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Hi Doctor! Lately I Ve Been Experiencing Some Left-sided Upper

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Posted on Sat, 8 Dec 2018
Question: Hi Doctor! Lately I've been experiencing some left-sided upper tooth, ear and jaw pain, and I did have a CT scan of my maxillofacial structures done, and am attaching a copy of the same. Today I just followed up with my ENT doctor, and she performed a full exam. She indicated that the mucous cyst and mucousal inflammation in the sphenoid and ethmoid sinuses on the left side could account for the left-sided pain which I am experiencing; I had actually visited my dentist two days ago and he also did a full exam and feels that my masseter and jaw muscles are extremely tight and constricted, and that could be causing the pain. My question, however, pertains to a lesion in my left nasal vestibule, which showed up on the scan and which my ENT looked at today. From what she could see, she indicated something about "inverted" and wants me to have it removed by an ENT surgeon. Apparently it is 11 by 5 mm. I have no pain in that area, no nosebleeds or congestion, etc. As a matter of fact, when I last visited the ENT three months ago, she did not even see it. Unfortunately, I cannot even get into the ENT surgeon for two and a half months. In the meantime, I saw there is something called an inverted papilloma and think that may be what she was referring to, and I saw that they can progress to squamous cell cancer and tend to reoccur even after removal. Obviously, we don't even know for sure what it is at this point, but I am super worried after googling some of these nasal cancers. Based upon my history, the CT scan report, and my lack of symptoms in my nasal area, is there any reassurance or information which you can give me? Also, my second question is this: I've had plantar warts on the soles of my feet for years now, and my podiatrist tried an autoimplantation therapy just this past January, in which she removed a tiny piece of the wart and transplanted it in the inside portion of my foot, hoping to trigger an immune response to attack the warts. Unfortunately, that doesn't appear to have succeeded, as I still have the warts. In frantically googling inverted papilloma I see that it may be caused by the HPV virus -- do you think the implantation therapy had anything to do with the lesion inside my nose? I now have an irrational fear that I will have more of these growths developing. Thank you so very much!
doctor
Answered by Dr. Dr. Kakkar (43 minutes later)
Brief Answer:
Regarding HPV infection and nasal papillomas

Detailed Answer:
Hello and welcome to ask a doctor service. I have reviewed your query and here is my advice.

Nasal papillomas are definitely not related to your Plantar warts. Nasal papilloma, even if from HPV infection is caused by different HPV types (types 16, 18, 31, 33 etc) from those that cause Plantar warts (type 1, 2, 4 etc). Moreover autoimplantation of warts on plantar skin won't cause HPV related nasal papillomas at a distant location because HPV infection is caused by local inoculation rather than by systemic spread.

Hope I have answered your query. Let me know if you need any more assistance
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Dr. Kakkar (30 minutes later)
Hi Dr. Kakkar! I cannot begin to thank you enough for your reassuring answer! In my current state of health anxiety (combined with the big mistake of googling these medical issues) I was overthinking and fearing the worst. You have always been an absolute godsend to me in dealing with my neurotic questions and providing the reassurance I desperately need! Thank you again immensely!!
doctor
Answered by Dr. Dr. Kakkar (11 hours later)
Brief Answer:
You are welcome

Detailed Answer:
Good morning.

thank you for appreciating.

let me know if you need any more assistance
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Dr. Kakkar (11 hours later)
Dr. Kakkar, I thought of one last question! If this nasal lesion does turn out to be an inverted papilloma, before it is removed, do I have to worry about spreading it in any manner? Obviously, I will be blowing my nose, etc. in the meantime.....
doctor
Answered by Dr. Dr. Kakkar (40 hours later)
Brief Answer:
Regarding inverted papilloma

Detailed Answer:
Hi.

No. I don't think so.

Let me know if you need any more assistance
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Kampana
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Dr. Dr. Kakkar

Dermatologist

Practicing since :2002

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Hi Doctor! Lately I Ve Been Experiencing Some Left-sided Upper

Brief Answer: Regarding HPV infection and nasal papillomas Detailed Answer: Hello and welcome to ask a doctor service. I have reviewed your query and here is my advice. Nasal papillomas are definitely not related to your Plantar warts. Nasal papilloma, even if from HPV infection is caused by different HPV types (types 16, 18, 31, 33 etc) from those that cause Plantar warts (type 1, 2, 4 etc). Moreover autoimplantation of warts on plantar skin won't cause HPV related nasal papillomas at a distant location because HPV infection is caused by local inoculation rather than by systemic spread. Hope I have answered your query. Let me know if you need any more assistance