A comparison of two endoscopic techniques for the treatment of antrochoanal polyps
Open Access
- 1 August 2020
- journal article
- research article
- Published by Pacini Editore in Acta Otorhinolaryngologica Italica
- Vol. 40 (4), 290-296
- https://doi.org/10.14639/0392-100x-n0259
Abstract
An antrochoanal polyp (ACP) is a benign sinonasal lesion that originates from the mucosa of the maxillary sinus. In order to avoid any recurrence of disease, it is important to choose the best surgical approach for removal of ACP with respect to the site of attachment within the maxillary sinus walls. A retrospective cohort study was carried out by analysing a database of 82patients who were operated on for ACPs in the Ear, Nose and Throat (ENT) clinics of both Sant’Orsola-Malpighi Polyclinic Hospital and Bellaria Hospital in Bologna, Italy from January 2001 to November 2017 to compare the rate of recurrence of ACPs after surgical removal using two different approaches. The first technique was endoscopic antrochoanal polypectomy with middle meatal antrostomy and the second was endoscopic antrochoanal polypectomy combined with both middle meatal antrostomy and a minimal access through the inferior meatus. A total of 49 patients were operated on with an endoscopic polypectomy with middle meatal antrostomy and 18.4% experienced a recurrence. The remaining 33 patients underwent endoscopic polypectomy with combined middle meatal antrostomy and access through the inferior meatus with a recurrence rate of 3%. The difference between the two groups was statistically significant (p=0.0441). The strategy of the authors, namely combining medial antrostomy with a small inferior meatus access, was associated with a lower rate of recurrence and no increased morbidity in the short- or long-term.Keywords
This publication has 33 references indexed in Scilit:
- Endoscopic surgery in pediatric recurrent antrochoanal polyp, rule of wide ostiumInternational Journal of Pediatric Otorhinolaryngology, 2011
- Polipectomia endoscópica com meatotomia média como tratamento de pólipo antrocoanalRevista Brasileira de Otorrinolaringologia, 2007
- Pólipo antrocoanal: uma revisão de dezesseis casosRevista Brasileira de Otorrinolaringologia, 2006
- Antrochoanal Polyps: Clinical Presentation and the Role of Powered Endoscopic PolypectomyAsian Journal of Surgery, 2004
- Endoscopic Removal of the Antral Portion of Antrochoanal Polyp by Powered InstrumentationThe Laryngoscope, 2001
- Endoscopic Sinus Surgery for Chronic Sinusitis With Antrochoanal PolypThe Laryngoscope, 2000
- Antrochoanal polyp: Its pathogenesis origin and management by functional endonasal endoscopic surgeryIndian Journal of Otolaryngology and Head & Neck Surgery, 1999
- Histologic Structure of Antrochoanal PolypsActa Oto-Laryngologica, 1995
- Origin of the Choanal PolypJAMA Otolaryngology–Head & Neck Surgery, 1988
- THE ORIGIN OF CHOANAL POLYPI.The Lancet, 1906