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

  • E Mantilla (a1), P Villamor (a1), C De La Torre (a1) and H Álvarez-Neri (a1)



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.


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


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.


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.


Corresponding author

Author for correspondence: Dr Perla Villamor, Calle Dr Márquez 162, Cuauhtémoc, 06720 Ciudad de México, CDMX, Mexico E-mail:


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



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1Bakshi, SS, Vaithy, KA. Antrochoanal polyp. J Allergy Clin Immunol Pract 2017;5:806–7
2Frosini, P, Picarella, G, De Campora, E. Antrochoanal polyp: analysis of 200 cases. Acta Otorhinolaryngol Ital 2009;29:21–6
3Yuca, K, Bayram, I, Kiroglu, AF, Etlik, O, Cankaya, H, Sakin, F et al. Evaluation and treatment of antrochoanal polyps. J Otolaryngol 2006;35:420–3
4Yaman, H, Yilmaz, S, Karali, E, Guclu, E, Ozturk, O. Evaluation and management of antrochoanal polyps. Clin Exp Otorhinolaryngol 2010;3:110–14
5El-Sharkawy, AA. Endoscopic management of paediatric antrochoanal polyp: our experience. Acta Otorhinolaryngol Ital 2013;33:107–11
6Orvidas, LJ, Beatty, CW, Weaver, AL. Antrochoanal polyps in children. Am J Rhinol 2001;15:321–5
7Kizil, Y, Aydil, U, Ceylan, A, Uslu, S, Baştürk, V, İleri, F. Analysis of choanal polyps. J Craniofac Surg 2014;25:1082–4
8Al-Mazrou, KA, Bukhari, M, Al-Fayez, AI. Characteristics of antrochoanal polyps in the pediatric age group. Ann Thorac Med 2009;4:133–6
9Comoglu, S, Celik, M, Enver, N, Sen, C, Polat, B, Deger, K. Transnasal prelacrimal recess approach for recurrent antrachoanal polyp. J Craniofac Surg 2016;27:1025–7
10Galluzzi, F, Pignataro, L, Maddalone, M, Garavello, W. Recurrences of surgery for antrochoanal polyps in children: a systematic review. Int J Pediatr Otorhinolaryngol 2018;106:2630
11Lee, DH, Yoon, TM, Lee, JK, Lim, SC. Difference of antrochoanal polyp between children and adults. Int J Pediatr Otorhinolaryngol 2016;84:143–6
12Lee, TJ, Huang, SF. Endoscopic sinus surgery for antrochoanal polyps in children. Otolaryngol Head Neck Surg 2006;135:688–92
13Maldonado, M, Martínez, A, Alobid, I, Mullol, J. The antrochoanal polyp. Rhinology 2004;42:178–82
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;25:1779–81
15Aydin, O, Keskin, G, Ustundag, E, Iseri, M, Ozkarakas, H. Choanal polyps: an evaluation of 53 cases. Am J Rhinol 2007;21:164–8
16Choudhury, N, Hariri, A, Saleh, H, Sandison, A. Diagnostic challenges of antrochoanal polyps: a review of sixty-one cases. Clin Otolaryngol 2018;43:670–4
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;266:1245–8
18Chaiyasate, S, Roongrotwattanasiri, K, Patumanond, J, Fooanant, S. Antrochoanal polyps: how long should follow-up be after surgery? Int J Otolaryngol 2015;2015:297417
19Nour, YA. Variable extent of nasoantral window for resection of antrochoanal polyp: selection of the optimum endoscopic approach. Eur Arch Otorhinolaryngol 2015;272:1127–34
20Franche, GL, Granzotto, EH, de Borba, AT. Endoscopic polipectomy with middle meatal antrostomy for antrochoanal polyp treatment. Braz J Otorhinolaryngol 2007;73:689–92
21Ozer, F, Ozer, C, Cagici, CA. Surgical approaches for antrochoanal polyp: a comparative analysis. B-ENT 2008;4:93–9
22Eladl, HM, Elmorsy, SM. Endoscopic surgery in pediatric recurrent antrochoanal polyp, rule of wide ostium. Int J Pediatr Otorhinolaryngol 2011;75:1372–5
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;3:531–4


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

  • E Mantilla (a1), P Villamor (a1), C De La Torre (a1) and H Álvarez-Neri (a1)


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