Hostname: page-component-586b7cd67f-rdxmf Total loading time: 0 Render date: 2024-11-23T02:38:21.594Z Has data issue: false hasContentIssue false
  • English
  • Français

Combined approach for paediatric recurrent antrochoanal polyp: a single-centre case series of 27 children

Published online by Cambridge University Press:  09 May 2019

E Mantilla ,
P Villamor ,
C De La Torre  and
H Álvarez-Neri
E Mantilla
Affiliation:
Department of Paediatric Otolaryngology, Hospital Infantil de México Federico Gómez, Mexico City, Mexico
P Villamor*
Affiliation:
Department of Paediatric Otolaryngology, Hospital Infantil de México Federico Gómez, Mexico City, Mexico
C De La Torre
Affiliation:
Department of Paediatric Otolaryngology, Hospital Infantil de México Federico Gómez, Mexico City, Mexico
H Álvarez-Neri
Affiliation:
Department of Paediatric Otolaryngology, Hospital Infantil de México Federico Gómez, Mexico City, Mexico
*
Author for correspondence: Dr Perla Villamor, Calle Dr Márquez 162, Cuauhtémoc, 06720 Ciudad de México, CDMX, Mexico E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

To compare functional endoscopic sinus surgery with a combined approach (functional endoscopic sinus surgery plus Caldwell–Luc procedure) for the treatment of paediatric antrochoanal polyp, in terms of antrochoanal polyp recurrence and safety.

Method

This retrospective case series comprises 27 paediatric patients with recurrent antrochoanal polyp, treated from January 2010 to January 2018.

Results

The average age of the patients at the time of diagnosis was 10.4 ± 2.49 years. The recurrence rate after functional endoscopic sinus surgery alone was 72.9 per cent, compared with 12.5 per cent after functional endoscopic sinus surgery plus the Caldwell–Luc procedure (p < 0.00001). No complications were reported during surgery or follow up.

Conclusion

The correct identification of the origin of the antrochoanal polyp and an adequate returning of maxillary ventilation by widening the ostium can prevent recurrences. Although functional endoscopic sinus surgery continues to be the ‘gold standard’ for antrochoanal polyp treatment, in cases of revision surgery, a combined approach could ensure the complete removal of the polyp through the two openings.

Keywords

Recurrent Antrochoanal PolypChildrenRecurrenceRevision SurgeryFunctional Endoscopic Sinus SurgeryCaldwell-Luc
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 7 , July 2019 , pp. 627 - 631
Copyright
Copyright © JLO (1984) Limited, 2019 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Dr P Villamor takes responsibility for the integrity of the content of the paper

References

1Bakshi, SS, Vaithy, KA. Antrochoanal polyp. J Allergy Clin Immunol Pract 2017;5:806–7Google Scholar
2Frosini, P, Picarella, G, De Campora, E. Antrochoanal polyp: analysis of 200 cases. Acta Otorhinolaryngol Ital 2009;29:21–6Google Scholar
3Yuca, K, Bayram, I, Kiroglu, AF, Etlik, O, Cankaya, H, Sakin, F et al. Evaluation and treatment of antrochoanal polyps. J Otolaryngol 2006;35:420–3Google Scholar
4Yaman, H, Yilmaz, S, Karali, E, Guclu, E, Ozturk, O. Evaluation and management of antrochoanal polyps. Clin Exp Otorhinolaryngol 2010;3:110–14Google Scholar
5El-Sharkawy, AA. Endoscopic management of paediatric antrochoanal polyp: our experience. Acta Otorhinolaryngol Ital 2013;33:107–11Google Scholar
6Orvidas, LJ, Beatty, CW, Weaver, AL. Antrochoanal polyps in children. Am J Rhinol 2001;15:321–5Google Scholar
7Kizil, Y, Aydil, U, Ceylan, A, Uslu, S, Baştürk, V, İleri, F. Analysis of choanal polyps. J Craniofac Surg 2014;25:1082–4Google Scholar
8Al-Mazrou, KA, Bukhari, M, Al-Fayez, AI. Characteristics of antrochoanal polyps in the pediatric age group. Ann Thorac Med 2009;4:133–6Google Scholar
9Comoglu, S, Celik, M, Enver, N, Sen, C, Polat, B, Deger, K. Transnasal prelacrimal recess approach for recurrent antrachoanal polyp. J Craniofac Surg 2016;27:1025–7Google Scholar
10Galluzzi, F, Pignataro, L, Maddalone, M, Garavello, W. Recurrences of surgery for antrochoanal polyps in children: a systematic review. Int J Pediatr Otorhinolaryngol 2018;106:26–30Google Scholar
11Lee, DH, Yoon, TM, Lee, JK, Lim, SC. Difference of antrochoanal polyp between children and adults. Int J Pediatr Otorhinolaryngol 2016;84:143–6Google Scholar
12Lee, TJ, Huang, SF. Endoscopic sinus surgery for antrochoanal polyps in children. Otolaryngol Head Neck Surg 2006;135:688–92Google Scholar
13Maldonado, M, Martínez, A, Alobid, I, Mullol, J. The antrochoanal polyp. Rhinology 2004;42:178–82Google Scholar
14Kelles, M, Toplu, Y, Yildirim, I, Okur, E. Antrochoanal polyp: clinical presentation and retrospective comparison of endoscopic sinus surgery and endoscopic sinus surgery plus mini-Caldwell surgical procedures. J Craniofac Surg 2014;25:1779–81Google Scholar
15Aydin, O, Keskin, G, Ustundag, E, Iseri, M, Ozkarakas, H. Choanal polyps: an evaluation of 53 cases. Am J Rhinol 2007;21:164–8Google Scholar
16Choudhury, N, Hariri, A, Saleh, H, Sandison, A. Diagnostic challenges of antrochoanal polyps: a review of sixty-one cases. Clin Otolaryngol 2018;43:670–4Google Scholar
17Atighechi, S, Baradaranfar, MH, Karimi, G, Jafari, R. Antrochoanal polyp: a comparative study of endoscopic endonasal surgery alone and endoscopic endonasal plus mini-Caldwell technique. Eur Arch Otorhinolaryngol 2009;266:1245–8Google Scholar
18Chaiyasate, S, Roongrotwattanasiri, K, Patumanond, J, Fooanant, S. Antrochoanal polyps: how long should follow-up be after surgery? Int J Otolaryngol 2015;2015:297417Google Scholar
19Nour, YA. Variable extent of nasoantral window for resection of antrochoanal polyp: selection of the optimum endoscopic approach. Eur Arch Otorhinolaryngol 2015;272:1127–34Google Scholar
20Franche, GL, Granzotto, EH, de Borba, AT. Endoscopic polipectomy with middle meatal antrostomy for antrochoanal polyp treatment. Braz J Otorhinolaryngol 2007;73:689–92Google Scholar
21Ozer, F, Ozer, C, Cagici, CA. Surgical approaches for antrochoanal polyp: a comparative analysis. B-ENT 2008;4:93–9Google Scholar
22Eladl, HM, Elmorsy, SM. Endoscopic surgery in pediatric recurrent antrochoanal polyp, rule of wide ostium. Int J Pediatr Otorhinolaryngol 2011;75:1372–5Google Scholar
23Lee, JY, Baek, BJ, Kim, DW, Byun, JY, Lee, SW, Hong, HS. Changes in the maxillary sinus volume and the surgical outcome after the canine fossa puncture approach in pediatric patients with an antrochoanal polyp: results of a minimum 3-year follow-up. Am J Rhinol Allergy 2009;3:531–4Google Scholar