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Paediatric traffic accident and obstructive sleep apnoea by antrochoanal polyps: case report and literature review

S Weder1, B N Landis, Y Banz

  • 1Department of Otorhinolaryngology, Head and Neck Surgery, Inselspital, University Hospital, University of Bern, 3010 Bern, Switzerland.

International Journal of Pediatric Otorhinolaryngology
|August 30, 2011
PubMed

Insights

Antrochoanal polyps, nasal growths originating in the maxillary sinus, can cause severe obstructive sleep apnea in children. Prompt diagnosis and minimally invasive surgery effectively resolve these serious health issues.

Area of Science:

  • Otolaryngology
  • Pediatric Pulmonology
  • Rhinology

Background:

  • Antrochoanal polyps are hyperplasias of the nasal mucosa originating in the maxillary sinus.
  • They are a frequent cause of pediatric nasal polyposis, often presenting with nasal obstruction, hyponasal speech, and snoring.
  • While commonly associated with these symptoms, their link to more severe conditions like obstructive sleep apnea syndrome is underreported.

Observation:

  • A case study of an 8-year-old girl experiencing excessive daytime sleepiness and a bicycle accident due to obstructive sleep apnea syndrome.
  • The obstructive sleep apnea syndrome was found to be caused by an extensive antrochoanal polyp.
  • Symptoms of obstructive sleep apnea and daytime sleepiness resolved completely after transnasal polypectomy and meatotomy type II.

Findings:

  • Antrochoanal polyps can lead to significant health hazards beyond typical nasal symptoms, including obstructive sleep apnea syndrome.
  • Excessive daytime sleepiness resulting from obstructive sleep apnea can have severe consequences, such as accidents.
  • Minimally invasive rhinosurgery is a highly effective treatment for antrochoanal polyps and associated complications.

Implications:

  • Increased awareness of the potential for antrochoanal polyps to cause obstructive sleep apnea syndrome in children is crucial.
  • Timely and accurate diagnosis of antrochoanal polyps is mandatory for preventing serious health complications.
  • Early surgical intervention can prevent further impending problems and improve quality of life.

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