Clinical features and management of antrochoanal polyps in children: Cues from a clinical series of 58 patients

Int J Pediatr Otorhinolaryngol. 2018 Nov:114:87-91. doi: 10.1016/j.ijporl.2018.08.033. Epub 2018 Aug 29.

Abstract

Objective: To review the clinical features of pediatric patients affected by antrochoanal polyps (ACPs) and surgically treated at three University settings.

Methods: Retrospective study. The present research includes the clinical data of subjects affected by ACPs, aged <18 years and referred to three ENT Departments, between January 1st 2003 and September 30th 2016. All patients underwent nasal endoscopy and sinonasal imaging; all subjects have been treated surgically.

Results: Fifty-eight patients underwent functional endoscopic sinus surgery (FESS) for ACPs removal, under general anesthesia. There were no major intraoperative complications. Recurrence occurred in 12 cases (20.5%).

Conclusions: FESS was the first-choice treatment for APCs in the present series; our recurrence rate was similar to that of other reports available in literature. Recurrences of ACPs in children still represent a clinical challenge; it is likely that an improved comprehension of ACPs biology could help in better understanding the pathophysiology of this disease.

Keywords: Antrochoanal polyps; Children; FESS; Recurrence; Surgery.

Publication types

  • Multicenter Study

MeSH terms

  • Anesthesia, General
  • Child
  • Endoscopy
  • Female
  • Humans
  • Male
  • Maxillary Sinus / diagnostic imaging
  • Maxillary Sinus / surgery
  • Nasal Polyps / diagnostic imaging
  • Nasal Polyps / surgery*
  • Recurrence
  • Retrospective Studies