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Outcome of Endoscopic Sinus Surgery for Antrochoanal polyps | ||
| Medical Journal of Tikrit | ||
| Article 1, Volume 2, Issue 172, 2016, Pages 100-108 | ||
| Authors | ||
| Rashid Ali Rashid; Nada Khalil Yaseen | ||
| Abstract | ||
| The antrochoanal polyp (ACP) occurs predominantly in children and young adults. In the treatment, since simple avulsion polypectomy is followed by a high recurrence rate, it is therefore common practice to remove the polyp's antral part as well. Endonasal Endoscopic Sinus Surgery has revolutionized in the treatment of sinonasal diseases as it re-establishes ventilation and mucocilliary clearance by limited resection of the inflammatory pathology or the anatomical defects present. The purpose of this study was to evaluate the outcome of endoscopic treatment of ACPs. Between February 2009-January 2011, we enrolled 21 patients with unilateral ACPs (15 left-sided, 6 right-sided). Factors including age, sex, presenting complaints, associated symptoms, physical findings, surgical procedure, histopathology, follow up and management of recurrence were studied .Completely removing the base of the ACPs was achieved through transnasal endoscopic (TE) or combined endoscopic and transcanine (CET) approach. The CET approach was used in recurrent patient. All patients received CT scan 6 months after surgery to evaluate the outcome of surgery. Most of the ACPs were multitudinous and the distributions of the ACPs’ origin in the maxillary sinus were as follows: posterior wall (90%), lateral wall (56.5%), and inferior wall (44.5). The success rate was 76.2 %in the TE approach and 100% in the CET approach. 5 in the TE approach recurred and all of them had concomitant rhinosinusitis. The three patients were cured in the revision CET operations. No major complications occurred. The present study conclude that endoscopic approach as compared to previous modalities of treatment is an effective and efficient method of treating Antrochoanal Polyps Endoscopic treatment of ACPs in children is safe and effective. Early diagnosis and treatment of ACPs is important because secondary rhinosinusitis can make the disease complicated and the surgeries difficult. | ||
| Keywords | ||
| Outcome of Endoscopic Sinus Surgery for Antrochoanal polyps | ||
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