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The role of transcanine surgery in antrochoanal polyps

Published online by Cambridge University Press:  29 June 2007

A. El-Guindy*
Affiliation:
Department of Otolaryngology, Tanta, Egypt.
M. H. Mansour
Affiliation:
Department of Otolaryngology, Tanta, Egypt.
*
Dr A. El-Guindy, 57 Said Street, Tanta 31211, Egypt.

Abstract

During a period of two years, 24 cases of antrochoanal polyps were diagnosed by clinical examination, nasal endoscopy and computerized tomography. Surgery started with endoscopic transnasal removal of the polyp. Every attempt was made to remove the antral portion of the polyp through the wide ostium. Then transcanine sinuscopy was performed. Remnants of the polyp were detected and removed in five cases. One or more other cysts were found and extirpated in 11 cases. Endoscopic follow-up for 18 months to three years revealed no recurrence.

It is recommended that endoscopic middle meatal surgery should be combined with transcanine sinuscopy to ensure complete removal of antrochoanal polyps.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1994

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References

Batsakis, J. G. (1980) The pathology of head and neck tumors: nasal cavity and paranasal sinuses. Head and Neck Surgery 2: 410419.CrossRefGoogle ScholarPubMed
Berg, O., Carenfelt, B., Silfverswärd, C., Sobin, A. (1988) Origin of choanal polyp. Archives of Otolaryngology, Head and Neck Surgery 114: 12701271.Google Scholar
Kamel, R. (1990) Endoscopic transnasal surgery in antrochoanal polyp. Archives of Otolaryngology, Head and Neck Surgery 116: 841843.Google Scholar
Killian, G. (1906) The origin of choanal polypi. Lancet 2: 8182.Google Scholar
Kubo, J. (1909) Uber die eigentliche Ursprungsstelle und die Radikaloperation der solitaren Choanalpolypen. Archive der Laryngologie, Rhinologie und Otologie 21: 81.Google Scholar
Lavelle, R. J., Harrison, M. S. (1971) Infection of the maxillary sinus: the case for middle meatal antrostomy. Laryngoscope 81: 90106.CrossRefGoogle ScholarPubMed
Myers, E. N., Cunningham, M. J. (1986) Modified Caldwell-Luc approach for the treatment of antral choanal polyps. Laryngoscope 96: 911913.CrossRefGoogle ScholarPubMed
Neel, H. B. III, (1984) Antrochoanal polyps. In Current Therapy in Otolaryngology–Head and Neck Surgery (Gates, G. A., ed.), C. V. Mosby Co., St Louis/Toronto, pp 318321.Google Scholar
Ophir, D., Marshak, G. (1987) Removal of antral polyp through an extended nasoantral window. Laryngoscope 97: 13561357.CrossRefGoogle ScholarPubMed
Schramm, V. L., Effron, M. Z. (1980) Nasal polyps in children. Laryngoscope 90: 14881495.CrossRefGoogle ScholarPubMed
Stammberger, H. (1991) Antrochoanal polyps. In Functional Endoscopic Sinus Surgery (Stammberger, H., ed.), B. C. Decker, Philadelphia, pp 346349.Google Scholar
Van Alyea, O. E. (1956) Management of non-malignant growths in the maxillary sinus. Annals of Otolaryngology 65: 714722.Google Scholar
Yarington, C. T. (1984) The Caldwell-Luc operation revisited. Annals of Otology, Rhinology and Laryngology 93: 380384.Google Scholar