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Description
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Endoscopic Cholesteatoma Surgery

Endoscopic Cholesteatoma Surgery

Published on: January 19, 2022

Analysis of choanal polyps.

Yusuf Kizil¹, Utku Aydil, Alper Ceylan

¹From the Department of Otorhinolaryngology Head & Neck Surgery, Gazi University School of Medicine, Ankara, Turkey.

The Journal of Craniofacial Surgery

|May 14, 2014

Summary

This summary is machine-generated.

Choanal polyps (CPs) are benign nasal masses. Endoscopic sinus surgery is effective for treatment, with a low recurrence rate, but histopathology is crucial to rule out inverted papilloma.

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Identification of OTX1 and OTX2 As Two Possible Molecular Markers for Sinonasal Carcinomas and Olfactory Neuroblastomas

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Published on: February 28, 2019

Area of Science:

Otolaryngology
Rhinology
Surgical Pathology

Background:

Choanal polyps (CPs) are unilateral benign masses typically originating from paranasal sinuses.
Maxillary, ethmoid, and sphenoid sinuses are the most common origins.
Nasal obstruction and postnasal drip are primary symptoms.

Purpose of the Study:

To review medical records of patients operated on for choanal polyps between 1998 and 2011.
To analyze patient demographics, histopathologic diagnoses, sites of origin, symptoms, surgical approaches, and recurrence rates.
To evaluate the efficacy of endoscopic sinus surgery and adjunct procedures for CP treatment.

Main Methods:

Retrospective review of 98 patients with a clinical diagnosis of CP.
Analysis of histopathologic findings, surgical techniques, and patient outcomes.
Categorization of patients by age, origin, symptoms, and surgical approach.

Main Results:

CPs were confirmed in 94 patients; 4 were diagnosed with inverted papilloma.
The maxillary sinus was the origin in 90.8% of cases.
Endoscopic sinus surgery was performed in 74.3% of patients, with a 3.1% overall recurrence rate (7.7% in pediatric patients).

Conclusions:

Endoscopic sinus surgery is an effective treatment for CPs.
A mini-Caldwell approach can be a safe adjunct when endonasal techniques are insufficient.
Mandatory histopathologic examination is essential to differentiate CPs from inverted papillomas.