Publication detail

Respirační epiteliální adenomatoidní hamartom

Year: 2019

Type of publication: článek v odborném periodiku

Name of source: Otorinolaryngologie a foniatrie

Publisher name: Česká lékařská společnost J. E. Purkyně

Place: Praha

Page from-to: 211-216

Titles:

Language	Name	Abstract	Keywords
cze	Respirační epiteliální adenomatoidní hamartom	Respirační epiteliální adenomatoidní hamartom (REAH) patří do skupiny benigních sinonazálních lézí; projevuje se jako izolovaná afekce v nosní dutině a vedlejších nosních dutinách či v souvislosti s chronickou rinosinusitidou s polypy, výskyt může být oboustranný.	respirační epiteliální adenomatoidní hamartom – invertovaný papilom – sinonazální karcinom
eng	Respiratory Epithelial Adenomatoid Hamartoma.	Respiratory epithelial adenomatoid hamartoma (REAH) belongs to the group of benign sinonasal lesions, manifesting as an isolated lesion or in coincidence with chronic rhinosinusitis with polyps. Objective: Herein, we present clinical data of our REAH patients and provide an overview of the literature on the subject. Materials and Methods: Retrospective analysis of age, sex, symptoms, imaging examination, operation methods, and recurrence. Results: During the period 2013--2018, six REAH patients aged 48--76 (median 61.5 years) were diagnosed at the Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital Hradec Kralové. Before the diagnosis of REAH, the smell disorder was detected in five cases, nasal obstruction and secretion in five patients as well. In isolated form, REAH was found once at the posterior edge of the septum, twice in the olfactory cleft. In association with chronic rhinosinusitis with polyps, REAH was detected twice in olfactory cleft and once in ethmoids. Five patients have been operated by endonasal endoscopic surgery, four patients under general anesthesia and one patient under local anesthesia. Five patients are followed-up without recurrence (range 5 months -- 5 years, median 48 months). One patient refused surgery and is not followed-up. Conclusion: Respiratory epithelial adenomatoid hamartoma is a benign sinonasal lesion. Histological examination is essential for the differential diagnosis of lesions needing other treatment strategies. After complete surgical removal, recurrence is rare	inverted papilloma respiratory epithelial adenomatoid hamartoma sinonasal carcinoma

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