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  1. Article ; Online: Covid-19 outbreak: does the use of a surgical mask impact the sense of smell?

    Hyvrard, Clémentine / Petitjean, Margaux / Fieux, Maxime / Zerah, Françoise / Coste, André / Bartier, Sophie

    Acta oto-laryngologica

    2022  Volume 142, Issue 5, Page(s) 425–430

    Abstract: Background: The current context of Covid-19 pandemic has broadened mask use.: Objectives: Evaluate the impact of wearing a surgical mask on sense of smell by comparing the results of sniffin' sticks test (SST) with and without a surgical mask and ... ...

    Abstract Background: The current context of Covid-19 pandemic has broadened mask use.
    Objectives: Evaluate the impact of wearing a surgical mask on sense of smell by comparing the results of sniffin' sticks test (SST) with and without a surgical mask and evaluate the feasibility of practicing SST with a mask.
    Material and methods: A crossover prospective comparative study between two groups of volunteers. The results of SST with a mask were compared to the results without a mask: group 1 first performed SST with a surgical mask and then one week later performed SST without a mask, while group 2 started without a mask.
    Results: Twenty volunteers were included. In group 1 and 2, all the subjects, except one, had a significantly better total score (TDI) without a mask. The average TDI difference score with and without a mask, was inferior to 5. 8/20 (40%) subjects had a TDI difference superior to 5 with and without mask, while 4/20 (20%) were normosmic without a mask, while being recategorized as hyposmic with a mask.
    Conclusions and significance: Wearing a surgical mask may reduce the sense of smell, in a cohort of normosmic patients. Further larger studies must be conducted in hyposmic subjects.
    MeSH term(s) COVID-19/epidemiology ; Humans ; Olfaction Disorders/etiology ; Pandemics ; Prospective Studies ; Sensory Thresholds ; Smell
    Language English
    Publishing date 2022-05-17
    Publishing country England
    Document type Journal Article
    ISSN 1651-2251
    ISSN (online) 1651-2251
    DOI 10.1080/00016489.2022.2071462
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: COVID-19 pandemic: do surgical masks impact respiratory nasal functions?

    Petitjean, Margaux / Béquignon, Émilie / Fieux, Maxime / Louis, Bruno / Zerah, Françoise / Coste, André / Bartier, Sophie

    International forum of allergy & rhinology

    2022  Volume 12, Issue 11, Page(s) 1432–1434

    MeSH term(s) Humans ; Masks ; COVID-19 ; Pandemics/prevention & control ; Nose ; Respiration
    Language English
    Publishing date 2022-05-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2625826-2
    ISSN 2042-6984 ; 2042-6976
    ISSN (online) 2042-6984
    ISSN 2042-6976
    DOI 10.1002/alr.23013
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Dupilumab prevents nasal epithelial function alteration by IL-4 in vitro: Evidence for its efficacy.

    Fieux, Maxime / Carsuzaa, Florent / Bellanger, Yvan / Bartier, Sophie / Fournier, Virginie / Lecron, Jean Claude / Bainaud, Matthieu / Louis, Bruno / Tringali, Stéphane / Dufour, Xavier / Coste, André / Favot, Laure / Bequignon, Emilie

    International forum of allergy & rhinology

    2024  

    Abstract: Background: Chronic rhinosinusitis with nasal polyp (CRSwNP) is a typical type 2 inflammation involving interleukin (IL)-4 and IL-13. Dupilumab is a fully human monoclonal antibody targeting IL-4 receptor α subunit, thereby blocking signaling by both ... ...

