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Intermittent respiratory obstruction secondary to an antro chonal polyp: a rare late presentation
S Shashinder1, S Kuljit, S T Suhba
1Department of Ororhinolaryngology, Faculty of Medicine, University Malaya, Kuala Lumpur 50603, Malaysia.
Insights
A child experienced breathing difficulties due to a post-nasal mass. Surgical removal of the antrochoanal polyp resolved the obstruction, leading to a full recovery.
Area of Science:
- Pediatric Otolaryngology
- Nasal Pathology
Background:
- Intermittent respiratory obstruction can present in children, often exacerbated by position.
- Post-nasal masses are a potential cause of upper airway compromise.
Observation:
- A child presented with positional respiratory obstruction, particularly when supine.
- Physical examination identified a fleshy mass in the post-nasal space extending into the oropharynx.
Findings:
- Surgical excision of the post-nasal mass was performed.
- Histopathological analysis confirmed the mass to be an antrochoanal polyp.
Implications:
- Antrochoanal polyps can cause significant respiratory distress in pediatric patients.
- Surgical management of antrochoanal polyps leads to complete symptom resolution and favorable outcomes.
Abstract:
We describe a child who presented with intermittent respiratory obstruction especially in supine position. Examination revealed a fleshy post nasal mass extending up to the oropharynx. The mass was removed surgically and histopathology revealed an antrochonal polyp. Patient was relieved of his symptoms and has been well ever since.
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