nasal polyps

AFS ASA triad ASA triad thick yellow mucus FESS FESS technique Nasal polyp surgical specimen Samter's Triad choanal polyp chronic rhinosinusitis endoscopic sinus surgery ent atlas ent cases ent images ent video case ent videos eustachian tube eustachian tube dysfunction hiatus semilunaris morphology nasal polyp paranasal sinuses polyp polyp removal sinus surgery steroids
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Nasal Polyps And The ASA Triad
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Nasal Polyps And The ASA Triad

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Aspirin-exacerbated respiratory disease (AERD), also known as Samter’s Triad, is a chronic medical condition that consists of three clinical features: asthma, sinus disease with recurrent nasal...

ASA Triad Thick Yellow Mucus
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ASA Triad Thick Yellow Mucus

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Note the abnormally thick yellowish mucus frequently found in patients with the ASA Triad. The mucus may be so thick and rubbery in consistency that it may initially be confused with the nasal polyp.

Recurrent Nasal Polyps
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Recurrent Nasal Polyps

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This is the typical appearance of recurrent nasal polyps in a patient with the ASA triad.

Nasal Polyps in the Patient with the ASA Triad
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Nasal Polyps in the Patient with the ASA Triad

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Patients with the ASA Triad often have the most aggressive nasal polyps. Note the abnormally thick yellowish mucus that is often associated with this condition. The mucus may be so thick and rubbery in...

ASA Triad Mucus
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ASA Triad Mucus

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Patients with nasal polyps and aspirin-exacerbated respiratory disease [ASA triad] have a characteristic thick and tenacious mucus as seen here.

Large Stalked Polyp Arising From Uncinate Process
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Large Stalked Polyp Arising From Uncinate Process

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It is sometimes amazing how a large nasal polyp can arise from a small area of the nasal mucous membranes to which the polyp is attached by a relatively small stalk. This large polyp arose from the uncinate...

Retropalatal Choanal Polyp
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Retropalatal Choanal Polyp

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This huge choanal polyp extended through the retro palatal space into the posterior pharynx.

Nasal Polyp with Powered Suction Shaver
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Nasal Polyp with Powered Suction Shaver

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This technique was introduced by Dr. Michael Hawke who while visiting a colleague in the orthopedic operating room noticed that he was using a Stryker powered suction shaver to remove tissue from inside...

Nasal Polyps
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Nasal Polyps

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The typical appearance of nasal polyps. They resemble slightly yellow grapes.

Massive Nasal Polyps Post-Prednisone
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Massive Nasal Polyps Post-Prednisone

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This is the same patient shown before a short course of high-dose prednisone which was administered two weeks previously. Notice how the massive nasal polyps have reduced in size dramatically.

Massive Nasal Polyps Pre-Prednisone
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Massive Nasal Polyps Pre-Prednisone

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The vast majority of nasal polyps are steroid sensitive. This left nasal cavity was filled with large nasal polyps. A short course of high-dose oral prednisone was administered prior to endoscopic sinus...

Nasal Polyp
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Nasal Polyp

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This large polyp extending anteriorly out of the right middle meatus has pushed the middle turbinate medially. The polyp has thinned the middle turbinate, apparently as a result of constant pressure against...

Nasal Polyps [surgical specimen]
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Nasal Polyps [surgical specimen]

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This is the surgical specimen of two large nasal polyps removed using a nasal snare. A technique which is now considered obsolete.

Solitary Large Stalked Nasal Polyp
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Solitary Large Stalked Nasal Polyp

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This large edematous solitary nasal polyp arose by a small stalk from the superior portion of the uncinate process at its insertion into the middle turbinate.

Sentinel Nasal Polyp [left]
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Sentinel Nasal Polyp [left]

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A small nasal polyp can be seen arising from the area of contact between the left middle turbinate and the uncinate process.

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