Clinical Rhinology

Register      Login

VOLUME 12 , ISSUE 1 ( January-April, 2019 ) > List of Articles

Original Article

Relative Incidence of Nasal Masses: A Tertiary Care Hospital Experience

Jaskaran Singh, Bhanu Bhardwaj, Tanya Singh

Citation Information : Singh J, Bhardwaj B, Singh T. Relative Incidence of Nasal Masses: A Tertiary Care Hospital Experience. Clin Rhinol An Int J 2019; 12 (1):16-20.

DOI: 10.5005/jp-journals-10013-1356

License: CC BY-NC 4.0

Published Online: 10-02-2021

Copyright Statement:  Copyright © 2019; The Author(s).


Introduction: Nasal masses are an intriguing arena for a rhinologist. With diagnostic advancement from anterior rhinoscopy to three-dimensional endoscopic view at a blazing speed in rhinology, it has become easier to diagnose a nasal mass. Early detection is a key for better management. Incidence of an entity varies over time because of the ever-changing environmental scenario and availability of advanced diagnostics. Incidence of nasal masses is still of importance because the pathophysiology of the nasal masses is still under research. This study will bring into notice of a rhinologist the relative incidence of various nasal masses highlighting the areas of concern and hence bringing our focus to a better management. Materials and methods: It is a prospective study with a sample size of 200. All the modern diagnostic facilities were used, including a computed tomography scan can and nasal endoscopy, to reach a presumptive diagnosis of various nasal masses, and histopathology was done to establish the final diagnosis. Results: In the present study, 62% were males (124) while 38% were females (76). Majority of the patients were in age-group of 21–40 years (42.5%, n = 85), followed by 40% (n = 80) in the age-group 41–60 years, and 14.5% (n = 29) in 10–20-year age-group. Around 6 (3%) cases were in less than 10 years of age-group. Out of 200 cases, 160 cases were non-neoplastic masses. Out of 40 neoplastic masses, 24 were benign and 16 were malignant. The most common mass was nasal polyps (144 of 200). Conclusion: Nasal polyps are still the most common nasal masses. Improvement in diagnostic modality mandates a more active research to understand their molecular biology for better management.

  1. Histopathological spectrum of sinonasal masses—a study of 162 cases. IJCRR 2013;5(3):83–91.
  2. A clinicopathological study of masses arising from sinonasal tract and nasopharynx in north Bengal population with special reference to neoplasms. Egypt J Otolaryngol 2015;31:98–104. DOI: 10.4103/1012-5574.156091.
  3. Clinicopathological study of non-neoplastic lesions of nasal cavity and paranasal sinuses. Indian J Pathol Microbiol 2008;51(1):26–29. DOI: 10.4103/0377-4929.40386.
  4. Clinico-pathological profile of sinonasal masses: an experience in national ear care center Kaduna, Nigeria. BMC Research Notes 2010;3:186. DOI: 10.1186/1756-0500-3-186.
  5. Clinico-pathological profile of sinonasal masses: a study from a tertiary care hospital of India. Acta Otorhinolaryngol Ital 2011;31(6):372–377.
  6. Clinico-pathological profile of sinonasal masses: an experience in tertiary care hospital of Uttarakhand. Natl J Maxillofac Surg 2012;3(2):180–186. DOI: 10.4103/0975-5950.111375.
  7. Masses of nasal cavity, paranasal sinuses and nasopharynx: a clinicopathological study. Indian J Otolaryngol Head Neck Surg 2006;58(3):259–263.
  8. Nasal polyps - Histopathologic spectrum. Indian J Otolaryngol Head Neck Surg 1997;49(1):32–36.
  9. Histological study of polypoidal lesions in the nasal cavity. Indian J Otolaryngol Head Neck Surg 1971;3:3–11.
  10. Nasal polyps. Hospital Med 2004;65(5):264–267. DOI: 10.12968/hosp.2004.65.5.13699.
  11. Possible mechanisms of late-life-onset allergic diseases and asthma in the senior citizen. Allergy Asthma Proc 2000;21(5):267–270. DOI: 10.2500/108854100778248287.
  12. Nasal polyps: still more questions than answers. J Laryngol Otol 2003;117(1):1–9. DOI: 10.1258/002221503321046577.
  13. Epidemiology and differential diagnosis of nasal polyps. Am J Rhinol Allergy 2013;27(6):473–478. DOI: 10.2500/ajra.2013.27.3981.
  14. Total and specific IgE in nasal polypsis related to local eosinophilic inflammation. J Allergy Clin Immunol 2001;107(4):607–614. DOI: 10.1067/mai.2001.112374.
  15. An unusual presentation of a giant frontal sinus Mucocele manifesting with a subcutaneous forehead mass. Ann Acad Med Singapore 2005;34(5):397–398.
  16. Giant mucoceles of the frontal sinus: a series and review. J Clin Neurosci 2004;11(2):214–218. DOI: 10.1016/j.jocn.2003.02.011.
  17. Clinical Magnetic Resonance Imaging. 3rd ed., Philadelphia: Elsevier; 2006. p. 2035.
  18. Problems of the epidemiology of scleroma. I. geographical distribution of scleroma. J Hyg Epidemiol Microbiol Immunol 1971;15:233–242.
  19. Overview of nasal masses. J Inst Med 2008;30:13–16.
  20. Rhinoscleroma: a retrospective study of pathologic and clinical features. J Otolaryngol Head Neck Surg 2011;40:167–174.
  21. Papillomas of the nasal cavity and the paranasal sinuses, a clinicopathologic study of 315 cases. Ann Otol Rhinol Laryngol 1971;80(2):192–196. DOI: 10.1177/000348947108000205.
  22. Treatment outcomes in the management of inverted papilloma: an analysis of 160 cases. Laryngoscope 2003;113(9):1548–1556. DOI: 10.1097/00005537-200309000-00026.
  23. The inverted Schneiderian papilloma: a clinical and pathological study. Laryngoscope 1975;85(1):186–220. DOI: 10.1288/00005537-197501000-00014.
  24. Endoscopic sinus surgery for benign and malignant nasal and sinus neoplasm. Curr Opin Otolaryngol Head Neck Surg 2005;2(2):113–117. DOI: 10.1097/00020840-200502000-00012.
  25. Papillomatosis of nasal cavity and paranasal sinuses (inverted papilloma, squamous papilloma): a clinicopathologic study. Cancer 1972;30(3):668–690. DOI: 10.1002/1097-0142(197209)30:3<668::AID-CNCR2820300315>3.0.CO;2-B.
  26. Inverted papilloma: a Clinico-pathological dilemma with special Reference to Recurrence and malignant transformation. Indian J Otolaryngol Head Neck Surg 2010;62(4):354–359. DOI: 10.1007/s12070-010-0056-y.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.