Benignneoplasmsinvertedpapilloma (Transition cellpapilloma orRingertztumour)Inverted papillomahas a markedtendencyto recur after surgical removal and mightbe associatedwith squamous cellcarcinomain 10-15%ofpatientsTreatmentis wide surgical excision bylateralrhinotomyormedial maxillectomyand enblocethmiodiectomy
Benign neoplasms • inverted papilloma (Transition cell papilloma or Ringertz tumour). Inverted papilloma has a marked tendency to recur after surgical removal and might be associated with squamous cell carcinoma in 10-15% of patients. Treatment is wide surgical excision by lateral rhinotomy or medial maxillectomy and en bloc ethmiodiectomy
Benignneoplasms3.PlemorphicadenomaRare tumour,usually arises from the nasalseptum.Treatmentis wide surgicalexcision
Benign neoplasms • 3. Plemorphic adenoma. Rare tumour, usually arises from the nasal septum. Treatment is wide surgical excision
Benignneoplasms4.SchwannomaandmeningiomaThey are uncommontumours which arefound intranasally.Treatment is surgicalexcisionbylateralrhinotomy
Benign neoplasms • 4.Schwannoma and meningioma. They are uncommon tumours which are found intranasally. Treatment is surgical excision by lateral rhinotomy
Benignneoplasms5.HaemangiomaItmay be:(a).Capillary haemangioma.It is soft,dark redpedunculated or sessible tumours arising fromanterior part of nasal septum.Usually it issmooth but may become ulcerated andpresentwith recurrence epistaxis and nasal obstructionTreatment is local excision with a cuff ofsurroundsmucpoerichondrium
Benign neoplasms • 5. Haemangioma. It may be: (a). Capillary haemangioma. It is soft ,dark red, pedunculated or sessible tumours arising from anterior part of nasal septum. Usually it is smooth but may become ulcerated and present with recurrence epistaxis and nasal obstruction. Treatment is local excision with a cuff of surrounds mucpoerichondrium
Benignneoplasms.5.Haemangioma(b).CavernoushaemangiomaItarisesfromtheturbinates onthelaterawall of nose. It is treated by surgicalexcisionwith prelimiary cryotherapyExtensivelesionsmay requireradiotherapyand surgical excision
Benign neoplasms • 5. Haemangioma. (b). Cavernous haemangioma. It arises from the turbinates on the lateral wall of nose. It is treated by surgical excision with prelimiary cryotherapy. Extensive lesions may require radiotherapy and surgical excision