Cystic Fibrosis and Nasal Polyposis

Ford D. Albritton IV, MD, and Todd T. Kingdom, MD, Emory University, Atlanta, Ga.

Disclosures
In This Article

Introduction

Sinonasal polyps are characterized by smooth, pale, almost translucent mucosa on a pedunculated or sessile base. They can occur anywhere in the sinus cavity, often along the middle meatus. Polyps are frequently multiple and bilateral, and their symptoms relate to their obstructive nature and include nasal stuffiness, mouth breathing, facial pain/pressure, anosmia, and even rhinorrhea.[1]

All that resembles a polyp is not a polyp. The differential diagnosis includes other nasal masses, such as gliomas and encephaloceles, as well as normal variants of nasal anatomy. Workup should include a thorough history and rhinoscopic exam. Sinonasal polyposis may be seen in a myriad of clinical situations including asthma, allergic rhinitis, immotile cilia syndrome, allergic fungal sinusitis, chronic sinusitis, and CF. Most commonly they are associated with allergic rhinitis and CF.[2,3]

Comments

3090D553-9492-4563-8681-AD288FA52ACE
Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.

processing....