ANTROCHOANAL POLYPS: ANALYSIS OF 18 CASES
1Ufuk University Faculty of Medicine, Department of Otorhinolaryngology, Ankara, Turkey2Diskapi Yildirim Beyazit Training and Research Hospital, 2nd Otorhinolaryngology Clinic, Ankara, Turkey
3Guven Hospital, Department of Otorhinolaryngology, Ankara, Turkey Purpose: The purpose of this study was to evaluate the management of antrochoanal polyps with endoscopic sinus surgery. 18 antrochoanal polyps cases treated with endoscopic sinus surgery are presented.
Material and Methods: Nine male and nine female antrochoanal polyp patients treated with endoscopic sinus surgery between the years 2002 and 2004 are reviewed. All of the patients were evaluated with preoperative and postoperative diagnostic nasal endoscopy and paranasal sinus computed tomography.
Results: Etiologic investigation revealed allergy in six cases and chronic sinusitis in three cases. Among 18 cases treated with endoscopic sinus surgery, only one patient was found to have recurrent disease six months postoperatively and treated with revision endoscopic sinus surgery and sinoscopy. All the patients including the revision case were followed for 1.5 years postoperatively and no recurrence was seen.
Conclusion: Endoscopic sinus surgery is an effective and reliable method for the treatment of antrochoanal polyps. Postoperative recurrence is lower than other surgical techniques such as Caldwell-luc operation. Endoscopic sinus surgery is also a reliable treatment for childhood antrochoanal polyps, which provides a major advantage.
Keywords : Antrochoanal polyp, surgical techniques, treatment, endoscopy, sinus surgery, recurrence