    Abstract Background: Chronic rhinosinusitis with nasal polyp (CRSwNP) is a typical type 2 inflammation involving interleukin (IL)-4 and IL-13. Dupilumab is a fully human monoclonal antibody targeting IL-4 receptor α subunit, thereby blocking signaling by both cytokines. Our hypothesis was that IL-4 and IL-13, by inducing a severe epithelial dysregulation, are involved in CRSwNP pathogenesis. This study aimed to evaluate the in vitro direct effect of IL-4, IL-13, and dupilumab on nasal epithelial functions.
    Methods: Nasal polyps and control mucosa from 28 patients, as well as human nasal epithelial cells (HNEC) from 35 patients with CRSwNP were used. Three major epithelial functions were investigated: the epithelial barrier function (characterized by transepithelial electrical resistance measurements and tight junction protein expression), the ciliary motion (characterized by the ciliary beating efficiency index), and wound healing (characterized by the wound repair rate) under various stimulations (IL-4, IL-13, and dupilumab). The main outcome was a significant change in epithelial functions following exposure to IL-4, IL-13, and dupilumab for 48 h in the basal media.
    Results: IL-4 (1, 10, and 100 ng/mL) but not IL-13 induced a significant decrease in occludin and zonula-occludens protein expression, ciliary beating efficiency, and wound repair rate in HNEC. Dupilumab (0.04 mg/mL) had no effect on HNEC and specifically restored all epithelial functions altered when cells were exposed to a 48-h IL-4 stimulation.
    Conclusion: Dupilumab, in vitro, restored epithelial integrity by counteracting the effect of IL-4 on the epithelial barrier (increased epithelial permeability, decreased ciliary beating efficiency, and decreased wound repair rate).
    Language English
    Publishing date 2024-03-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2625826-2
    ISSN 2042-6984 ; 2042-6976
    ISSN (online) 2042-6984
    ISSN 2042-6976
    DOI 10.1002/alr.23343
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Sublabial bioactive glass implantation for the management of primary atrophic rhinitis and empty nose syndrome: Operative technique.

    Hassan, Charles-Henri / Malheiro, Emeline / Béquignon, Emilie / Coste, André / Bartier, Sophie

    Laryngoscope investigative otolaryngology

    2021  Volume 7, Issue 1, Page(s) 6–11

    Abstract: Objectives: Atrophic rhinitis (AR) and empty nose syndrome (ENS) are chronic diseases characterized by a paradoxical nasal obstruction. These rare syndromes tend to occur after nasal surgery of the inferior turbinates in ENS and can be idiopathic in AR. ...

    Abstract Objectives: Atrophic rhinitis (AR) and empty nose syndrome (ENS) are chronic diseases characterized by a paradoxical nasal obstruction. These rare syndromes tend to occur after nasal surgery of the inferior turbinates in ENS and can be idiopathic in AR. Medical treatments alone are often insufficient. Surgical options are challenging and numerous resorbable and nonresorbable implants have been described in small series, with as many surgical techniques described. Whereas current surgical procedures are for risk of extrusions, graft rejections or poor lasting results, the use of GlassBONE™ (Sodimed®, Avignon, France), a bioactive glass, for a vestibular approach in AR and ENS has never been reported for this indication.
    Methods: We described an original technique of nasal submucoperiosteal bilateral ceramic glass implantation in two patients with AR and ENS.
    Results: The two cases presented a postoperative satisfying endoscopic and sinus CT-scan results with filling of the nasal cavities, with less crusts and a complete wound healing. They had no short-term complications.
    Conclusion: This innovative approach is easily feasible and could be an option considered for the surgical management of AR and ENS.
    Language English
    Publishing date 2021-12-08
    Publishing country United States
    Document type Journal Article
    ISSN 2378-8038
    ISSN 2378-8038
    DOI 10.1002/lio2.713
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Study protocol: the biologics in severe chronic rhinosinusitis with nasal polyps survey.

    Favier, Valentin / Daveau, Clémentine / Carsuzaa, Florent / Fieux, Maxime / Vandersteen, Clair / Castillo, Laurent / Papon, Jean Francois / de Gabory, Ludovic / Saroul, Nicolas / Verillaud, Benjamin / Rumeau, Cécile / Jankowski, Roger / Michel, Justin / de Bonnecaze, Guillaume / Lecanu, Jean-Baptiste / Coste, Andre / Béquignon, Emilie / Malard, Olivier / Mortuaire, Geoffrey

    BMJ open

    2024  Volume 14, Issue 5, Page(s) e083112

    Abstract: Introduction: Chronic rhinosinusitis with nasal polyps (CRSwNP) is a frequent condition affecting approximately 2% of the population. Medical treatment consists long-term use of intranasal corticosteroids and short-term use of oral corticosteroids, in ... ...

