Posterior rhinoscopy To see the back of the nasopharynx and k avum nasal with glass nasopharynx via the

oropharynx. Required head lamps, light spirits, tongues and glass spatula nasopharynx, also spray xylocain sometimes necessary for patients with very sensitive. The important note in connection with sinusitis is the meatus secretions in the media, the edema and hyperemia of chonca media and in ferior and the presence of polyps in koane. 1. Sinus x-rays X paranasalis To check the position of the frontal sinus is carried Caldwell, whereas for maxillary sinus with Water s position. Were evaluated from the photo are!

clear black air contains, the normal no bleak white liquid like pus, blood or tumor "een whether there is thickening of the mucosa and bone dekstruksi

#xamination of $%nose and paranasal sinuses photos and sinuskopi very assist in addressing the inverted papilloma. 2. Biopsy Took a bit of tissue for anatomic pathology examination, the maxillary sinus puncture can be performed through the inferior meatus or using tools Caldwell%&uc 3. Laboratory examination, histopathology, cytology and immunology

2. !X"#$%"&$'% S(PP')& 'reoperative radiological examination has an important role in the management of inverted papilloma to determine the extent of disease and involvement of ad(acent structures. Computer tomography axial and coronal cuts an option for intranasal lesions. )y using computer tomography can be differentiated lesions papilomatous with mucoperiosteal thickening, or polyps. *pproximately +,- of patients with papilloma showing signs of varying degrees of bone destruction. .nly sign of the presence of bone destruction on