Sphenochoanal polyps in children — a systematic review (1995‒2021)

Tywoniuk, Krystian; Haber, Karolina; Mierzwiński, Józef

doi:10.1016/j.bjorl.2022.02.006

Cited by 3 publications

(1 citation statement)

References 23 publications

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“…Polyp mass originates from the sphenoid sinus that expands through the sphenoid sinus ostium to the sphenoethmoid recess and choanal [3] , [4] . The recommended management of sphenochoanal polyps is functional endoscopic sinus surgery (FESS) which can see the location of the polyp so that the polyp can be extracted entirely with a low recurrence rate [1] , [5] , [6] . We are interested in reporting an Indonesian male with a sphenochoanal polyp.…”

Section: Introductionmentioning

confidence: 99%

Extraction of sphenochoanal polyp with functional endoscopic sinus surgery approach: A rare case and review article

Ditha

Sutikno

2022

International Journal of Surgery Case Reports

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Section: Introductionmentioning

confidence: 99%

Extraction of sphenochoanal polyp with functional endoscopic sinus surgery approach: A rare case and review article

Ditha

Sutikno

2022

International Journal of Surgery Case Reports

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Sphenochoanal polyp in a child presented with recurrent middle ear effusion: a case report

Aljeraisi

2023

Egypt J Otolaryngol

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Background Sphenochoanal is a rare benign sinu-nasal lesion. It arises from the sphenoid sinus and passes to the choana then to the nasopharynx. It usually presents with nasal obstruction, discharge, snoring, and headache. It has been reported—only once in the English literature—to cause Eustachian tube dysfunction and middle ear effusion (MEE) in an adult male. In this report, we described an 8-year-old child with a sphenochoanal polyp presented with MEE. Case presentation An 8-year-old boy was referred to us by his family physician with recurrent earache. Otoscopic examination showed MEE on the left side. Anterior rhinoscopy showed a thick grayish discharge in the left nasal cavity. Nasal endoscopic examination showed a polyp in the posterior part of the left nasal cavity obstructing the choana. Computed tomography revealed soft tissue density on the left sphenoid sinus extended to the choana and nasopharynx. Diagnosis of sphenochoanal polyp was established. Endoscopic sinus surgery with removal of the lesion and ventilation tube insertion in the left ear was performed. Histopathologic examination confirmed that the polyp was inflammatory. Follow-up for 1 year showed no recurrence. Conclusions Sphenochoanal which is a rare lesion in children could be a cause of Eustachian tube dysfunction and MEE. Nasal endoscopy and computed tomography are important for diagnosis. We recommend to list sphenochoanal polyp as a cause of Eustachian tube dysfunction and recurrent MEE in children.

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Evaluation and management of antrochoanal polyps in children

Iovanescu,

Anglitoiu,

Marin

et al. 2024

Romanian Journal of Rhinology

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BACKGROUND. Antrochoanal polyps (ACP) were originally reported by Gustav Killian in 1906. Antrochoanal polyps (ACPs) are benign polypoid lesions that begin in the maxillary antrum and extend into the choana. Although there have been recorded occurrences of bilateral ACPs in the literature, ACPs are mostly unilateral. They typically have an impact on youth and youngsters. MATERIAL AND METHODS. In a trial of 15 cases treated and admitted to our ENT Pediatric Department at the Emergency County Hospital Timisoara over the previous four years, the pathology, differential diagnosis, treatment, complications, etiopathogenesis, clinical features, positive and differential diagnosis, preoperative evaluation, pathology, and treatment of ACPs were reviewed in this study. RESULTS. The patients age group comprised five females (33.33%) and ten boys (66.67%), ranging in age from 7 to 16 years. The most common presenting symptoms were unilateral nasal obstruction (100%), purulent rhinorrhea (66.67%), olfactory impairment (53.33%), and mouth breathing (46.67%). A nasal endoscopy and a craniofacial CT scan were the gold standards for diagnosing ACP. The chosen course of treatment for all pediatric patients included in the study was surgery: 12 patients (80%) underwent transnasal endoscopic polypectomy, and 3 patients (20%) underwent both transnasal polypectomy and transcanine fossa approach. The success rate of the combined endoscopic and transcanine fossa approach was 100%, whereas the transnasal endoscopic surgery (polypectomy) had an 80% success rate. CONCLUSION. Polypectomy combined with a transcanine fossa approach technique and transnasal polypectomy is the optimal course of treatment.

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Sphenochoanal polyps in children — a systematic review (1995‒2021)

Cited by 3 publications

References 23 publications

Extraction of sphenochoanal polyp with functional endoscopic sinus surgery approach: A rare case and review article

Extraction of sphenochoanal polyp with functional endoscopic sinus surgery approach: A rare case and review article

Sphenochoanal polyp in a child presented with recurrent middle ear effusion: a case report

Evaluation and management of antrochoanal polyps in children

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