    Abstract Introduction: Chronic rhinosinusitis with nasal polyps (CRSwNP) is a frequent condition affecting approximately 2% of the population. Medical treatment consists long-term use of intranasal corticosteroids and short-term use of oral corticosteroids, in adjunct with saline solution rinses. Surgical management is proposed in patients who failed after medical treatment. In France, two biologics are reimbursed in case of severe uncontrolled CRSwNP despite medical treatment and endoscopic sinus surgery. Waiting for head-to-head biologics comparison, studies should report the efficacy and safety of biologics in large real-life cohorts. This study protocol describes the aims and methods of a prospective, observational, national, multicentric cohort of patients with CRSwNP treated with biologics.
    Methods and analysis: The BIOlogics in severe nasal POlyposis SurvEy is a French multicentre prospective observational cohort study. The main aim is to assess the efficacy and tolerance of biologics in patients with CRSwNP, with or without association with other type 2 diseases, and to determine the strategies in case of uncontrolled disease under biologics. Patients over 18 years old requiring biologics for CRSwNP in accordance with its marketing approval in France (ie, severe nasal polyposis, with lack of control under nasal corticosteroid, systemic corticosteroids and surgery) are invited to participate. Collected data include topical history of surgical procedures and biologics, medication and use of systemic corticosteroids, visual analogical scales for specific symptoms, Sino-Nasal Outcome Test-22 questionnaire, nasal polyp score, asthma control test, Lund-Mackay score on CT scan and IgE concentration and eosinophilic count on blood sample.
    Trial registration: NCT05228041/DRI_2021/0030.
    MeSH term(s) Humans ; Nasal Polyps/drug therapy ; Nasal Polyps/complications ; Sinusitis/drug therapy ; Chronic Disease ; Rhinitis/drug therapy ; Rhinitis/complications ; Prospective Studies ; Biological Products/therapeutic use ; France ; Observational Studies as Topic ; Omalizumab/therapeutic use ; Multicenter Studies as Topic ; Rhinosinusitis
    Language English
    Publishing date 2024-05-15
    Publishing country England
    Document type Journal Article ; Multicenter Study
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2023-083112
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Mepolizumab for chronic rhinosinusitis with nasal polyps (SYNAPSE): In‐depth sinus surgery analysis

    Fokkens, Wytske J. / Mullol, Joaquim / Kennedy, David / Philpott, Carl / Seccia, Veronica / Kern, Robert C. / Coste, André / Sousa, Ana R. / Howarth, Peter H. / Benson, Victoria S. / Mayer, Bhabita / Yancey, Steve W. / Chan, Robert / Gane, Simon B.

    Allergy 2023 Mar., v. 78, no. 3, p. 812-821

    2023  , Page(s) 812–821

    Abstract: BACKGROUND: Patients with severe chronic rhinosinusitis with nasal polyps (CRSwNP) often require repeat sinus surgery. Mepolizumab reduced the need for sinus surgery in the SYNAPSE trial; this analysis sought to provide a more in‐depth assessment of ... ...

    Abstract BACKGROUND: Patients with severe chronic rhinosinusitis with nasal polyps (CRSwNP) often require repeat sinus surgery. Mepolizumab reduced the need for sinus surgery in the SYNAPSE trial; this analysis sought to provide a more in‐depth assessment of surgery endpoints in SYNAPSE. METHODS: SYNAPSE was a double‐blind Phase III trial (NCT03085797) in adults with recurrent, refractory, severe, CRSwNP eligible for repeat sinus surgery despite standard of care treatments and previous surgery. Patients were randomized (1:1) to mepolizumab 100 mg subcutaneously or placebo, plus standard of care, every 4 weeks for 52 weeks. Time to first inclusion on a waiting list for sinus surgery and time to first actual sinus surgery (both up to week 52) were assessed; the latter endpoint was also analyzed post hoc according to time since last sinus surgery before study screening and baseline blood eosinophil count. RESULTS: Among 407 patients (mepolizumab: 206; placebo: 201), mepolizumab versus placebo reduced the risk of being included on a waiting list for sinus surgery (week 52 Kaplan–Meier probability estimate [95% confidence interval]: 13.9% [9.8%, 19.5%] vs. 28.5% [22.7%, 35.4%]). Mepolizumab versus placebo reduced the risk of sinus surgery irrespective of time (<3 vs ≥3 years) since patients' last sinus surgery prior to study screening (hazard ratios [95% confidence intervals] 0.28 [0.09, 0.84] and 0.50 [0.26, 0.98], respectively) and baseline blood eosinophil count. CONCLUSIONS: Mepolizumab reduced the risk of further sinus surgery in patients with recurrent, refractory, severe CRSwNP, irrespective of the patient baseline characteristics assessed.
    Keywords blood ; confidence interval ; hypersensitivity ; nose ; patients ; placebos ; risk ; surgery ; synapse
    Language English
    Dates of publication 2023-03
    Size p. 812-821
    Publishing place John Wiley & Sons, Inc
    Document type Article ; Online
    Note JOURNAL ARTICLE ; Resource is Open Access ; Wiley License Information
    ZDB-ID 391933-x
    ISSN 1398-9995 ; 0105-4538
    ISSN (online) 1398-9995
    ISSN 0105-4538
    DOI 10.1111/all.15434
    Database NAL-Catalogue (AGRICOLA)

