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.
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
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.
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