Choanal Polyp Research Articles

Criteria for selection of patients undergoing paranasal sinus surgery.

AbstractA three year study was begun in January 1971, during which time all patients with paranasal sinus problems were carefully studied in an effort to determine which patients were surgical candidates. A total of 756 patients were seen; 154 had sufficient disease to qualify for this study. A basic medical regimen was prescribed for all of these patients unless their problem seemed too emergent to delay surgery. This regimen utilized antibiotics and antihistamine‐decongestants followed by interval radiographic examinations. A total of 48 of the 154 patients eventually required a surgical procedure.Sixteen patients required immediate surgery and did not have interval radiographic examinations. The prime reason for immediate surgery was the suspicion of neoplasm or impending complications such as osteomyelitis of the frontal bone, the so‐called “complicated acute sinusitis.” Thirty‐two patients underwent a surgical procedure after a trial period of conservative medical management failed to significantly improve their status. The majority of these patients had obstructive nasal polyposis and sinusitis. Another major indication for sinus surgery was the persistence of a unilateral opaque antrum.Sixty‐eight patients treated conservatively improved sufficiently either clinically or radiographically to eliminate the need for initial surgical intervention. One of these patients later required surgery. Thirty‐eight patients did not come back for re‐examination and re‐X‐ray and were classified as lost to follow‐up.The majority of patients undergoing the pansinus operative procedure which includes a bilateral nasal polypectomy, bilateral intranasal eth‐moidectomy and bilateral nasal antral windows, were noted to have good to excellent results when seen and studied a minimum of one year following surgery. A lesser percentage of favorable results occurred in those patients undergoing a Caldwell‐Luc procedure, especially on a delayed basis. The need to study those cases requiring Caldwell‐Luc exploration, because of persistent radiographic opacification or sinus polyps with associated symptoms, is discussed. A trial period of medical management in the 154 cases ended up with only eight Caldwell‐Luc and two intranasal ethmoidectomy patients who did not gain therapeutic or diagnostic benefit from their operative procedures. The utilization of unidirectional or poly‐directional tomography will hopefully resolve this problem and eliminate the moderately high percentage of negative explorations.Many of the diagnostic terms used preoperatively were found to be inaccurate via surgical exploration. It is the contention of this study that more descriptive terms such as: bilateral obstructive nasal polyposis, antral choanal polyp, and a radiographic opacified maxillary sinus are more objective and meaningful, and would probably aid in the overall standardization and understanding of what constitutes the need for para‐nasal sinus surgery.

Posterior choanae and choanal polyps.

Posterior choanae and choanal polyps.

Surgical removal of benign nasopharyngeal tumors.

The removal of benign tumors occurring in the nasopharynx frequently taxes the skill and ingenuity of the surgeon. The inaccessibility of the nasopharynx and the vascularity of the lesions arising here are factors which the surgeon must overcome in the successful management of these tumors. The principal benign tumors which present themselves are nasopharyngeal fibromas and large choanal polyps. The removal of nasopharyngeal fibromas is much more serious, although the removal of polyps arising in the sphenoethmoidal recess may be attendant with severe bleeding. Many approaches and techniques have been advocated for removal of these tumors. Direct surgical access to the nasopharynx by splitting the palate has been advocated. 1 This technique occasionally leaves an opening in the palate which is difficult to close. Attempts to avulse the tumors by grasping them with large uterine tenaculi by a retrograde approach have been suggested. This method often results in incomplete removal

An instrument for the removal of choanal polyps

The LaryngoscopeVolume 58, Issue 3 p. 267-269 Article An instrument for the removal of choanal polyps Harry Neivert M.D., Corresponding Author Harry Neivert M.D. New York, N. Y.555 Park Avenue===Search for more papers by this authorLeo A. Kallen M.D., Corresponding Author Leo A. Kallen M.D. New York, N. Y.555 Park Avenue===Search for more papers by this author Harry Neivert M.D., Corresponding Author Harry Neivert M.D. New York, N. Y.555 Park Avenue===Search for more papers by this authorLeo A. Kallen M.D., Corresponding Author Leo A. Kallen M.D. New York, N. Y.555 Park Avenue===Search for more papers by this author First published: March 1948 https://doi.org/10.1002/lary.5540580306AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Volume58, Issue3March 1948Pages 267-269 RelatedInformation

