Incidence of nasal inverted papilloma in unilateral nasal lesions in Damietta Governorate

Abstract

Background Unilateral nasal lesions are a characteristics group that need special attention from ear, nose and throat surgeons. Inverted nasal papilloma is one of such lesions. However, its incidence and pattern are not well-defined in Egypt. Aim To estimate the incidence of inverted nasal papilloma among patients with unilateral nasal lesions. Patients and methods A prospective analysis of patients presented and treated owing to unilateral nasal lesion was conducted in a 2-year duration. Patient demographics, clinical presentation, and histopathological diagnoses were document. Results There were 117 (53 males and 64 female) patients with unilateral nasal lesions. The mean age was 44.14 (±10.80) years. Nasal obstruction was reported in 50.4%, nasal discharge in 17.1%, epistaxis in 12%, and facial pain in 5.1%. The lesion was inflammatory in 79.5% and neoplastic in 20.5%. The most common inflammatory lesion was chronic rhinosinusitis (44.4%), whereas the most common neoplastic lesion was inverted papilloma in 10.3%, and squamous cell carcinoma in 4.3%. However, males were significantly higher in neoplastic and inverted nasal papilloma. Nasal obstruction was increased in inflammatory lesions, whereas nasal discharge, facial pain, and epistaxis were increased in neoplastic group. Conclusion Inverted nasal papilloma was reported in 10.3%. It had male predilection and usually presented in the fifth decade, and nasal discharge, epistaxis, and facial pain were significantly associated with the disease.

Keywords

• chronic rhinosinusitis
• inverted papilloma
• mucocele
• nasal polyp
• unilateral nasal disease