Evaluation and Treatment of Antrochoanal Polyps

Yuca, Köksal; Bayram, İrfan; Kıroğlu, Ahmet Faruk; Etlik, Ömer; Çankaya, Hakan; Sakin, Feyat; Kırış, Muzaffer

doi:10.2310/7070.2005.0039

Cited by 29 publications

(25 citation statements)

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“…Few conditions are typical in their presentation that a diagnostic nasal endoscopy clinches the diagnosis. Multiple polyps are usually a presentation of the ethmoidal polyps whereas an antrachoanal polyp presents as a single polyp arising from the maxillary sinus passing through the sinus ostia and extending backward towards the choana [10]. The characteristic lesion of rhinosporidiosis is a friable polypoidal vascular mass, pedunculated or sessile with the surface studded with tiny white dots giving it a strawberry appearance [11].…”

Section: Discussionmentioning

confidence: 99%

A Review of the Clinicopathological and Radiological Features of Unilateral Nasal Mass

Nair

James

Awasthi

et al. 2011

Indian J Otolaryngol Head Neck Surg

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Unilateral sinonasal pathology are common presentations but are regarded with caution as neoplastic conditions during their early stages may mimic an inflammatory pathology. The aim of the review was to analyse the varied presentations of patients with unilateral nasal mass and to identify features suggestive of neoplastic pathology. A retrospective review of all cases of unilateral nasal mass/polyp from Jan 09 to Jan 10 presenting at a tertiary care hospital were analysed. The patients were grouped as per their histopathological diagnosis as inflammatory and neoplastic. The demographic data, presenting symptoms, radiological and histopathological findings were compared between the two groups. Out of the 53 patients of unilateral nasal mass, 44 (83.1%) had inflammatory conditions and 9 (16.9%) had neoplastic conditions. Benign nasal polyp and inverted papilloma were the commonest inflammatory and neoplastic condition. Neoplastic conditions were significantly commoner in males (P = 0.0315) and in the age group above 50 years (P = 0.0046). Epistaxis and extranasal symptoms like facial pain, dental and orbital complaints were found to be significantly higher in neoplastic conditions. Neoplastic lesions of nose and paranasal sinus are one of the most challenging conditions that otolaryngologists have to diagnose and treat due to their hidden nature and late presentations. In our review neoplastic conditions were found to be higher in elderly male with epistaxis, extranasal symptoms and presence of extensive soft tissue involvement and bony destruction on CT scan. The clinician should have a high index of suspicion to rule out a neoplastic aetiology in all cases of unilateral nasal mass.

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Section: Discussionmentioning

confidence: 99%

A Review of the Clinicopathological and Radiological Features of Unilateral Nasal Mass

Nair

James

Awasthi

et al. 2011

Indian J Otolaryngol Head Neck Surg

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“…This rate increases to 33% in children (1, 15, 16), and ACPs occur more commonly in children and young adults (1, 3, 8), but it may manifest at any age (4, 8, 17, 18). In a previous study, approximately 70% of patients were between 30 and 70 yr old (4).…”

Section: Terminology and Epidemiologymentioning

confidence: 99%

“…Chronic sinusitis and allergy have been implicated (1-4, 8, 9). Lee and Huang (2) determined that 65% of the patients with ACP had chronic sinusitis.…”

Section: Etiopathogenesismentioning

confidence: 99%

Evaluation and Management of Antrochoanal Polyps

Yaman

Yılmaz

Karalı

et al. 2010

Clin Exp Otorhinolaryngol

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Antrochoanal polyps (ACPs) are benign polypoid lesions arising from the maxillary antrum and they extend into the choana. They occur more commonly in children and young adults, and they are almost always unilateral. The etiopathogenesis of ACPs is not clear. Nasal obstruction and nasal drainage are the most common presenting symptoms. The differential diagnosis should include the causes of unilateral nasal obstruction. Nasal endoscopy and computed tomography scans are the main diagnostic techniques, and the treatment of ACPs is always surgical. Functional endoscopic sinus surgery (FESS) and powered instrumentation during FESS for complete removal of ACPs are extremely safe and effective procedures. Physicians should focus on detecting the exact origin and extent of the polyp to prevent recurrence.

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“…The pathology of hyperplastic sinus mucosa or cystic mucosa has a high incidence in all oral cystic lesions, which some authors estimate to occur in 19.5% of the cases (1). In most cases, the finding is discovered by chance through routine radiographic examinations.…”

Section: Introductionmentioning

confidence: 99%

Panoramic and tomographic implant studies: Role in the diagnosis of sinus disorders

Martínez-González¹,

Dorado²,

Arias-Irimia³

et al. 2010

Med Oral

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Objective: To study the presence of sinus disorders and their diagnosis based on clinical and radiographic findings, correlating their presence with tomography tests and panoramic radiography. Study design: We conducted a retrospective study on 152 patients who were seeking implant treatment, thereby allowing us to evaluate 42 patients who had abnormal sinuses. The patients underwent an evaluation of their medical history as well a clinical examination, panoramic radiography and tomographic study. Results: The average age of the patient was 59.8 years old, and 54.76% of the group were males and 45.23% were females. Prior respiratory disorders were present in 52.38% of the patients, and 57.3% of the group presented dental disorders. In assessing the type of wound, we observed that 73.21% were mucosal hyperplasia and 26.78% were mucous cysts. Of the 56 sinuses affected, only 28.57% were diagnosed using panoramic radiography. Conclusions: Panoramic radiography has limitations in the diagnosis of sinus disorders; computerized tomography (CT) remains the most effective diagnostic test.

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Evaluation and Treatment of Antrochoanal Polyps

Cited by 29 publications

References 0 publications

A Review of the Clinicopathological and Radiological Features of Unilateral Nasal Mass

A Review of the Clinicopathological and Radiological Features of Unilateral Nasal Mass

Evaluation and Management of Antrochoanal Polyps

Panoramic and tomographic implant studies: Role in the diagnosis of sinus disorders

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