Antrochoanal polyps: analysis of 16 cases

Area of Science:

• Otolaryngology
• Rhinology
• Pathology

Background:

• Antrochoanal polyps are uncommon nasal lesions with poorly understood causes.
• Recurrence rates can be high with inadequate surgical treatment.
• Previous studies lack comprehensive analysis of treatment outcomes.

Purpose of the Study:

• To review the clinical, pathological, and histological features of antrochoanal polyps.
• To compare the efficacy of endoscopic versus conventional surgical approaches.
• To identify factors influencing recurrence rates.

Main Methods:

• Literature review and analysis of 16 patient cases with antrochoanal polyps.
• Surgical treatment via endoscopic or conventional techniques.
• Evaluation of pre-operative radiological findings and post-operative recurrence.

Main Results:

• Allergy was not found to be an etiological factor.
• Most patients presented with co-existing sinonasal disease.
• A mucocoele-like appearance was the most common radiological finding.
• Recurrence occurred in 50% of patients treated with simple intranasal polypectomy and inferior turbinectomy.
• Endoscopic surgery demonstrated superior outcomes compared to conventional methods.

Conclusions:

• Endoscopic surgery is a more effective treatment for antrochoanal polyps.
• Simple intranasal polypectomy and inferior turbinectomy are associated with high recurrence rates.
• Further research into etiological factors and optimal surgical strategies is warranted.