Nasal Papilloma

Nasal papilloma


     Nasal papilloma is generally considered to be a benign tumor that starts from the superficial skin or from the mucosal cells, stalk-shaped or sessile sits on the mucosa. The papilloma grows on the oral and nasal mucosa, but also in the urinary tract, the ducts of the breast and other areas of the body.

     The nasal papilloma is not to be confused with a nasal polyp. While polyps usually occur bilaterally, the nasal papilloma is usually found only on one side. The cells, which forms a papilloma are similar, while those of the polyps, they can change but as they grow they no longer look like the actual nasal mucosa. Papillomas grow displacing, meaning that the adjacent tissue is pushed aside, but not destroyed.

     A special feature is the inverted papilloma here in the nasal cavity. The inverted papilloma displaced not only the adjacent tissue, but also destroyed it. It is even able to destroy the bone. In an inverted papilloma malignant tumors can occur - this being what causes the cancer.


Nasal papilloma symptoms


     With the growth of nasal polyps which usually occur on both sides of the nose of the persons, the person concerned increasingly difficult to breathe through the nose. They breathe therefore through the mouth, which can be very unpleasant. Breathing through the mouth can provoke snoring and it promotes recurrent infections of the upper respiratory way, the sinus and ear infections. Patients often complain that they suffer more often from headaches and have a double vision.


Nasal papilloma diagnosis


     A large nasal papilloma appears, upon closer look into the nose, as a shiny glassy structure, which the doctor can see with the naked eye. Small polyps are known only by a nose reflection, being recognized only at a rhinoscopy. This thing is being observed with a nose spreader or by using a nasal endoscope, a rigid or a flexible tube, built with a light source and a camera, so the doctor can see the condition of the nasal mucosa.



     In order to know how much of the nasal papilloma has already been extended, and what size it has reached, a computed tomography (CT) and a magnetic resonance imaging (MRI) will be done. The advantage of the magnetic resonance imaging is that it is used in contrast to computed tomography for the investigation of any X-rays. This is very benefic for the patient, because during the examination, he is not exposed to any radiation. These studies are very important because it can be seen clearly the extent of the nasal papilloma, and the doctor will know what to do next.


Nasal papilloma therapy


     The only meaningful and necessary treatment is a complete removal of the papilloma in a nose operation. The surgery is performed under general anesthesia. After the operation a logical follow-up and control is necessary.


Nasal papilloma complications


     From an inverted papilloma of the nasal cavity it may develop a malignant tumor. Therefore, it is important to completely remove the nasal papilloma in order to prevent the appearance of cancer. In some cases, after a successful operation the pacient can experience a relapse of the papilloma, and thus a further formation of a new papilloma occur. This should then be operated again and removed.