Dinesh Vaidya1, Samir Thakare2, Ashlesha Chaudhary3, Deepak Jagtap4, Smita Sawant5
ABSTRACT: Sinonasal mass with bony destruction, deviation of eye and opthalmoplegia raises the suspicion of tumor and requires extensive surgical approach. Benign masses and slow growing tumors tend to remodel the nasal vault and facial bones stimulating aggressive bone destruction. CT scan is helpful in determining the extent of disease and planning of surgical approach. Definitive diagnosis is only possible on biopsy and histopathology. Conservative surgical excision is a treatment of choice without extensive surgeries like Maxillectomy or Cranio-facial resection. CASE REPORT: We are presenting a case of a 40 year old male with large Sinonasal Inflammatory polyp along with bony destruction, deviation of eye and opthalmoplegia. CT, Biopsy and Histopathology confirm the diagnosis of Sinonasal inflammatory polyp. Excision of mass was done by external approach with orbital floor reconstruction. CONCLUSION: Sinonasal inflammatory polyp should be included in the differential diagnosis of patient presenting with nasal mass, deviation of eye and opthalmoplegia. CT, Biopsy and Histopathology are important diagnostic tools.
