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Surgical approaches for antrochoanal polyp: a comparative analysis
1Department of Otorhinolaryngology, Head and Neck Surgery, Baskent University Faculty of Medicine, Ankara, Turkey. fdeveci06@hotmail.com
Combined surgical approaches for antrochoanal polyps (ACPs) significantly reduce recurrence rates compared to endoscopic sinus surgery alone. Surgeons should consider combined techniques, especially when the polyp's attachment site is unclear, to ensure complete removal and prevent recurrence.
Area of Science:
- Otolaryngology
- Surgical Pathology
Background:
- Antrochoanal polyps (ACPs) are benign growths originating from the maxillary sinus.
- Accurate diagnosis and complete surgical excision are crucial for preventing recurrence.
Purpose of the Study:
- To evaluate clinical and histopathological features of ACPs.
- To compare surgical techniques for ACPs regarding recurrence rates.
Main Methods:
- Retrospective analysis of 42 patients with ACPs undergoing surgery over six years.
- Review of clinical, radiological, and histopathological data.
- Surgical techniques included endoscopic sinus surgery (ESS), transcanine sinoscopy (TS), and Caldwell-Luc (CL) approach.
Main Results:
- Endoscopic sinus surgery (ESS) alone resulted in three recurrences.
- Combined ESS with transcanine sinoscopy (ESS+TS) or Caldwell-Luc (ESS+CL) showed no recurrences.
- Prominent eosinophilia was noted in 69% of histopathological examinations.
Conclusions:
- Surgical approach choice is influenced by surgeon preference, patient age, and disease recurrence.
- Combined ESS+TS or ESS+CL approaches are recommended for undetected antral polyp attachment sites to prevent incomplete excision and recurrence.
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