Nasal mass is a very frequently encountered complaint in OPD of Otorhinolaryngology. Clinical and radiological evaluation of these lesions help a lot to reach a diagnosis but histopathological examination is a must to reach a final diagnosis and start appropriate treatment.

Objective of this study was to study the clinical presentation of various types of nasal masses, to study their incidence in various age groups and their sex distribution and histopathological evaluation of these nasal masses.

Method: The study was conducted in Gajra Raja Medical College, Gwalior, Department Of Otorhinolaryngology and Head and Neck Surgery from September 2014 to August 2018. After taking the consent for surgery, patients with nasal masses on clinical evaluations were selected for excision or biopsy of nasal masses.

Result: Out of 102 cases studied 79 cases were of non neoplastic masses and 23 were neoplastic. Among non neoplastic lesions nasal polyps were the most common histopathological types and neoplastic were further divided into benign and malignant lesions. Capillary haemangiomas formed the most common benign lesions and squamous cell carcinoma was the most commonly occurring malignant lesion. Nasal obstruction was the most common presenting symptom followed by nasal discharge, headache, epistaxis and voice change.

Conclusion: Histopathological evaluation of nasal masses is very important part of diagnosis and treatment of nasal masses. Since all nasal masses present with overlapping symptoms, so it becomes important to identify and differentiate non neoplastic, benign and malignant lesions for radical cure of the disease.

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Dr V. P. Narve (M.S.)

Professor, Department of E.N.T., Gajra Raja Medical College, Gwalior, M.P. 474009, India

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