title: Transnasal Prelacrimal Recess Approach for Recurrent Antrachoanal Polyp.
abstract: OBJECTIVE
  To assess the effectiveness and usefulness of transnasal prelacrimal recess approach (TPRA) in patients with recurrent antrochoanal polyps.
  
  
  METHODS
  Twelve patients with antrochoanal polyp recurrence underwent surgery with a transnasal endoscopic prelacrimal recess approach. Success for visualization of the origin of the polyps, surgical complications, and recurrence was evaluated.
  
  
  RESULTS
  Transnasal prelacrimal recess approach was successful in 83% of the patients (10/12); polyps that originated from a posterior location (2 patients) were excised using the middle meatal approach. Nasolacrimal duct injury occurred in 2 patients but neither had epiphora postoperatively. Three patients (3/12; 25%) had synechia formation between the lateral nasal wall and septum just superior to the inferior turbinate. One of the 3 patients (1/12; 8.3%) with synechia was symptomatic and required surgical treatment under local anesthesia. During a mean follow-up period of 14.2 months (range, 8-21 months) no recurrence had developed.
  
  
  CONCLUSIONS
  In experienced hands, TPRA is a novel, reliable, and useful method for the treatment of recurrent antrochoanal polyps. It ensures good exploration of the maxillary antrum and easy access to the polyp origin on the maxillary wall without the need of additional approaches.
authors.affiliation: Department of Otorhinolaryngology and Head and Neck Surgery, Istanbul Faculty of Medicine, Istanbul University, Fatih, Istanbul, Turkey.
authors.forename: Senol
authors.initials: S
authors.lastname: Comoglu
authors.forename: Mehmet
authors.initials: M
authors.lastname: Celik
authors.forename: Necati
authors.initials: N
authors.lastname: Enver
authors.forename: Comert
authors.initials: C
authors.lastname: Sen
authors.forename: Beldan
authors.initials: B
authors.lastname: Polat
authors.forename: Kemal
authors.initials: K
authors.lastname: Deger
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008443:Maxillary Sinus / Q000601:surgery*; D009298:Nasal Polyps / Q000175:diagnosis / Q000601:surgery*; D009301:Nasolacrimal Duct / Q000601:surgery*; D057605:Natural Orifice Endoscopic Surgery / Q000379:methods*; D009666:Nose; D011184:Postoperative Period; D012008:Recurrence; D014057:Tomography, X-Ray Computed; D055815:Young Adult