Surgical approaches to antrochoanal polyps in children.

Abstract:

:Antrochoanal polyps (ACP) represent 4-6% of all nasal polyps in the general population, but this proportion increases to 33% in the pediatric group. The aim of this study is to discuss clinical and radiological findings, and some different surgical approaches with their results in the pediatric patients. This study consists of eight children with ACP diagnosed by means of clinical examination, nasal endoscopy and computed tomography. One patient was treated only with simple polypectomy. In five patients, transcanine sinuscopy (TS) was added to functional endoscopic sinus surgery. Four of the patients underwent anterior ethmoidectomy and uncinectomy. Middle meatal antrostomy was applied to two of them. No recurrence was encountered within 5-30 months. The decision for the appropriate type of surgery for ACP is influenced by factors such as patient's age, other accompanying sinus pathologies, recurrence after previous surgery, and the possibility of total excision. In patients carrying the risk of recurrence, it is especially important to remove the polyp completely and manage other sinus pathologies, as well as avoiding an unnecessarily expanded operation. In selected patients, we believe that TS may be adequate in totally removing ACP.

authors

Başak S,Karaman CZ,Akdilli A,Metin KK

doi

10.1016/s0165-5876(98)00160-8

subject

Has Abstract

pub_date

1998-12-15 00:00:00

pages

197-205

issue

3

eissn

0165-5876

issn

1872-8464

pii

S0165587698001608

journal_volume

46

pub_type

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