy. The mass was excised by lateral rhinotomy and the final impression of angiectatic nasal polyp was made. Discussion and conclusion: Only few studies have been done on this topic and literature is also scant. Thus, awareness of their existence is of considerable importance. Differential diagnosis includes angiofibroma, malignancy, inverted papillomas and hemangiomas.

Gupta A.K.,Jawaharlal Institute of Postgraduate Medical Education & Research | Shah N.,Bombay Hospital | Kameswaran M.,Madras ENT Research Foundation | Janakiram T.N.,Royal Pearl Hospital | And 14 more authors.
Clinical Rhinology | Year: 2012

Allergic fungal rhinosinusitis (AFRS) has always remained a topic of discussion at all rhinology meets. Despite so much of literature available, the nature of this disease, its diagnosis, pathogenesis, classification and appropriate management continue to generate debate and controversy even after three decades of research and investigation. AFRS is an endemic disease in North and South India. In spite of this, there has been no optimal management protocol for this disease being followed in India yet. To overcome this, a national panel was conducted on AFRS at the ENT Surgical Update 2011, held at Postgraduate Institute of Medical Education and Research, Chandigarh with experts from all over the country so that a consensus can be achieved regarding the workup and management of AFRS.

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