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Published on: August 7, 2017
Clinical and Histological Differences Between Choanal Polyps in Children and Adults: A 15-Year Retrospective Study
Aleksandar Perić1, Nikola Lazović2, Jelena Sotirović1
1Department of Otorhinolaryngology, Faculty of Medicine of the Military Medical Academy University of Defence Belgrade Serbia.
Insights
Choanal polyps (CPs) present distinct clinical and histological features in children versus adults. Pediatric CPs show higher rates of epistaxis, allergic rhinitis, and recurrence.
Area of Science:
- Otolaryngology
- Pediatric Otolaryngology
- Rhinology
Background:
- Choanal polyps (CPs) are inflammatory lesions affecting the nasal cavity and nasopharynx.
- Understanding differences between pediatric and adult CPs is crucial for diagnosis and treatment.
Purpose of the Study:
- To compare the clinical and histological characteristics of choanal polyps in children and adult patients.
- To identify specific features associated with pediatric choanal polyps.
Main Methods:
- Retrospective review of patient characteristics, including demographics, symptoms, localization, surgical approach, histology, and comorbidities.
- Classification of patients into pediatric (<18 years) and adult (≥18 years) groups.
Main Results:
- Pediatric CPs are more frequently associated with epistaxis, oropharyngeal extension, allergic rhinitis (AR), and ipsilateral chronic rhinosinusitis (CRS).
- The angiomatous histological subtype, eosinophil infiltration, and recurrence rates are higher in children compared to adults.
- Specific clinical and histological differences exist between pediatric and adult choanal polyps.
Conclusions:
- Choanal polyps exhibit unique clinical and histological profiles in the pediatric population.
- These findings may inform tailored management strategies for children with choanal polyps.
Abstract:
Choanal polyps (CPs) are benign, inflammatory, solitary lesions extending toward the junction between the nasal cavity/paranasal sinus and the nasopharynx through the choana. This study aimed to evaluate the clinical and histological characteristics of CPs in children compared to adult patients. Characteristics of patients (demography, main complaints, side, localization, surgical approach, histological characteristics, accompanying chronic rhinosinusitis [CRS], association with allergic rhinitis [AR] and aspirin sensitivity, postoperative follow-up period, recurrence rates) were retrospectively reviewed. The patients were classified into children (<18 years) and adults (≥18 years). Our results suggest some clinical and histological specificities of CPs in children compared to adults. Epistaxis, oropharyngeal extension, association with AR and ipsilateral CRS, and angiomatous histological subtype of CPs are more frequent in the pediatric population. Also, the level of eosinophil infiltration of polyp tissue and recurrence rates are higher in pediatrics than in adult population.