OBSTRUCTION OF THE NASOPHARYNX SECONDARY TO CHOANAL POLYP OF ANTRAL ORIGIN: Report of Three Cases

CHOANAL polyp of antral origin while not a rare condition occurs relatively infrequently. Three cases are reported, of which 2 were found in a military practice which included more than twentyfive thousand ear, nose and throat examinations over a period of three years. The third case was seen in civil practice just prior to my entrance into the service. The development of this type of growth has been well described by Goldsmith¹: The antral lining is but a continuation of the nasal mucosa; it is obvious that whenever the nasal mucosa becomes markedly inflamed, a similar process takes place in the antrum, and if the inflammation is severe persistent swelling of the mucous membrane at the ostium completely shuts off the antrum from the nose. In this manner, an acute rhinopharyngeal inflammation may initiate an acute inflammatory process in the antrum of Highmore. The air space of the antrum is

FIBROMAS OF THE NASOPHARYNX

Juvenile basal fibromas of the nasopharynx comprise one of the most interesting groups of neoplasms encountered in the upper part of the respiratory tract. Their definite predilection for age and sex and their limited and comparatively inaccessible site of origin, extreme vascularity, tendency toward spontaneous regression and benign histologic structure, yet potential seriousness, render them unique among tumors of the nose and throat. From Jan. 1, 1910, to Jan. 1, 1940, sixty-three patients having fibromas of the nasopharynx have been examined at the Mayo Clinic. In 1924 New and I1reported thirty-two of these cases seen between 1910 and 1923 inclusive. Thirty-one additional patients who had this condition have been encountered since 1923. The entire group of sixty-three cases includes only patients who had fibromas of the juvenile basal type. The group excludes choanal polyps, periosteal fibromas, fibrosarcomas and other forms of fibrous tumors. Juvenile basal fibromas of the

DEFORMING AND RECURRING POLYPS OF YOUTH

The finding of nasal polyps is common and ordinarily does not provoke unusual interest in the rhinologist. He expects to encounter them frequently in allergic and vasomotor nasal disturbances and in some types of suppurative sinal disease, especially ethmoiditis. Less often he finds them in association with malignant growths of the nose and sinuses, nasopharyngeal fibromas, syphilis, lupus and foreign bodies. He recognizes the etiologic relation of a solitary choanal polyp to diseased antral mucous membrane. Experience, moreover, has taught him that nasal polyposis is almost exclusively a disease of adult life, except the choanal form, which not infrequently occurs in children. The finding of extensive multiple polyps in childhood would in itself be unusual, but its association with extreme external nasal deformity should stamp the case as worthy of study. This impression gains strength in view of the surprisingly few references to the syndrome in the literature. Covili-Faggioli¹credited

Choanal Polyp Which Caused Death by Respiratory Obstruction

Choanal Polyp Which Caused Death by Respiratory Obstruction

To the teaching of choanal polyps

The author concludes that choanal polyp is an inflammatory hypertrophy of the sinus mucosa, being a symptom of serous, less often purulent inflammation. Removal of the polyp alone always gives a relapse, a radical operation with removal of the mucous membrane of the affected sinus is necessary.

Report of a case of a large choanal polyp

The LaryngoscopeVolume 24, Issue 1 p. 78-79 Society ProceedingFree Access Report of a case of a large choanal polyp Dr. R. F. Ridpath, Dr. R. F. RidpathSearch for more papers by this author Dr. R. F. Ridpath, Dr. R. F. RidpathSearch for more papers by this author First published: January 1914 https://doi.org/10.1002/lary.5540240128AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat No abstract is available for this article. Volume24, Issue1January 1914Pages 78-79 RelatedInformation