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Table 1 Matrix for organizing findings in 14 cases found in literature [8,9,10,11,12,13,14,15,16,17,18,19,20,21].

From: Bilateral antrochoanal polyps: a case report

 

Age

F/M

Ethnic origin

Medical history

Clinical presentation

Endoscopic aspect

CT scan aspect

Surgical technique

Preoperative finding

Macroscopic aspect

Histological aspect

Postoperative follow-up

Sinha SN et al. (1980) [8]

10

M

Indian

No allergy, injury, epistaxis, or any other disorder

Nasal obstruction (2 years).

Signs of sinus congestion and infection (3 months)

Solitary bluish mass, attached to middle meatus

On X-ray, both antrums were blurry.

Polypectomy

Septum straight

Choanae filled with polyps

Bluish mass

Inflammatory polyp

Not mentioned

Myatt HM et al.

(1996) [9]

12

F

English

No allergy, no asthma, no other symptoms

Nasal obstruction + rhinorrhea (3 months)

Mass asymmetrical, left bigger in size

CT scan coronal section: quasi-total opacification of sinuses with liquid air levels

Tumor resection through FESS

The polyps were coming from the maxillary meatus into the nasal cavities, to the choanae.

Polyps

Inflammatory benign polyp

3 months without signs of recurrence

Basu et al. (2001) [10]

12

F

Indian

No allergy, no asthma, no other symptoms

Nasal obstruction and lump in throat (3 months)

Polyps, asymmetrical, right one bigger in size

CT scan: Mixte density mass, into nasal cavities and choanae, osteomeatal complexes widened

Caldwell-luck technic: Tumor resection and denudation of maxillary sinus walls

Polypoid maxillary sinus, cavities, polyp going to nasal cavities and choanae

Polyps

Inflammatory polyp

6 months

Jmeian S et al. (2006) [11]

6

F

Jordanian

No allergies

Nasal obstruction

     

Benign polyp

6 months, no recurrence.

Yilmaz et al. (2007) [12]

24

F

Turkish

 

Nasal obstruction, and oral mass

Bilateral greyish polypoid masses

CT identified soft tissue masses filling the maxillary sinuses and extending through the middle meatus into the choanae on both sides

FESS

Polyps passed through enlarged natural ostia of the maxillary sinuses on both sides

Greyish polypoid

masses

Benign inflammatory nasal polyp for both lesions

No recurrence was observed in a 12-month follow-up period.

Konstantinidis I et al. (2008) [13]

49

F

German

 

Nasal obstruction

  

FESS

  

Benign

No 6 months

Sousa W et al. (2011) [14]

37

M

Brazilian

No allergies, asthma, or any other symptom

Nasal obstruction for 4 years

Polypoid tumor emerging from each maxillary sinus through widened ostia and extending to the nasopharynx

Computed tomography of the paranasal sinuses showed that the maxillary sinuses were filled with soft tissue density material that reached the nasal cavity and the choanae. The other sinuses were normally aerated.

Caldwell-Luc approach and FESS

Single cystic tumor that was implanted on the lateral wall

Cystic polypoid tumors

Benign

No 6 months

Singhal P et al. (2011) [15]

32

F

Indian

No allergies

Nasal obstruction for 2 years, exacerbation in last 3 months

Headache in last 6 months

 

Mass in maxillary sinuses, widening of maxillary ostea, mass filling choanae

FESS

No anatomical variation, polyps coming from middle meatus, filling nasal cavities into choanae

White polyps, glossy surface

Benign polyps

None mentioned

Sabino HA et al. (2014) [14]

48

M

Brazilian

No atopy, no ontological complaints, no headaches, no cacosmia, no asthma

Allergy to nonsteroidal anti-inflammatory

Nasal obstruction for the last 30 years, bilateral, worse on the left side

Polypoid mass completely occluding nasal cavities, and going to the choanae

Enlarged ostiomeatal complex

CT scan of sinuses: disclosed soft tissue masses on both nasal cavities, bilateral enlargement of ostiomeatal complex

FESS

Single large polypoid mass, in each nostril, coming from the medial wall of the maxillary sinus.

Right conchae bullosa, edema and fluid retention in anterior and posterior ethmoid cells

Polypoid lesion

Polypoid lesion, inflammatory

4 months postoperatively, no recurrence

Oner F et al. (2015) [17]

20

M

Turkish

Headache and pressure in the face for 6 months

 

Cystic fibroid mass protruding from middle meatus into the nasal cavity, and into the choanae, bilaterally

CT scan of sinuses: opacification of maxillary sinuses, and the presence of a mass protruding through middle meatus into choanae

FESS

The mass originated from the maxillary ostia to the choanae, bilaterally.

Cystic polypoid lesion

Benign polyp

None cited

Chodankar S et al (2015) [18]

57

M

Indian

No history of asthma or allergy, no history of bleeding or any other sign

Bilateral nasal obstruction for the last 3 years. Increasing in symptoms in the last 3 months

 

CT scan showed mass through maxillary ostia to nasal cavities, into the choanae.

Widening of ostio meatal complex was noticed.

FESS

Mass from middle ostia to the nasal cavities and into choanae

Mass polypoid, glossy surface

Inflammatory nasal polyp

None cited

Alashoura AS, et al. (2016) [19]

62

M

Saudi Arabian

No allergies, headache, sinusitis, epistaxis, or any other symptoms

Bilateral nasal obstruction for 6 years, worsened in the last few months

Solitary polyp in middle meatus

 

FESS

Solitary nasal polyp coming from middle maxillary meatus, to nasal cavities, and choanae

 

Inflammatory polyp

No occurrence in 6 months follow-up

Aksakal C et al (2018) [20]

11

M

Turkish

No allergies

 

Yellow polyoid mass

CT showed polyp extruding from middle meatus into the choanae

FESS

Polyps coming from maxillary ostia into the nasal cavity and the choanae

 

Inflammatory polyp

No recurrence in 8 months follow-up

Iziki O et al. (2019) [21]

44

F

Moroccan

No allergies, no asthma, no particular allergies

Nasal obstruction for 2 years

Pale polypoid masses from both nasal cavities

 

FESS

  

Inflammatory polyp

No recurrence in 12 months follow-up