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Rhinology/Allergy

What the Heck Is That: Challenging Nasal Endoscopy

Monday, October 2, 2023
9:15 AM - 10:15 AM East Coast USA Time
Location: 102AB

    Moderator(s)

  • Angela M. Donaldson, MD

    Assistant Professor of Otolaryngology I Rhinology and Anterior Skull Base
    Mayo Clinic in Florida
    Jacksonville, FL, United States

    • Panelist(s)

  • RC

    Roy R. Casiano, MD

    Professor of Otolaryngology; Director: Rhinology and Endoscopic Skull Base Program
    University of Miami Miller School of Medicine
    Miami, FL, United States

  • Eric W. Wang, MD

    Professor
    University of Pittsburgh School of Medicine
    Pittsburgh, PA, United States

  • Jivianne T. Lee, MD

    Associate Professor
    UCLA Department of Head and Neck Surgery
    Los Angeles, California, USA

Disclosure(s):
Roy R. Casiano, MD: No relevant relationships to disclose.
Eric W. Wang, MD: No relevant relationships to disclose.
PROGRAM DESCRIPTION: Understanding the initial approach for the care of patients with a sinonasal masses is essential for every otolaryngologist. A heightened level of suspicion is necessary when patients present with unilateral epistaxis, congestion, or ear fullness, as these symptoms are highly concerning for a mass. However, sometimes your nasal endoscopy does not correlate to clinical presentation leading to the question, “what the heck is that and what do I do next?” This session features videos and stills of rare sinonasal conditions. Interactive case presentations will be presented and a panel of rhinology experts will discuss differential diagnosis, imaging, and treatment options. The decision to perform in-office versus intra-operative biopsy can be difficult. The panelists will discuss what they would do and how they make those decision for each vignette. The panel will also address physical exam and imaging findings that help decipher an inverting papilloma from an inflammatory polyp. Lastly, determining the presence of a nasal flare from an autoimmune vasculitis disease can be challenging; this panel of academic rhinologists will use evidence-based data and endoscopic findings to discuss indications for biopsy. Pathologies covered during the session range from inflammatory lesions to sinonasal malignancies and skull base lesions.

OUTCOME OBJECTIVE 1: Apply knowledge from cases presented to help determine need for biopsy, imaging, and treatment options.

OUTCOME OBJECTIVE 2: Demonstrate knowledge of differential diagnoses for various nasal masses .

OUTCOME OBJECTIVE 3: Identify strategies to decipher the etiology of common nasal polyps, such as inflammatory polyps and inverting papilloma.

BACKGROUND STATEMENT: A review of the clinical presentation and endoscopic findings of rare and uncommon sinonasal lesions is needed to ensure a prompt and accurate diagnosis. This panel will give a comprehensive yet interactive presentation of these lesions and their appropriate workup.