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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Autores principales: Wael Fawzy Ismaiel, Ahmed Abd Alrahman Ibrahim, Sami Abdullah Mohammed
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Publicado: Al-Azhar University, Faculty of Medicine (Damietta) 2021
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic rhinosinusitis
nasal
polyposis
eosinophilia
recurrence
Medicine (General)
R5-920
spellingShingle 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
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