Antrochoanal polyps: report of 94 cases and review the literature

Abstract

Objective: The aim of this study was to evaluate the management of antrochoanal polys (ACPs) with functional endoscopic sinus surgery and review literatures.

Methods: We retrospectively studied the clinical presentations and operative records of 94 patients with ACPs treated surgically in the period of September 1999 to March 2008 (about 9 years). Age, gender, side, Clinical symptoms, duration of follow up, associated rhinological findings, forms of surgical treatment, postoperative complications and recurrence rate were reviewed.

Results: Total records of 94 patients [mean (+/- SD age of 26.5 +/- 12.8 years, 55 males (58.5%) and 39 females (41.5%)] were studied. Postoperative follow-up duration ranged from 8 to 68 months. The most common clinical symptom was nasal obstruction (100%) and Rhinorrhoea (57.4%). The origins and sites of the pedicle in the maxillary sinus were mostly present in medial wall in 32 patients. Recurrence rate in our study was of 5.3% (5 cases) after 10 months postoperatively. For the revision surgery, endoscopic resection was combined with Caldwell-Luc procedure.

Conclusion: The antrochoanal polyp happens predominantly in children and young adults of both male and female patients. Endoscopic sinus surgery is an effective, safe and reliable method with major advantage for the treatment of antrochoanal polyps.