DOI: 10.36347/sjams.2018.v06i08.012

Pages: 3009-3012

To illustrate the significance of imaging studies in case of extensive rhinosporidiosis. Two cases presented with swelling over the left side of face and bilateral/unilateral nasal mass. Case 1: Patient underwent contrast-enhanced CT scan of nose and paranasal sinus which revealed bilateral nasal mass, mass in the lacrimal sac, left nasolacrimal duct dilatation, maxillary sinus involvement in the left side & nasopharynx. Case 2: Patient underwent contrast – enhanced CT scan of head and neck which revealed the involvement of left nasal cavity, left lacrimal sac, left nasolacrimal duct, left maxillary sinus, nasopharynx, oropharynx and laryngopharynx upto the thyroid cartilage. Both patients underwent excision of the mass , dacrocystectomy, endoscopic excision of nasal mass , endoscopic left maxillary clearance and endoscopic excision of the mass from oropharynx and laryngopharynx in case of the 2nd patient. Histology of nasal & facial masses was suggestive of rhinosporidiosis. There was no recurrence of disease in 6 months follow up. Rhinosporidiosis can be extensive and can present as huge facial swelling as evident in these cases. CT scan is mandatory to delineate the extent of the disease and surrounding structure involvement.