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  7. Article ; Online: Oncostatin M Contributes to Airway Epithelial Cell Dysfunction in Chronic Rhinosinusitis with Nasal Polyps.

    Carsuzaa, Florent / Bequignon, Emilie / Bartier, Sophie / Coste, André / Dufour, Xavier / Bainaud, Matthieu / Lecron, Jean Claude / Louis, Bruno / Tringali, Stéphane / Favot, Laure / Fieux, Maxime

    International journal of molecular sciences

    2023  Volume 24, Issue 7

    Abstract: Chronic rhinosinusitis with nasal polyps (CRSwNP) is a typical type-2 inflammation involving several cytokines and is associated with epithelial cell dysfunction. Oncostatin M (OSM) (belonging to the interleukin(IL)-6 family) could be a key driver of ... ...

    Abstract Chronic rhinosinusitis with nasal polyps (CRSwNP) is a typical type-2 inflammation involving several cytokines and is associated with epithelial cell dysfunction. Oncostatin M (OSM) (belonging to the interleukin(IL)-6 family) could be a key driver of epithelial barrier dysfunction. Therefore, we investigated the presence of OSM and IL-6 and the expression pattern of tight junctions (TJs) in the nasal tissue of CRSwNP patients and controls using reverse transcriptase quantitative polymerase chain reaction (RT-qPCR) and Western blotting. Then, their potential role in the epithelial barrier was evaluated in vitro in 27 different primary cultures of human nasal epithelial cells (HNECs) by measuring TJ expression and transepithelial electric resistance (TEER) with or without OSM or IL-6 (1, 10, and 100 ng/mL). The effect on ciliary beating efficiency was evaluated by high-speed videomicroscopy and on repair mechanisms with a wound healing model with or without OSM. OSM and IL-6 were both overexpressed, and TJ (ZO-1 and occludin) expression was decreased in the nasal polyps compared to the control mucosa. OSM (100 ng/mL) but not IL-6 induced a significant decrease in TJ expression, TEER, and ciliary beating efficiency in HNECs. After 24 h, the wound repair rate was significantly higher in OSM-stimulated HNECs at 100 ng/mL. These results suggest that OSM could become a new target for monoclonal antibodies.
    MeSH term(s) Humans ; Cells, Cultured ; Chronic Disease ; Epithelial Cells/metabolism ; Nasal Mucosa/metabolism ; Nasal Polyps ; Oncostatin M/pharmacology ; Oncostatin M/metabolism ; Rhinitis ; Sinusitis/metabolism ; Tight Junctions/metabolism
    Chemical Substances Oncostatin M (106956-32-5) ; OSM protein, human
    Language English
    Publishing date 2023-03-23
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2019364-6
    ISSN 1422-0067 ; 1422-0067 ; 1661-6596
    ISSN (online) 1422-0067
    ISSN 1422-0067 ; 1661-6596
    DOI 10.3390/ijms24076094
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Guided Self-rehabilitation Contract vs conventional therapy in chronic peripheral facial paresis: VISAGE, a multicenter randomized controlled trial.

