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Antrochoanal polyp-a cause of obstructive sleep apnoea in children

V P Venkatachalam1, N Gupta, J C Suri

  • 1Dept. of Otorhinolaryngology, Safdarjang Hospital, 110029 New Delhi.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|November 3, 2012
PubMed

Insights

Antrochoanal polyps can cause obstructive sleep apnoea (OSA) in children. Surgical removal of these polyps, followed by nasal steroid spray, effectively resolved sleep disturbances in two pediatric patients.

Area of Science:

  • Pediatric Otolaryngology
  • Sleep Medicine
  • Pediatric Pulmonology

Background:

  • Obstructive sleep apnoea syndrome (OSAS) is a recognized condition, with adenotonsillar hypertrophy being the most frequent cause in children.
  • Antrochoanal polyps are an uncommon but potential cause of pediatric OSAS.

Purpose of the Study:

  • To report two cases of antrochoanal polyps presenting as OSAS in children.
  • To evaluate the efficacy of surgical intervention and medical management for OSAS secondary to antrochoanal polyps.

Main Methods:

  • Two pediatric patients with symptoms suggestive of OSAS underwent preoperative polysomnography.
  • Surgical excision of antrochoanal polyps with middle meatal antrostomy was performed under general anesthesia.
  • Postoperative treatment included a two-week course of steroid nasal spray.

Main Results:

  • Preoperative polysomnography confirmed OSAS in both cases.
  • Surgical removal of polyps and subsequent medical treatment led to the resolution of sleep disturbances.
  • Repeat polysomnography four weeks post-surgery demonstrated a reversal of abnormal sleep patterns.

Conclusions:

  • Antrochoanal polyps should be considered in the differential diagnosis of pediatric OSAS.
  • Surgical management of antrochoanal polyps is an effective treatment for associated OSAS in children.
  • A multidisciplinary approach involving surgical and medical management can successfully treat OSAS caused by nasal polyps.

Keywords:
Antrochoanal Polypchildrenobstructive sleep apnoea

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