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Antrochoanal polyp and obstructive sleep apnoea in children

Published online by Cambridge University Press:  08 March 2006

Florian Brausewetter
Affiliation:
Department of Diagnostic Radiology, University Hospitals of Ulm, Steinhovelstrasse 9, D-89070 Ulm, Germany.
Martin Hecht
Affiliation:
University Hospitals of Ulm, Prittwitzstrasse 43, D-89075, Ulm, Germany.
Wolfgang Pirsig
Affiliation:
University Hospitals of Ulm, Sandoschstr 1, D-88045 Friedrichshafen, Germany.

Abstract

Antrochoanal polyps were first documented in the 18th century. They represent one of the most common types of nasal polyps in children without cystic fibrosis. Only a few reports on children who had a history of snoring due to an antrochoanal polyp and only two cases where the antrochoanal polyp caused documented obstructive sleep apnoea (OSA) have been published so far. This report adds a third case of paediatric OSA induced by an antrochoanal polyp in a 12-year-old boy. After endonasal endoscopically-controlled polypectomy and a recurrence, transoral osteoplastic antrotomy in combination with endoscopic endonasal polypectomy eliminated the antrochoanal polyp and OSA was resolved. The authors have reviewed essential historical aspects about children suffering from snoring and/or OSA caused by an antrochoanal polyp.

Type
Research Article
Copyright
© Royal Society of Medicine Press Limited 2004

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