    Baude, Marjolaine / Guihard, Marina / Gault-Colas, Caroline / Bénichou, Ludovic / Coste, André / Méningaud, Jean-Paul / Schmitz, David / Natella, Pierre-André / Audureau, Etienne / Gracies, Jean-Michel

    BMC neurology

    2023  Volume 23, Issue 1, Page(s) 148

    Abstract: Background: One year after persistent peripheral facial paresis (PFP), prescriptions of conventional rehabilitation are often downgraded into maintenance rehabilitation or discontinued, the patient entering what is seen as a chronic stage. This ... ...

    Abstract Background: One year after persistent peripheral facial paresis (PFP), prescriptions of conventional rehabilitation are often downgraded into maintenance rehabilitation or discontinued, the patient entering what is seen as a chronic stage. This therapeutic choice is not consistent with current knowledge about behavior-induced plasticity, which is available all life long and may allow intense sensorimotor rehabilitation to remain effective. This prospective, randomized, multicenter single-blind study in subjects with chronic unilateral PFP evaluates changes in facial motor function with a Guided Self-rehabilitation Contract (GSC) vs. conventional therapy alone, carried out for six months.
    Methods: Eighty-two adult subjects with chronic unilateral PFP (> 1 year since facial nerve injury) will be included in four tertiary, maxillofacial surgery (2), otolaryngology (1) and rehabilitation (1) centers to be randomized into two rehabilitation groups. In the experimental group, the PM&R specialist will implement the GSC method, which for PFP involves intensive series of motor strengthening performed daily on three facial key muscle groups, i.e. Frontalis, Orbicularis oculi and Zygomatici. The GSC strategy involves: i) prescription of a daily self-rehabilitation program, ii) teaching of the techniques involved in the program, iii) encouragement and guidance of the patient over time, in particular by requesting a quantified diary of the work achieved to be returned by the patient at each visit. In the control group, participants will benefit from community-based conventional therapy only, according to their physician's prescription. The primary outcome measure is the composite score of Sunnybrook Facial Grading System. Secondary outcome measures include clinical and biomechanical facial motor function quantifications (Créteil Scale and 3D facial motion analysis through the Cara system), quality of life (Facial Clinimetric Evaluation and Short-Form 12), aesthetic considerations (FACE-Q scale) and mood representations (Hospital Anxiety and Depression scale). Participants will be evaluated every three months by a blinded investigator, in addition to four phone calls (D30/D60/D120/D150) to monitor compliance and tolerance to treatment.
    Discussion: This study will increase the level of knowledge on the effects of intense facial motor streng-          Facial paralysisthening prescribed through a GSC in patients with chronic peripheral facial paresis.
    Trial registration: ClinicalTrials.gov, NCT04074018 . Registered 29 August 2019.
    Protocol version: Version N°4.0-04/02/2021.
    MeSH term(s) Adult ; Humans ; Treatment Outcome ; Facial Paralysis ; Quality of Life ; Single-Blind Method ; Prospective Studies
    Language English
    Publishing date 2023-04-10
    Publishing country England
    Document type Randomized Controlled Trial ; Multicenter Study ; Journal Article
    ZDB-ID 2041347-6
    ISSN 1471-2377 ; 1471-2377
    ISSN (online) 1471-2377
    ISSN 1471-2377
    DOI 10.1186/s12883-023-03096-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: FcRn as a Transporter for Nasal Delivery of Biologics: A Systematic Review.

    Fieux, Maxime / Le Quellec, Sandra / Bartier, Sophie / Coste, André / Louis, Bruno / Giroudon, Caroline / Nourredine, Mikail / Bequignon, Emilie

    International journal of molecular sciences

    2021  Volume 22, Issue 12

    Abstract: FcRn plays a major role in regulating immune homeostasis, but it is also able to transport biologics across cellular barriers. The question of whether FcRn could be an efficient transporter of biologics across the nasal epithelial barrier is of ... ...

