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November 1968

The Resident's Page

Author Affiliations


Arch Otolaryngol. 1968;88(5):564-567. doi:10.1001/archotol.1968.00770010566020

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Arnold Lester Lazar, MD, Miami, Fla  A 55-year-old white man complained of left sided nasal obstruction for four months. The symptoms improved slightly with antibiotics and nose drops. Ten years previously he had a similar episode which required intranasal surgery, antral irrigation, and removal of "polyps" at another hospital.The initial examination revealed a cartilaginous and bony septal deviation to the left. The left middle turbinate had a friable papilliferous lesion on its undersurface.A submucous resection and intranasal removal of the papillomas were performed and the patient remained symptom-free for one and one-half years. Subsequently he developed a polypoid mass in the left middle meatus. A biopsy was taken of the mass and it was found to be the same type of lesion as previously removed (Fig 1).What is your diagnosis?


Jerome Kosoy, MD, Philadelphia 

Fred Harbert, MD, DSc, Philadelphia 

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