Naso-oropharyngeal rhinosporidiosis: Endoscopic removal

The Internet Journal of Otorhinolaryngology

Rhinosporidiosis is a chronic non contagious sporadic disease caused by the fungus Rhinosporidium seeberi, which predominantly affects the mucus membranes of the nose and nasopharynx. It is a difficult granulomatous disease of the nose and is notorious for its high rate of recurrence and vascularity. Most cases of rhinosporidosis are limited to the nose, oropharynx and upper airway but unusual presentations have been reported. The diagnosis is established by histopathology and the treatment involves excision followed by anti-mycotic and anti protozoal drugs. We present a case of nasal rhinosporidosis with oropharyngeal extension with unilateral tonsillar involvement.

Annals of Tropical Medicine and Public Health, 2012

Rhinosporidiosis is a chronic infestation by the fungus Rhinosporidium seeberi, which predominantly affects the mucus membranes of the nose and nasopharynx. We report a case of rhinosporidiosis with presentation as a mass extending up to the oropharynx. Functional endoscopic sinus surgery was performed.

Saudi Journal of Medicine, 2019

Rhinosporidiosis is a chronic granulomatous mucocutaneous infecion caused by Rhinosporidium seeberi. The infection is non-contagious and as the name suggests, it is primarily a disease of the nose. Here, we report a rare case of rhinosporidiosis affecting the nasopharynx in a 35 year old male patient.

Journal of Natural Science, Biology and Medicine, 2015

Rhinosporidiosis, is a chronic granulomatous disease presenting as a polypoidal mass in the nasal cavity and nasopharynx caused by Rhinosporidium seeberi and is endemic in India and Sri Lanka. Diagnosis is mainly by clinical observations and is confi rmed by histopathology. We report a case of atypical rhinosporidiosis that presented as an oropharyngeal mass and mimicked chronic tonsillitis. Hence possibility of this atypical rhinosporidiosis should be included in the clinical differential diagnosis of any posterior oral or oropharyngeal mass, particularly when managing patients from rural endemic areas.

An International Journal of Otorhinolaryngology Clinics, 2014

Rhinosporidiosis is a chronic enigmatic disease affecting mainly the upper aerodigestive tract and is notorious for frequent recurrences as high as 70%. Higher incidences of recurrence are mainly due to nonendoscopic excision with resultant resi dual disease leading to seedling of the disease. Objectives: The aim of this study is to highlight the factors responsible for recurrence and to follow the clinical course to ensure against recurrence of rhinosporidiosis. External surgery in rhinosporidiosis should be avoided for the fear of implantation. With the advent of endoscopes and Lasers allow the surgeon to complete excision of the lesion with cauterization of the base. Materials and methods: A retrospective study of thirty two cases of rhinosporidiosis presented to us over a period of 10 years from 2002 to 2012. Out of which 14 cases presented to us for the first time and 18 cases were recurrent cases. The commonest age group of presentation was between 20 and 30 years in patients presenting for the first time and in recurrent cases the commonest age of presentation was between 50 and 60 years of age. Majority of patients were males with male to female ratio of 9:1. All patients underwent endoscopic excision, electro cautery was used in 30 patients and Laser was used in 2 patients. Results: Fourteen cases did not have any recurrence and in the 18 cases of recurrent cases three of them again had a recurrence where electro cautery was used to cauterize the base. Conclusion: Endoscopic excision of rhinosporidiosis has a better result over nonendoscopic approaches with lesser recurrence rate. Our results show that use of endoscopes in patients who presented for the first time have a better results as the mucosa of recurrence patients have already been insulted due to previous surgeries.

Journal of Evolution of medical and Dental Sciences, 2014

Rhinosporidiosis is a chronic infestation by the fungus Rhinosporidium seeberi, which predominantly affects the mucus membrane of the nose and nasopharynx. We report a case of symptomatic extranasal pharyngeal polyp caused due to Rhinosporidium seeberi infection without the involvement of nasal mucosa.

Rhinosporidiosis is a chronic granulomatous infection of the nose and nasopharynx. It is endemic in South Asia and commonly affects males in their second to fourth decades of life. Majority of the cases are found in the upper respiratory tract such as anterior nares, nasal cavity, inferior turbinate, nasal septum, floor, and nasopharynx. Although nose or nasopharynx is the most common location for rhinosporidiosis, it can also involve the skin, parotid duct, oropharynx, and larynx. Here, we report the case of a 42-year-old male who presented with extensive rhinosporidiosis in both nasal cavities and nasopharynx along with involvement of the roof of the oral cavity through erosion of the hard palate. The mainstay of treatment is wide excision followed by electrocautery of the base which ablates the recurrence. The rhinosporidiosis mass from different sites of the attachment was completely excised along with cauterization of the base. The diagnosis was confirmed by histopathological report.

The American Journal of Tropical Medicine and Hygiene, 2021

ABSTRACTRhinosporidiosis is caused by Rhinosporidium seeberi, a pathogen currently considered a fungus-like parasite of the eukaryotic group Mesomycetozoea. It is usually a benign condition, with slow growth of polypoid lesions, with involvement of the nose, nasopharynx, or eyes. The clinical characteristics of a painless, friable, polypoid mass, usually unilateral, can guide the diagnosis, but the gold standard for diagnosis is histopathological findings. This article reviews the epidemiology, pathobiology, clinical manifestations, diagnostic strategies, and treatment approach for rhinosporidiosis.

Indian Journal of Otolaryngology and Head & Neck Surgery, 2010

Rhinosporidiosis is primarily an infection of the nose. Though occasional involvement of other areas in the human body has been reported, it rarely presents as a disseminated disease. We describe two cases of recurrent nasopharyngeal rhinosporidiosis, one of them with cutaneous and pulmonary involvement. The clinical manifestations and the management of both the cases are discussed.

Otolaryngology Online Journal, 2012

This article discusses the personal experience of author in the management of rhinosporidiosis. Living in an endemic area of disease the author had the privilege of managing about 200 cases of rhinosporidiosis during 2005 to 2010. Commonest area of involvement happened to be nasal cavity. Inside the nasal cavity rhinosporidiosis was commonly seen arising from inferior meatus. All these patients gave history of bathing in ponds which could account for the common etiopathogenic factor. All the cases were managed by surgical resection followed by 9 months course of T Dapsone to minimize risk of recurrence. Despite these measures the author had a recurrence rate of about 19%. Imaging really provided a road map as majority of these lesions were removed endoscopically.