Antrochoanal polyps in children

Endoscopic surgery in pediatric recurrent antrochoanal polyp, rule of wide ostium

“…Although recurrence of antrochoanal polyp is high especially in children, limited papers had been published. Orvidas et al [16] recorded up to 25% recurrence after endoscopic approach; Ozdek et al [17] recorded up to 22% recurrence after middle meatal antrostomy alone but no recurrence after combining MMA with transcanine surgery. To our knowledge this is the first paper to discuss the management of recurrent antrochoanal polyp in children.…”

“…It should be done only in developed maxillary sinus after radiographic evaluation [20]. Endoscopic surgery through the middle meatal antrostomy combined with transcanine sinuscopy ensures the complete removal of the antral part of ACP in children [17,21].…”

Antrochoanal Polyp

“…4 Antrochoanal polyps represent approximately 4-6% and 33% of all nasal polyps in the general and pediatric population respectively. 5,6 The ACP is infrequent than benign inflammatory or allergic polyp in the nasal fossa and paranasal sinuses. 2 Maxillary sinus is more involved as compared to other sinus.…”

“…Other less frequent differential diagnoses are adenoid and turbinate hypertrophy, ethmoidochoanal polyp, Tornwaldt cyst, olfactory neuroblastoma, heman gioma, inverted papilloma, meningoencephalocele, cystic fibrosis and allergic fungal sinusitis. 1,3,5,7,9 Angiofibroma must be excluded in pediatric male patients and malig nancy in adult patients. 4,6 Nasal endoscopy, computed tomography and magnetic resonance are the main diagnostic techniques.…”

Diagnostic and Therapeutic Sinonasal Endoscopy in Pediatric Patients

“…It represents 4-6% of all nasal polyps in the general population (Yaman et al, 2010). It is also is prevalent in the pediatric age, and ACP is found in about one-third of pediatric cases with polyps (Schramm & Effron, 1980;Basak et al, 1998;Ozdek et al, 2002;Yaman et al, 2010). The mass originates inside the maxillary sinus and as it grows it extends from the accessory or natural ostium of maxillary sinus to the middle meatus (Fig.…”