Complications of ventilation tubes: - Dr. Nassem Talaat

M/P sinusoidal spaces devoid of muscular coat, bundles of collagen
Blood supply maxillary A
Behavior: - Tumor extend due to pressure necrosis
Clinical picture
- Spontaneous regression may occur at age of sexual maturity
A) General : anemia : easy fatigue , pallor
B) Nasal manifestation
Symptoms : - Intermittent , spontaneous , severe bleeding
- Gradual progressive nasal obstruction
- Purulent or bloody discharge
- Nasal tone of voice - Hyposmia
Signs: Ant. Rhinoscopy : MP discharge, D.S to opposite site.
Unilateral nasal mass, bleeds on touch
Post. rhinoscopy : pink , lobulated mass covered by intact mucosa with vessels
on its surface, avoid digital palpation
C) Aural manifestations
Symptoms: deafness Signs: secretory otitis media
D) oro pharyngeal manifestation: sagging of soft palate
E) External examination
- proptosis - unilateral cheek swelling - frog face deformity
Investigations:
1- CT with contrast 2-MRI
3-Carotid angiography (tumor blush) 4-Biopsy usually not needed
D.D: Huge adenoid: no bleeding, not in the nose
Treatment :
Antro choanal polyp: no bleeding, C.T
Malignant tumors: old age, cranial n. palsies, C.T
A) surgical (mainly)
1- Trans palatal. 2-Lateral rhinotomy.
3-Trans nasal, trans antral via Weber-Furgusson or midfacial degloving.