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Antrochoanal polyposis: analysis of 34 cases.
H H Balikci1, M H Ozkul, O Uvacin
1Department of ORL, Susehri Government Hospital, Sivas, Turkey. balikcient@gmail.com
Summary
Antrochoanal polyps (ACPs) often stem from chronic inflammation like sinusitis or allergic rhinitis. Surgical treatment, particularly functional endoscopic sinus surgery (FESS), is effective, but complete polyp removal is key to preventing recurrence.
Area of Science:
- Otolaryngology
- Rhinology
- Pathology
Background:
- Antrochoanal polyps (ACPs) are benign lesions originating in the maxillary sinus and extending into the choana.
- Understanding etiological factors and associated sinonasal conditions is crucial for effective management.
Purpose of the Study:
- To assess the etiological and associated features of antrochoanal polyps (ACPs).
- To evaluate the outcomes following surgical treatment for ACPs, including recurrence rates.
Main Methods:
- A retrospective study of 34 patients surgically treated for ACPs.
- Evaluation of patient demographics, sinonasal pathologies (allergic rhinitis, chronic sinusitis, septal deviation, etc.), polyp origin, surgical technique, and recurrence.
- Follow-up duration averaged 35.8 months.
Main Results:
- Common predisposing factors included allergic rhinitis (44.11%) and chronic sinusitis (20.5%).
- An accessory ostium was present in 97.05% of cases, facilitating polyp origin from the maxillary sinus.
- Functional endoscopic sinus surgery (FESS) was the primary technique; recurrence occurred in 2 of 31 FESS cases.
Conclusions:
- Chronic inflammatory conditions are significant predisposing factors for ACPs.
- FESS is a safe and reliable surgical approach for ACPs.
- Complete extirpation of the maxillary component is essential to prevent recurrence.
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