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Updated: Nov 2, 2025
Endoscopic Cholesteatoma Surgery
Published on: January 19, 2022
Day case endoscopic excision of an antrochoanal polyp in a paediatric patient
Manuel Bakheet1, Noora Althawadi1, Sultan Albinali1
1Department of Otolaryngology, King Hamad University Hospital, Busaiteen, Bahrain.
Insights
Antrochoanal polyps (ACP) are common nasal polyps, particularly in children. This case study details the endoscopic removal of an ACP in a 9-year-old girl presenting with nasal obstruction and sleep apnea.
Area of Science:
- Otolaryngology
- Pediatric Surgery
Background:
- Antrochoanal polyps (ACP), or Killian's polyps, are the most frequent choanal polyps.
- They constitute 4-6% of all nasal polyps and 33% in pediatric cases.
- ACP affect individuals aged 5-80 years, with a male predominance (64%).
Observation:
- A 9-year-old girl presented with unilateral nasal obstruction.
- Symptoms included snoring and obstructive sleep apnea.
- Computed tomography confirmed the presence of an antrochoanal polyp.
Findings:
- The patient was successfully managed with endoscopic polyp excision.
- The procedure was performed as a day case, indicating a minimally invasive approach.
- This highlights the feasibility of outpatient management for pediatric ACP.
Implications:
- Endoscopic excision is an effective treatment for pediatric antrochoanal polyps.
- Timely diagnosis and intervention can resolve symptoms like nasal obstruction and sleep apnea.
- This case contributes to understanding ACP management in the pediatric population.
Abstract:
Antrochoanal polyps (ACP; also known as Killian's polyp) are considered to be the most common type of choanal polyps, making up ~4-6% of all nasal polyps in the general population and ~33% of nasal polyps in the paediatric age group. Patient's suffering from ACP range between the ages of 5 and 80 years. Only 4% of the patients are children aged < than 10 years old. Overall there is a male predominance making up ~64% of the total number of patients. We report a case of an antrochoanal polyp in a 9-year-old girl who presented with complaints of unilateral nasal obstruction, snoring and obstructive sleep apnea. The patient underwent a computed tomography scan and was managed endoscopically for excision of the polyp, as a day case procedure.
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