Creating Waves of Awareness
A girl, aged 15, was brought to me by her mother. They were under the treatment of a local practitioner, who diagnosed the case as nasal polyp. Even after taking several years treatment, the polyp was not disappearing completely. They decided to go for surgery as a last resort. As a family friend, they contacted me only for the sake of my opinion on the scope and complications of polypectomy. So what they need is my opinion, not medicine.
On examination with a nasal speculum, I could not see the nasal polyp! When I told the mother that there is no polyp visible, she shouted at me (family friends often take more freedom), and asked me to look properly to see the polyp inside the left nostril. Eureka!!!!! I noticed the swollen nasal turbinate, which is not large enough for surgical reduction. Their doctor had misdiagnosed hypertrophied nasal turbinate as nasal polyp! These people were under lot of stress due to a wrong diagnosis. But, they were not fully satisfied with my observation. The word “POLYP” is very deeply recorded in their minds. So, I suggested them to consult an ENT surgeon who can convince them better.
Differentiating the nasal polyp and hypertrophied nasal turbinate is very easy. Polyp is usually grayish in color; where as the nasal turbinate is having the same color of the nasal mucosa.
Nasal polyp (Courtesy: emedicine.medscape.com)
Hypertrophied nasal turbinate (courtesy: entusa.com)