Comparative Histopathological Changes Between Primary Versus Recurrent Rhinosinusitis with Nasal Polyposis
Background: Chronic rhinosinusitis associated with nasal polypi [CRSwNP] is one of the two major chronic rhinosinusitis phenotypes. The histopathological changes of such condition may differ between primary and chronic types.Aim of the work: To differentiate between primary and chronic rhinosinusiti...
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Al-Azhar University, Faculty of Medicine (Damietta)
2021
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oai:doaj.org-article:adb86fbb7d4a488ba7f6fef6a5c79c102021-12-02T15:54:52ZComparative Histopathological Changes Between Primary Versus Recurrent Rhinosinusitis with Nasal Polyposis2636-41742682-378010.21608/ijma.2020.42597.1166https://doaj.org/article/adb86fbb7d4a488ba7f6fef6a5c79c102021-04-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_121246_608869805fcf7393ba97c311d301ba84.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Chronic rhinosinusitis associated with nasal polypi [CRSwNP] is one of the two major chronic rhinosinusitis phenotypes. The histopathological changes of such condition may differ between primary and chronic types.Aim of the work: To differentiate between primary and chronic rhinosinusitis with polypi through detection of the histopathological changes of nasal mucosa.Patients and Methods: Eighty-five patients with CRSwNP scheduled for functional endoscopic sinus surgery (FESS) were divided into two groups; group (1) 35 patients with primary polyposis, group (2) 50 patients with chronic polyposis. A swab was taken from sinus mucosa during FESS and sent for histopathological investigation.Results: We studied 12 histopathogical findings of spacemen of sinus mucosa and found 7 of them had a significant value in comparison between primary and recurrent CRSwNP. The significant increases in chronic recurrent group (2) than primary group (1) were eosinophilic cell count (p=0.044), eosinophilic cell aggregation (p=0.049), basement membrane thickness (P=0.021), Mucosal ulceration (p=0.002), hyperplastic or papillary change (p=0.029), fibrosis (p=0.002) and fungal element (p=0.003).Conclusion: Histopathological findings of sinus mucosa during FESS operation found to be of great value in differentiating between primary and recurrent CRSwNP, however, further studies on large scale groups were recommended to confirm these results.Wael Fawzy IsmaielAhmed Abd Alrahman IbrahimSami Abdullah MohammedAl-Azhar University, Faculty of Medicine (Damietta)articlerhinosinusitisnasalpolyposiseosinophiliarecurrenceMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 3, Iss 2, Pp 1200-1207 (2021) |
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rhinosinusitis nasal polyposis eosinophilia recurrence Medicine (General) R5-920 |
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rhinosinusitis nasal polyposis eosinophilia recurrence Medicine (General) R5-920 Wael Fawzy Ismaiel Ahmed Abd Alrahman Ibrahim Sami Abdullah Mohammed Comparative Histopathological Changes Between Primary Versus Recurrent Rhinosinusitis with Nasal Polyposis |
description |
Background: Chronic rhinosinusitis associated with nasal polypi [CRSwNP] is one of the two major chronic rhinosinusitis phenotypes. The histopathological changes of such condition may differ between primary and chronic types.Aim of the work: To differentiate between primary and chronic rhinosinusitis with polypi through detection of the histopathological changes of nasal mucosa.Patients and Methods: Eighty-five patients with CRSwNP scheduled for functional endoscopic sinus surgery (FESS) were divided into two groups; group (1) 35 patients with primary polyposis, group (2) 50 patients with chronic polyposis. A swab was taken from sinus mucosa during FESS and sent for histopathological investigation.Results: We studied 12 histopathogical findings of spacemen of sinus mucosa and found 7 of them had a significant value in comparison between primary and recurrent CRSwNP. The significant increases in chronic recurrent group (2) than primary group (1) were eosinophilic cell count (p=0.044), eosinophilic cell aggregation (p=0.049), basement membrane thickness (P=0.021), Mucosal ulceration (p=0.002), hyperplastic or papillary change (p=0.029), fibrosis (p=0.002) and fungal element (p=0.003).Conclusion: Histopathological findings of sinus mucosa during FESS operation found to be of great value in differentiating between primary and recurrent CRSwNP, however, further studies on large scale groups were recommended to confirm these results. |
format |
article |
author |
Wael Fawzy Ismaiel Ahmed Abd Alrahman Ibrahim Sami Abdullah Mohammed |
author_facet |
Wael Fawzy Ismaiel Ahmed Abd Alrahman Ibrahim Sami Abdullah Mohammed |
author_sort |
Wael Fawzy Ismaiel |
title |
Comparative Histopathological Changes Between Primary Versus Recurrent Rhinosinusitis with Nasal Polyposis |
title_short |
Comparative Histopathological Changes Between Primary Versus Recurrent Rhinosinusitis with Nasal Polyposis |
title_full |
Comparative Histopathological Changes Between Primary Versus Recurrent Rhinosinusitis with Nasal Polyposis |
title_fullStr |
Comparative Histopathological Changes Between Primary Versus Recurrent Rhinosinusitis with Nasal Polyposis |
title_full_unstemmed |
Comparative Histopathological Changes Between Primary Versus Recurrent Rhinosinusitis with Nasal Polyposis |
title_sort |
comparative histopathological changes between primary versus recurrent rhinosinusitis with nasal polyposis |
publisher |
Al-Azhar University, Faculty of Medicine (Damietta) |
publishDate |
2021 |
url |
https://doaj.org/article/adb86fbb7d4a488ba7f6fef6a5c79c10 |
work_keys_str_mv |
AT waelfawzyismaiel comparativehistopathologicalchangesbetweenprimaryversusrecurrentrhinosinusitiswithnasalpolyposis AT ahmedabdalrahmanibrahim comparativehistopathologicalchangesbetweenprimaryversusrecurrentrhinosinusitiswithnasalpolyposis AT samiabdullahmohammed comparativehistopathologicalchangesbetweenprimaryversusrecurrentrhinosinusitiswithnasalpolyposis |
_version_ |
1718385470341120000 |