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Polyps Summary

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As we finish our discussion of

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the complications of sinusitis.

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And we may wanna turn to other lesions

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of the perinasal sinuses, which

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are associated with inflammation.

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So there is the propensity for the development

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of polyps in different patients who may have

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evidence of atopic precondition, that is, of allergy.

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This is sometimes associated with

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aspirin sensitivity, for example.

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But some patients develop polyps on an unknown basis.

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Certainly there are preconditions such as

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cystic fibrosis, which will predispose to

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polyposis.

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Sometimes these polyps are indistinguishable from

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mucus retention cysts if they do not show mass effect.

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Generally, I use the term polyps when I see

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something that is showing some element of

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expansion of the sinus or expansion of the ostium.

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Mucus retention cysts really do not do that.

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These polyps may remodel the bone, either

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displacing the bone or thinning the bone.

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They're usually not associated with chronic osteitis.

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Sometimes they will erode through the

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bone and actually go either into the

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orbit or intracranially. On CT scan,

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you see this curvilinear mass in the sinus.

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Sometimes these will have kind of a

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filiform villous enhancement on the MRI scan.

Report

Faculty

David M Yousem, MD, MBA

Professor of Radiology, Vice Chairman and Associate Dean

Johns Hopkins University

Mahla Radmard, MD

Postdoctoral Research Fellow

Johns Hopkins University School of Medicine

Tags

Sinus

Sinonasal Cavity

Oncologic Imaging

Non-infectious Inflammatory

Neuroradiology

MRI

CT

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