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Antrochoanal polyp presenting with obstructive sleep apnoea and cachexia.

R J Salib1, S A Sadek, S N Dutt

  • 1Department of Otolaryngology Head and Neck Surgery, Birmingham Children's Hospital, Birmingham, UK. rami.salib@virgin.net

International Journal of Pediatric Otorhinolaryngology
|September 1, 2000
PubMed
Summary

A rare antrochoanal polyp caused obstructive sleep apnea and growth issues in a teen. Surgical removal resolved the airway obstruction, leading to rapid catch-up growth.

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Area of Science:

  • Otolaryngology
  • Pediatric Endocrinology

Background:

  • Antrochoanal polyps are rare benign tumors originating from the maxillary sinus.
  • Obstructive sleep apnea (OSA) can significantly impact a child's growth and development.

Observation:

  • A 14-year-old male presented with symptoms of obstructive sleep apnea and subnormal growth velocity.
  • A post-nasal mass was identified during examination.
  • Histopathological analysis confirmed the mass as an antrochoanal polyp.

Findings:

  • Surgical removal of the antrochoanal polyp led to immediate relief of airway obstruction.
  • The patient experienced significant catch-up growth and normalized growth velocities post-operatively.
  • The study explores potential mechanisms linking obstructive sleep apnea to cachexia in this case.

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Implications:

  • This case highlights a rare but significant cause of pediatric growth failure and obstructive sleep apnea.
  • Early diagnosis and surgical intervention for antrochoanal polyps can reverse growth deficits.
  • Further research into the OSA-cachexia link in pediatric patients is warranted.