Atypical presentation of antrochoanal polyp in a child.
نویسندگان
چکیده
Antrochoanal polyp is a benign, solitary polypoid lesion arising from the edematous mucosa of the maxillary sinus and extending through the maxillary ostium into the nose. In children, it constitutes 33% of all nasal polyps. It presents most commonly with unilateral nasal obstruction and purulent rhinorrhea. Surgery is the usual treatment for antrochoanal polyps. The primary aim of treatment for antrochoanal polyp must be complete removal with total cleaning of the maxillary sinus. In this article, we present a case of a 13-year-old boy with an antrochoanal polyp who complained of difficulty in breathing and swallowing; the differential diagnosis of nasopharyngeal masses and the treatment of antrochoanal polyps in children are also discussed. Antrochoanal polyps present most commonly with unilateral nasal obstruction; however, they sometimes present atypically. Clinical manifestations may mimic other neoplasms in the nasal cavity and nasopharynx. Nasopharyngeal masses must be evaluated by endoscopic examination and radiologic imaging before surgery to avoid unnecessary and harmful surgical techniques. Reporting this case is important to direct attention of the Ear, Nose and Throat specialist and pediatricians when facing similar cases.
منابع مشابه
Clinical case report of a large antrochoanal polyp.
Antrochoanal polyps are benign lesions originating from the mucosa of the maxillary sinus. Nasal obstruction and rhinorrhea are their main symptoms. Their endoscopical and radiological appearance makes them relatively easy to diagnose. These polyps are usually presented unilaterally, although bilateral presentation is also possible. We described two cases of atypically giant antrochoanal polyps...
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Eustachian tube maintains middle ear pressure equal to that of atmospheric pressure and its functions is deranged due to various nasal, nasopharyngeal and palatal causes. Nasal polypi cause post nasal drip which is considered to cause Eustachian tube dysfunction. The present cross sectional study comprises of a total of 39 patients of Antrochoanal polyp with the aim to see the effect of antroch...
متن کاملBilateral Antrochoanal Polyp in an Adult: A Rarity
Antrochoanal polyps usually present unilaterally. It is defined as a polyp originating in the maxillary sinus, protruding in the middle meatus through the ethmoidal infundibulum or an accessory ostium and further extends posteriorly through the choana into the nasopharynx or in oropharynx in a few cases. An antrochoanal polyp usually has three parts according to its extension, i.e antral, nasal...
متن کاملUnusual presentation of an antrochoanal polyp: a case report
Antrochoanal polyps are benign lesions originating from the mucosa of the maxillary sinus and gradually prolapse through the medial wall of the maxillary sinus into the nasal cavity increasing in size to the choana and nasopharynx. Surgery is the usual treatment for antrochoanal polyps. We present the case of a 41-year-old woman who presented with a history of a progressive right nasal obstruct...
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ورودعنوان ژورنال:
- The Turkish journal of pediatrics
دوره 53 3 شماره
صفحات -
تاریخ انتشار 2011