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Antrochoanal polyps in children
Ali Ozdek1, Erdal Samim, Unal Bayiz
1ENT Department, Ministry of Health, Ankara Research and Training Hospital, Ankara, Turkey. ozdek@ttnet.net.tr
Insights
This study evaluated pediatric antrochoanal polyps (ACPs), finding that combined endoscopic surgery ensures complete removal. Recurrence was noted in cases with less invasive primary removal.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Rhinology
Background:
- Antrochoanal polyps (ACPs) are benign growths originating in the maxillary sinus.
- Pediatric ACPs present unique diagnostic and surgical challenges.
Purpose of the Study:
- To characterize antrochoanal polyps in children.
- To evaluate surgical outcomes and recurrence rates for pediatric ACPs.
Main Methods:
- Retrospective analysis of 10 children surgically treated for ACPs.
- Evaluation of demographic, surgical, and histopathological findings.
Main Results:
- Mean age of patients was 10.2 years.
- Surgical approaches included middle meatal antrostomy and transcanine sinuscopy.
- Recurrence observed in two cases primarily treated via middle meatal antrostomy.
Conclusions:
- Combined endoscopic surgery (middle meatal antrostomy and transcanine sinuscopy) is effective for complete ACP removal in children.
- Surgical approach impacts recurrence rates.
Objective:
To evaluate the characteristics of antrochoanal polyps (ACPs) in children.
Methods:
10 children operated for ACP were investigated retrospectively. Demographic characteristics, surgical and histopathological findings were evaluated.
Results:
The mean age was 10.2 years. The antral part of ACP was removed through middle meatal antrostomy in four patients, and transcanine sinuscopy was needed in six patients. It was found that the polyp passed through the main ostium in seven patients and accessory ostium in three patients. The antral part of the polyp was found to be cystic in six patients and polypoid in four patients. There was recurrence of polyps during follow-up period in two cases in which antral part of the polyp was seen to be removed through middle meatal antrostomy during primary surgery. In histologic examination, prominent eosinophilia was detected only in one patient and no mucous gland was detected in any patient.
Conclusion:
Endoscopic surgery through the middle meatal antrostomy combined with transcanine sinuscopy ensures the complete removal of the antral part of ACP in children.