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Clinical Problem Solving
January 2015

A Nasal Mass Discovered During Intubation

Author Affiliations
  • 1Department of Otorhinolaryngology–Head and Neck Surgery, University of Maryland Medical Center, Baltimore
JAMA Otolaryngol Head Neck Surg. 2015;141(1):87-88. doi:10.1001/jamaoto.2014.2820

A man in his 50s presented with a 3-month history of right-sided nasal obstruction secondary to nasal trauma sustained during intubation for coronary artery bypass graft surgery. He reported postnasal drip, anosmia, and rhinorrhea. Nasal endoscopy revealed a large, right-sided polyp that extended into the posterior choana, indenting the right postero-inferior nasal cavity. The remainder of the nasopharyngeal, oropharyngeal, and laryngeal examination findings were unremarkable.