- Original article
- Open access
- Published:
Endoscopic endonasal prelacrimal recess approach for antrochoanal polyp
The Egyptian Journal of Otolaryngology volume 35, pages 147–154 (2019)
Abstract
Background
The purpose of this study was to assess the effectiveness of endoscopic transnasal prelacrimal recess approach (ETPRA) in preventing the recurrence of antrochoanal polyps.
Patients and methods
A total of 32 patients with antrochoanal polyp were divided into two equal groups: group 1 included 16 patients who underwent endoscopic middle meatal antrostomy (EMMA), and group 2 included 16 patients who underwent a combined surgical technique using EMMA together with ETPRA. They were followed up from 24 to 36 months. Success rates for visualization of the origin of the polyps, surgical complications, and recurrence were evaluated.
Results
The most common symptoms were nasal obstruction (100%), snoring (75%), rhinorrhea (59.38%), headache (96.88%), and hyposmia (53.13%). The study found that postoperative complications varied between both groups. Recurrence was found in 18.75% in EMMA group and 0% in ETPRA group. They were statistically significant (P<0.05). However, nasolacrimal duct injury was found in two patients in ETPRA group, and postoperative lacrimation presented in only one (6.25%) patient of the same group. They were statistically insignificant (P>0.05).
Conclusion
Recurrence rate of antrochoanal polyp has been reduced with the usage of ETPRA in comparison with EMMA alone.
References
Kamel R. Endoscopic transnasal surgery in antrochoanal polyp. Arch Otolaryngol Head Neck Surg 1990; 116:841–843.
Bozzo C, Garrel R, Meloni F, Stomeo F, Crampette L. Endoscopic treatment of antrochoanal polyps. Eur Arch Otorhinolaryngol 2006; 264:145–150.
Eladl HM, Elmorsy SM. Endoscopic surgery in pediatric recurrent antrochoanal polyp, rule of wide ostium. Int J Pediatr Otorhinolaryngol 2011; 75:1372–1375.
Cook PR, Davis WE, McDonald R, McKinsey JP. Antrochoanal polyposis: a review of 33 cases. Ear Nose Throat J 1993; 72:401–402.
El-Guindy A, Mansour MH. The role of transcanine surgery in antrochoanal polyps. J Laryngol Otol 2007; 108:1055–1057.
Myers EN, Cunningham MJ. Modified Caldwell-Luc approach for the treatment of antral choanal polyps. Laryngoscope 1986; 96:911–913.
Ophir D, Marshak G. Removal of antral polyp through an extended nasoantral window. Laryngoscope 1987; 97:1356–1357.
Lavelle RJ, Harrison MS. Infection of the maxillary sinus: the case for the middle meatal antrostomy. Laryngoscope 1971; 81:90–106.
Frosini P, Picarella G, De Campora E. Antrochoanal polyp: analysis of 200 cases. Acta Otorhinolaryngol Ital 2009; 29:21–26.
Stammberger H. Antrochoanal polyps. In: Stammberger H, ed. Functional endoscopic sinus surgery. Philadelphia, PA: BC Decker; 1991. Ch. 2, 211–228
Basak S, Karaman CZ, Akdilli A, Metin KK. Surgical approaches to antrochoanal polyps in children. Int J Pediatr Otorhinolaryngol 1998; 46:197–205.
Tsukidate T, Haruna S, Fukami S, Nakajima I, Konno W, Moriyama H. Long-term evaluation after endoscopic sinus surgery for chronic pediatric sinusitis with polyps. Auris Nasus Larynx 2012; 39:583–587.
Woolley AL, Clary RA, Lusk RP. Antrochoanal polyps in children. Am J Otolaryngol 1996; 17:368–373.
Orvidas LJ, Beatty CW, Weaver AL. Antrochoanal polyps in children. Am J Rhinol 2001; 15:321–325.
Aydin O, Keskin G, Ustundag E, Iseri M, Ozkarakas H. Choanal polyps: an evaluation of 53 cases. Am J Rhinol 2007; 21:164–168.
Ozdek A, Samim E, Bayiz U, Meral I, Safak MA, Oguz H. Antrochoanal polyps in children. Int J Pediatr Otorhinolaryngol 2002; 65:213–218.
Atighechi 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; 266:1245–1248.
Altun H, Teker AM, Ceran M, Gedikli O. Endoscopic approach in patients with choanal polyps. Kulak Burun Bogaz Ihtis Derg 2008; 18:74–78.
Ozer F, Ozer C, Cagici CA, Canbolat T, Yilmazer C, Akkuzu B. Surgical approaches for antrochoanal polyp: a comparative analysis. B-ENT 2008; 4:93–99.
Ozcan C, Zeren H, Talas DU, Kucukoglu M, Gorur K. Antrochoanal polyp: a transmission electron and light microscopic study. Eur Arch Otorhinolaryngol 2005; 262:55–60.
He S, Bakst RL, Guo T, Sun J. A combination of modified transnasal endoscopic maxillectomy via transnasal prelacrimal recess approach with or without radiotherapy for selected sinonasal malignancies. Eur Arch Otorhinolaryngol 2014; 272:2933–2938.
Zhou B, Han D-M, Cui S-J, Huang Q, Wang CS. Intranasal endoscopic prelacrimal recess approach to maxillary sinus. Chin Med J 2013; 126:1276–1280.
Lin YT, Lin CF, Yeh TH. Application of the endoscopic prelacrimal recess approach to the maxillary sinus in unilateral maxillary diseases. Int Forum Allergy Rhinol 2018; 8:530–536.
Comoglu S, Celik M, Enver N, Sen C, Polat B, Deger K. Transnasal prelacrimal recess approach for recurrent antrachoanal polyp. J Craniofac Surg 2016; 27:1025–1027.
Chaiyasate S, Roongrotwattanasiri K, Patumanond J, Fooanant S. Antrochoanal polyps: how long should follow-up be after surgery? Int J Otolaryngol 2015; 2015:297417–297425.
Wormald PJ, Ooi E, van Hasselt CA, Nair S. Endoscopic removal of sinonasal inverted papilloma including endoscopic medial maxillectomy. Laryngoscope 2003; 113:867–873.
Al Ayadi MA, Raafat SA, Ateya KA, Gharib FM, Al Murtada AM. The role of intranasal prelacrimal recess approach in complete removal of anterior maxillary sinus lesions. Egypt J Otolaryngol 2015, 31:213–218.
Author information
Authors and Affiliations
Corresponding author
Additional information
This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
Rights and permissions
This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
About this article
Cite this article
Ismaeil, W.F., Abdelazim, M.H. Endoscopic endonasal prelacrimal recess approach for antrochoanal polyp. Egypt J Otolaryngol 35, 147–154 (2019). https://doi.org/10.4103/ejo.ejo_101_18
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.4103/ejo.ejo_101_18