2004
DOI: 10.1007/s00405-003-0617-8
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Choanal polyp originating from the middle turbinate

Abstract: Choanal polyps usually originate from the maxillary sinus. Unusual origins such as the sphenoid sinus, ethmoid sinus, nasal septum and hard and soft palate have been reported in the literature. Herein, we report a rare case of choanal polyp originating from the middle turbinate that was removed by an endoscopic surgery technique. The computed tomographic findings are described and the literature is reviewed.

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Cited by 16 publications
(22 citation statements)
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“…On computed tomography antrochoanal polyps are seen between the middle turbinate and lateral wall of the nasal cavity, while the choanal polyp arising from concha as in our case occupies the space between the middle turbinate and septum. 1 Thus, in choanal polyps middle meatus appears free. Moreover, ipsilateral maxillary sinus is opaque in antrochoanal polyps.…”
Section: Discussionmentioning
confidence: 98%
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“…On computed tomography antrochoanal polyps are seen between the middle turbinate and lateral wall of the nasal cavity, while the choanal polyp arising from concha as in our case occupies the space between the middle turbinate and septum. 1 Thus, in choanal polyps middle meatus appears free. Moreover, ipsilateral maxillary sinus is opaque in antrochoanal polyps.…”
Section: Discussionmentioning
confidence: 98%
“…Also, inverted papilloma should be kept as a possibility in cases of unusual site of choanal polyp origin. 1 The other differentials for unilateral polyp are blob of mucus which disappears on blowing nose or suction, hypertrophied middle turbinate has pink appearance and hard feel and angiofibroma gives history of profuse recurrent epistaxis and is firm in consistency.…”
Section: Discussionmentioning
confidence: 99%
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“…Intranasal soft-tissue lesions which are seen in pediatric population include nasal polyps, antrochoanal polyps, angiofibroma, fibrous histiocytomas, meningiomas, neurofibromas, hemangiomas, pyogenic granulomas, glioma, meningoencephaloceles and rarely rabdomyosarcomas [1,3,4,6,[12][13][14]. Table 1 shows the differential diagnosis of intranasal soft tissue lesions (Table 1) [1,15,16].…”
Section: Discussionmentioning
confidence: 99%
“…If an intranasal soft tissue lesion with the total maxillary antrum opacification on the lesion side and enlarged ostium was detected on CT, IP or antrochoanal polyp can be the two most logical diagnoses. In general, the age of the patients may be a factor to differentiate these two entities since IP occurs more commonly in patients over 40 years whereas antrochoanal polyps mostly in children and young adults [8,12]. MRI and CT may not differentiate coincident malignancies from IP [8].…”
mentioning
confidence: 98%