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Chronic rhinosinusitis patient with nasal polyps at Dr. Soetomo General Academic Hospital Center

  • Mohammad Lukmanul Hakim ,
  • Irwan Kristyono ,

Abstract

Background: Nasal polyps are benign chronic inflammatory masses with epithelial tissues of the nasal mucosa and paranasal sinuses. The clinical diagnosis is made based on sinonasal symptoms for more than three months and the presence of polyps in the nasal cavity. The classification of nasal polyps based on the histopathological structure is divided into three types, i.e., oedematous, eosinophilic polyps, inflammatory polyps, and chronic seromucous inflammatory polyps. This study aims to describe the profile of patients with nasal polyps at Dr. Soetomo Public Hospital Surabaya.

Methods: This study applied a descriptive method with a retrospective approach by obtaining data from the medical records of the outpatient unit in the Ear, Nose, Throat, and Head-Neck (ENT-HN) Department of Dr. Soetomo Public Hospital Surabaya for the period January 2017-December 2018 based on age, gender, clinical symptoms, symptoms duration, polyp types, location of nasal polyp, and comorbidities.

Results: The number of patients with nasal polyps was slightly more in women, as many as 13 patients or 52%, mostly aged 51-60 years old, amounting to 11 patients or 44%. The most common clinical symptom experienced by patients was nasal obstruction, as many as 24 patients or 96%. Patients who experienced symptom duration for one to three years before treatment amounted to 13 patients or 52%. Patients with histopathology of inflammatory nasal polyps were 19 patients or 76%, while patients of nasal eosinophil polyps were six patients or 24%. Additionally, patients with comorbidity in nasal polyps of allergic rhinitis medical history were 11 patients or 44%. Also, bilateral nasal polyps were mostly experienced by patients, reaching 14 patients or 56%.

Conclusion: This study reveals nasal polyps in women aged 51-60 years with clinical symptoms of nasal obstruction with the results of a histopathological examination of the inflammation type at bilateral polyps.

References

  1. Hopkins C. Chronic Rhinosinusitis with Nasal Polyps. N Engl J Med. 2019;381(1):55-63. doi:10.1056/NEJMcp1800215.
  2. Tecimer SH, Kasapoglu F, Demir UL, Ozmen OA, Coskun H, Basut O. Correlation between clinical findings and eosinophil/neutrophil ratio in patients with nasal polyps. Eur Arch Otorhinolaryngol. 2015;272(4):915-921. doi:10.1007/s00405-014-3174-4.
  3. Raja R, Seethala, Pant H. Pathology of Nasal Polyps. In: Ferguson BJ, Önerci TM, eds. Nasal polyp pathogenesis,medical and surgery treatment. Verlag Berlin Heidelberg: Springer Heidelberg Dordrecht London New York; 2010. p.21.
  4. Sun C, Ouyang H, Luo R. Distinct characteristics of nasal polyps with and without eosinophilia. Braz J Otorhinolaryngol. 2017;83(1):66-72. doi:10.1016/j.bjorl.2016.01.012.
  5. Jiang WX, Cao PP, Li ZY, et al. A retrospective study of changes of histopathology of nasal polyps in adult Chinese in central China. Rhinology. 2019;57(4):261-267. doi:10.4193/Rhin18.070.
  6. Syuhada O, Shalini P, Lim WK, Ammar A, Suria H, Aneeza K, et al. Malaysian nasal polyps: eosinophil or neutrophil predominant. Med & Health. 2016;11(1). pp.56-61.
  7. Indrawati LPL. Expressions of eosinophil in chronic rhinosinusitis patients with nasal polyp. Otolaryngology online. 2018;8(2). p171.
  8. Arif MM, Suheryanto R, Lukmantya, Anita KW. Kadar reseptor glukokortikoid α dan β pada polip hidung tipe eosinofilik dan tipe neutrofilik. ORLI. 2014; 44(2):112.
  9. Ramli RR, Mohamad I, Al-hadeethi YH. Prevalence Of Eosinophilic/Non Eosinophillic Nasal Polyps and Analysis of Their Presentation In Hospital Universiti Sains Malaysia Kelantan, Malaysia. International Medical Journal Malaysia. 2016;16(2). p89-92.
  10. Sutrawati NMD and Ratnawati LM. Karakteristik Penderita Polip Nasi Di Poli THT-KL RSUP Sanglah Denpasar Periode Januari 2014 - Desember 2015. Medicina. 2019;5(1). doi:10.15562/medicina.v50i1.304.
  11. Stevens WW, Schleimer RP, Kern RC. Chronic Rhinosinusitis with Nasal Polyps. J Allergy Clin Immunol Pract. 2016;4(4):565-572. doi:10.1016/j.jaip.2016.04.012.
  12. Nanda MS, Bhatia S, Gupta V. Epidemiology of nasal polyps in hilly areas and its risk factors. Int J Otorhinolaryngol Head Neck Surg. 2017;3(1). p77-81. DOI:10.18203/issn.2454-5929.ijohns20164788.
  13. Chandra RK, Conley DB, Kern RC. Rhinology, diseases of nose, sinuses and skull base. In: Kennedy DW, Hwang PH, eds. Nasal polyps. 1st ed. New York; Stuttgart. 2012. p181.
  14. Newton JR, Ah-See KW. A review of nasal polyposis. Ther Clin Risk Manag. 2008;4(2):507-512. doi:10.2147/tcrm.s2379.
  15. Mourina SH. Karakteristik dan penatalaksanaan penderita polip hidung di RSUP H. Adam Malik Medan tahun 2009-2011. 2012.

How to Cite

Mohammad Lukmanul Hakim, & Irwan Kristyono. (2022). Chronic rhinosinusitis patient with nasal polyps at Dr. Soetomo General Academic Hospital Center . Bali Medical Journal, 11(2), 766–770. https://doi.org/10.15562/bmj.v11i2.3628

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Mohammad Lukmanul Hakim
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Irwan Kristyono
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BMJ Journal