Case 14-1995: A 12-year-old boy with progressive nasal obstruction

Presentation of Case A 12-year-old boy was admitted to the hospital because of an obstructive right nasal mass. The patient had been in excellent health until two years earlier, when he began to have right nasal obstruction that gradually worsened. Occasional bouts of epistaxis occurred; right-sided headaches appeared and interfered with his attendance at school and concentration. Treatment for sinusitis on several occasions and the topical use of beclomethasone did not result in improvement. Four months before admission an otolaryngologist detected an obstructive polypoid mass within the right nasal cavity. Axial and coronal computed tomographic (CT) sections of the paranasal . . .