    Abstract FcRn plays a major role in regulating immune homeostasis, but it is also able to transport biologics across cellular barriers. The question of whether FcRn could be an efficient transporter of biologics across the nasal epithelial barrier is of particular interest, as it would allow a less invasive strategy for the administration of biologics in comparison to subcutaneous, intramuscular or intravenous administrations, which are often used in clinical practice. A focused systematic review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. It was registered on the international prospective register of systematic reviews PROSPERO, which helped in identifying articles that met the inclusion criteria. Clinical and preclinical studies involving FcRn and the nasal delivery of biologics were screened, and the risk of bias was assessed across studies using the Oral Health Assessment Tool (OHAT). Among the 12 studies finally included in this systematic review (out of the 758 studies screened), 11 demonstrated efficient transcytosis of biologics through the nasal epithelium. Only three studies evaluated the potential toxicity of biologics' intranasal delivery, and they all showed that it was safe. This systematic review confirmed that FcRn is expressed in the nasal airway and the olfactory epithelium, and that FcRn may play a role in IgG and/or IgG-derived molecule-transcytosis across the airway epithelium. However, additional research is needed to better characterize the pharmacokinetic and pharmacodynamic properties of biologics after their intranasal delivery.
    MeSH term(s) Animals ; Biological Products/administration & dosage ; Biological Products/metabolism ; Biological Transport ; Biomarkers ; Drug Delivery Systems ; Gene Expression ; Histocompatibility Antigens Class I/chemistry ; Histocompatibility Antigens Class I/genetics ; Histocompatibility Antigens Class I/metabolism ; Humans ; Nasal Mucosa/drug effects ; Nasal Mucosa/metabolism ; Protein Binding ; Receptors, Fc/chemistry ; Receptors, Fc/genetics ; Receptors, Fc/metabolism ; Transcytosis
    Chemical Substances Biological Products ; Biomarkers ; Histocompatibility Antigens Class I ; Receptors, Fc ; Fc receptor, neonatal (TW3XAW0RCY)
    Language English
    Publishing date 2021-06-17
    Publishing country Switzerland
    Document type Journal Article ; Meta-Analysis ; Systematic Review
    ZDB-ID 2019364-6
    ISSN 1422-0067 ; 1422-0067 ; 1661-6596
    ISSN (online) 1422-0067
    ISSN 1422-0067 ; 1661-6596
    DOI 10.3390/ijms22126475
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: The inferior turbinate, an unusual site for a choanal polyp: Two case reports and a review of the literature.

    Adhami, Maya / Coste, Andre / Escabasse, Virginie / Chalumeau, Frederique

    Ear, nose, & throat journal

    2016  Volume 95, Issue 7, Page(s) E1–4

    Abstract: Choanal polyps are unilateral sinonasal lesions that are classified according to their site of origin. The aim of this report is to highlight an unusual form of choanal polyp and to present a thorough literature review. To the best of our knowledge, only ...

    Abstract Choanal polyps are unilateral sinonasal lesions that are classified according to their site of origin. The aim of this report is to highlight an unusual form of choanal polyp and to present a thorough literature review. To the best of our knowledge, only 6 cases of a choanal polyp originating in the inferior turbinate have been previously reported in the literature. We describe 2 new cases. One patient was a 14-year-old boy who presented with nasal obstruction, facial headaches, and obstructive sleep apnea; the other patient was a 70-year-old man who presented with right mucopurulent rhinorrhea and right nasal obstruction. In both cases, nasal fibroscopy detected a polyp arising from the right inferior turbinate and extending toward the right choana. Endoscopic sinus surgery was performed in both cases to ensure a complete excision. Cases of choanal polyp arising from the inferior, middle, and superior turbinates and the septum are rare, although some appear to be more common than is generally believed, especially in the pediatric population. We therefore recommend that unusual forms of choanal polyp be included in the differential diagnosis of a unilateral sinonasal mass.
    MeSH term(s) Adolescent ; Aged ; Headache/etiology ; Humans ; Male ; Nasal Obstruction/etiology ; Nasal Obstruction/pathology ; Nasal Polyps/complications ; Nasal Polyps/pathology ; Nasopharyngeal Diseases/complications ; Nasopharyngeal Diseases/pathology ; Nasopharynx ; Sleep Apnea, Obstructive/etiology ; Turbinates
    Language English
    Publishing date 2016-07
    Publishing country United States
    Document type Case Reports ; Journal Article ; Review
    ZDB-ID 750153-5
    ISSN 1942-7522 ; 0145-5613
    ISSN (online) 1942-7522
    ISSN 0145-5613
    Database MEDical Literature Analysis and Retrieval System OnLINE

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