Related Experiment Video
Updated: Jul 19, 2026
06:13
Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Endoscopic sinus surgery for antrochoanal polyps in children
1Department of Otolaryngology, Chang Gung Memorial Hospital, Chang Gung University, Taipei, Taiwan. entlee@adm.cgmh.org.tw
Summary
Endoscopic surgery effectively treats antrochoanal polyps (ACPs) in children. The combined endoscopic and transcanine approach showed a 100% success rate, offering a safe and effective treatment option for pediatric patients.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Endoscopic Sinus Surgery
Background:
- Antrochoanal polyps (ACPs) are common in children and young adults.
- Endoscopic surgery is a recognized treatment for adult ACPs, but pediatric data is limited.
Purpose of the Study:
- To evaluate the outcomes of endoscopic surgical treatment for antrochoanal polyps in pediatric patients.
Main Methods:
- A prospective study of 26 children from January 1998 to February 2004.
- Utilized transnasal endoscopic (TE) and combined endoscopic and transcanine (CET) approaches for complete polyp base removal.
- CET approach specifically for polyps originating from the maxillary sinus lateral wall.
- Post-operative CT scans at 1 year assessed surgical outcomes.
Main Results:
- ACPs frequently originated from the posterior (92.3%), lateral (61.5%), and inferior (38.5%) walls of the maxillary sinus.
- The TE approach achieved a 76.9% success rate, while the CET approach had a 100% success rate.
- Recurrences in the TE group (3 patients) were associated with rhinosinusitis and successfully treated with revision CET surgery.
- No significant complications were reported.
Conclusions:
- Endoscopic treatment for pediatric ACPs is safe and effective.
- Early diagnosis and intervention are crucial to prevent complications like secondary rhinosinusitis, which can complicate surgery.
