Pathology of nasopharyngeal fibroids

2021-01-31 12:00 AM

Fibroids grow slowly, causing stuffy nose only on one side at first, gradually increasing after the tumour grows to fill the posterior nostril causing stuffy on both sides

A benign tumour is seen in puberty from 15 to 20 years old, seen in men.

Unlike polyps, fibroids often have wide attachment feet in the posterior nasal portal area, with vessels from the arched bone.

Microscopic consists of mature fibrous cells with bundles of strong fibres and many blood vessels that come together to form a rich vascular network.

Reason

Currently not clear, found to have much to do with endocrine.

It is possible that the skeletal basal bone disorder is influenced by the pituitary gland.

Or due to irritation of the nasal lining, by chronic inflammation such as chronic VA inflammation.

Diagnose

The fibroids develop slowly, causing nasal congestion at first, gradually increasing, after the tumour grows to fill the posterior nostril causing stuffy on both sides, the voice is closed, there is always congestion of mucus in the cavity nose.

Nasal bleeding: occasional bleeding at first, a little bleeding, stop itself. After increasing, flowing once a few days, the amount of flow is more, more prolonged causing chronic anaemia, green condition, weakening. Also, often there is tinnitus, hearing loss that can transmit sound due to the tumour blocking the Eustachy nozzle.

Front nasal copy: Tumour may fill the nasal cavities or only occupy a part of the back or floor of the nose, the tumour is smooth like nasal polyps, but stretch, opaque and denser than polyps.

Postnasal scan: invasive tumour covers the posterior nostril or has spread into the nasopharynx, partially or both of the posterior nostrils. When it was too big, it could cover the Eustachi's trunk and push the curtain to puff up.

Touching the dome with the fingers shows the density of the tumour, or with blood on the fingertips.

Evolution

Although fibroids are benign tumours, if they grow naturally, they will cause great effects:

Slam the frog's jaw, resorption the upper jaw bone.

Development into the jaw fossa causes the chewing effect.

Through the sinus sieve into the orbit, protruding the eyeball or through the sinus sieve, the butterfly develops into the intracranial, the above developments are common in S├ębileau's lateral fibroids.

Treatment

Removing fibroids.

Surgery according to Denker sinus line, paranasal line or pharyngeal incision.

Surgery causes large bleeding, so it is necessary to block the blood vessels to feed the fibroids, blood transfusion, refresher before surgery or possibly give a small dose of 100r radiology (Roenghen) first to reduce bleeding.

Get all the tumour feet present in the back of the nose, the throat will stop bleeding and less recurrence.