[A review of antrochoanal polyps in 14 cases].
OBJECTIVE
We evaluated the clinical results of surgical treatment for antrochoanal polyps.


METHODS
The study included 14 patients (9 males, 5 females; mean age 23 years; range 7 to 48 years). Skin prick test was performed and specific IgE responses were determined. Treatment involved endoscopic sinus surgery in 13 patients, and polypectomy combined with Caldwell-Luc operation in one patient. Follow-up examinations were performed in the postoperative first and sixth months.


RESULTS
The polyps originated from the right (n=8) and from the left (n=6) maxillary sinuses. Nasal obstruction was found in all cases, with accompanying nasal discharge, sneezing, and postnasal discharge in four; snoring and mouth breathing during sleep in five patients, and sore throat and rhinorrhea in one patient. Allergy was determined in three patients. Computed tomography showed coexistent sinus diseases in nine patients. During surgery, the precise origin of the polyp was detected in four cases; being in the lateral wall in two, and in the posterior wall in two patients. Complications were minor hemorrhage in two cases, and synechia in three. Recurrence was observed in two patients.


CONCLUSIONS
Endoscopic sinus surgery proved an ideal approach for antrochoanal polyps as it enables complete removal of the antral portion of the polyp, and simultaneous intervention to other sinus diseases.
Ozcan
Cengiz
C
Department of Otolaryngology, Medicine Faculty of Mersin University, Turkey. cengizozcan@hotmail.com
Unal
Murat
M
Görür
Kemal
K
Pata
Yavuz Selim
YS
D000293:Adolescent; D000328:Adult; D002648:Child; D004724:Endoscopy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D015508:Nasal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D009298:Nasal Polyps / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications; D011859:Radiography; D012882:Skin Tests; D016896:Treatment Outcome