World Articles in Ear Nose and Throat 
Clinical Appearance of Benign Sinonasal Masses
Recommended Link

Case 6B:  Tropical Diseases - Rhinoscleroma              Go Back To BSM Manuscript

A 28 year old female presented with a complaint of bilateral nasal obstruction.  The diagnostic nasal examination showed a nodular mass, from which a biopsy was taken and sent for histological examination.

Figure 1:  Intranasal Appearance of Lesion 
Click on Pictures to Enlarge

Figure 2:  Intranasal Appearance of Lesion 
Click on Pictures to Enlarge

The histopathology revealed large, vacuolated histiocytes called Mikulicz cell and Russell bodies that are large, homogenous, eosinophilic cytoplasmic inclusions inside plasma cells and, hence, the lesion was labeled as Rhinoscleroma (see Figure 3).  The debulking of the mass with bilateral insertion of a nasal tube to maintain the patency was done (see Figure 4).

Figure 3:  Histological Appearance 
Click on Pictures to Enlarge

Figure 4:  Post Operative Appearance of the
Patient With Nasal Tubes 
Click on Pictures to Enlarge

The patient was given a course of Rifampicin and is following up in our outpatient department on a regular basis and is till now symptom free.


Google Ad space finances and sponsors ENT USAsm Websites.  ENT USAsm, Cumberland Otolaryngology or Dr Kevin Kavanagh, MD do not endorse, recommend, refer to or are responsible for the Advertisements or for the content or claims made in the Advertisements.

World Articles in Ear, Nose and Throat                 Jan 27, 2012             Vol 5-1

Copyright WAENT 2012 All Rights Reserved