Abstract
BackgroundMany nasal pathological findings have been described with antrochoanal polyp (ACP). We aimed in this study to assess the prevalence of adenoid hypertrophy among children presented with ACP and to evaluate the efficacy of concomitant adenoidectomy on the outcome of endoscopic removal of the lesion.ResultsForty-three children with ACP were included in this study. Preoperative nasal endoscopy and computed tomography were performed for all patients. Endoscopic sinus surgery (ESS) with widening the maxillary ostium was used for removal of ACP in all patients. Associated nasal pathology was recorded and managed accordingly. The patients were followed up for at least 3 years postoperatively. Coexistent nasal pathology with ACP was detected in 39 patients (90.7%); adenoid hypertrophy was found to be the commonest concomitant lesion (83.7%). Adenoidectomy was performed during ESS for those who had adenoid hypertrophy. Postoperatively, no patients developed adenoid regrowth; however, recurrence of ACP was detected in five patients (11.6%).ConclusionAdenoid hypertrophy is a common pathological finding in children presented with ACP. Endoscopic removal of ACP with concomitant adenoidectomy is an effective procedure and has a favorable outcome.
Highlights
Many nasal pathological findings have been described with antrochoanal polyp (ACP)
The aim of our study was to assess the prevalence of adenoid hypertrophy among children presented with ACP and to evaluate the efficacy of concomitant adenoidectomy on the outcome of endoscopic removal of the lesion
Forty-three children with ACP were enrolled in this study; the lesion was located on the right side in 24 patients and on the left side in 19 patients
Summary
Many nasal pathological findings have been described with antrochoanal polyp (ACP). We aimed in this study to assess the prevalence of adenoid hypertrophy among children presented with ACP and to evaluate the efficacy of concomitant adenoidectomy on the outcome of endoscopic removal of the lesion. Antrochoanal polyp (ACP) is a benign soft tissue lesion protruding from the maxillary antrum to the nasal cavity and usually passes from the choana to the nasopharynx. It is usually unilateral and more common in children than in adults, constituting about 35% of pediatric nasal polyps [1, 2]. Chronic inflammation may cause acinar mucus gland obstruction with the formation of mucus retention cyst, with consequent obstruction of the maxillary sinus ostia by the medial surface of this cyst; so, the retention cyst may herniate towards the middle meatus through the accessory ostium due to increased pressure within the antrum [4]. The aim of our study was to assess the prevalence of adenoid hypertrophy among children presented with ACP and to evaluate the efficacy of concomitant adenoidectomy on the outcome of endoscopic removal of the lesion
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
