Nasal Polyps / Progressive Ethmoid Hematoma in Horses

Nasal Polyps / Progressive Ethmoid Hematoma

Overview

Nasal polyps are benign pedunculated masses arising from the nasal mucosa that can obstruct airflow. Progressive ethmoid hematoma (PEH) is an expanding, encapsulated mass of hemorrhagic granulation tissue originating from the ethmoid labyrinth that progressively fills the nasal cavity and/or paranasal sinuses. PEH is not a true neoplasm. Cause is unknown. Tends to recur after treatment. Most common in horses >6 years old.

Signs & Symptoms

Nasal polyp: unilateral nasal obstruction; stertor (snoring); serous to mucopurulent discharge; visible on endoscopy as smooth, pedunculated mass. PEH: intermittent unilateral epistaxis (hallmark); progressive unilateral nasal obstruction; may see bulging of facial bones in advanced cases; greenish to hemorrhagic, encapsulated mass on endoscopy; facial deformity in severe cases

Affected Structures

Frequently Asked Questions

What is Nasal Polyps / Progressive Ethmoid Hematoma in horses?

Nasal polyps are benign pedunculated masses arising from the nasal mucosa that can obstruct airflow. Progressive ethmoid hematoma (PEH) is an expanding, encapsulated mass of hemorrhagic granulation tissue originating from the ethmoid labyrinth that progressively fills the nasal cavity and/or paranasal sinuses. PEH is not a true neoplasm. Cause is unknown. Tends to recur after treatment. Most common in horses >6 years old.

What are the signs of Nasal Polyps / Progressive Ethmoid Hematoma?

Nasal polyp: unilateral nasal obstruction; stertor (snoring); serous to mucopurulent discharge; visible on endoscopy as smooth, pedunculated mass. PEH: intermittent unilateral epistaxis (hallmark); progressive unilateral nasal obstruction; may see bulging of facial bones in advanced cases; greenish to hemorrhagic, encapsulated mass on endoscopy; facial deformity in severe cases