Case Report

A Rare Case That Causes Dyspnea, Dysphagia And Snoring: A Giant Antrochoanal Polyp

Volume: 12 Number: 1 July 7, 2026
TR EN

A Rare Case That Causes Dyspnea, Dysphagia And Snoring: A Giant Antrochoanal Polyp

Abstract

ABSTRACT In this case report, we present a case of a giant choanal polyp case extending to the oropharynx along with our surgical approach. A 75-year-old male patient was referred to us with complaints of left nasal obstruction, dyspnea, dysphagia, snoring and foreign body sensation in the throat, which had been increasing over the last 2 years. The mass was observed to prolapse to the posterior side of the uvula. At this point, we decided to use surgical suction. Using the negative pressure of a surgical suction, the mass was grasped and delivered through the left nasal orifice and could then be manipulated. We gently continued the dissection using a clamp and elevator. We cauterized the pedicle, and en bloc resection of the antrochoanal polyp was achieved. Functional Endoscopic Sinus Surgery (FESS) is considered as the gold standard technique. In addition to FESS, the use of a microdebrider may also be suggested. In our case, without using endoscopy and microdebrider, the polyp was manipulated with the negative pressure effect of surgical suction and released with the help of an elevator. In the absence of endoscopy, complete removal is still possible using gentle dissection aided by surgical suction.

Keywords

Ethical Statement

hastadan fotoğraflar için yazılı beyan alınmıştır.

References

  1. Kizil Y, Aydil U, Ceylan A, Uslu S, Baştürk V, Ileri F, Analysis of choanal polyps. J Craniofac Surg. 2014;25(3):1082-4.
  2. Frosini P, Picarella G, De Campora E. Antrochoanal polyp: analysis of 200 cases. Acta Otorhinolaryngol Ital. 2009; 29(1): 21-26.
  3. Promsopa C. Septochoanal polyp with osseous metaplasia: a case report. J Med Case Rep. 2016;10:149.
  4. Kodur S, Siddappa SM, Shivakumar AM. Giant Antrochoanal Polyp-A Rare Presentation. J Clin Diagn Res. 2017;11(1): MD01–MD02.
  5. Mielcarek-Kuchta D, Simon K, Kondratowicz D, Lukomska Z, Rybak-Korytowska A, Functional endoscopic sinus surgery (FESS) in unilateral sinus disease. Otolaryngol Pol. 2017;71(5):29-35.
  6. Pagella F, Emanuelli E, Pusateri A, Borsetto D, Cazzador D, Marangoni R, Maiorano E, Zanon A, Cogliandolo C, Ciorba A, Pelucchi S, Clinical features and management of antrochoanal polyps in children: Cues from a clinical series of 58 patients. Int J Pediatr Otorhinolaryngol. 2018;114:87-91.
  7. Peric A, Jovanovski A, Durdevic BV. Giant angiomatous choanal polyp originating from the middle turbinate: a case report. NT Updates 2017;7(1):53–56.
  8. Hori Y, Taniguchi K, Okabe T, Sakamoto A. A case of unexpectedly difficult intubation caused by a large asymptomatic choanal polyp. JA Clinical Reports 2016;2(1):2.

Details

Primary Language

English

Subjects

Plastic Reconstructive and Aesthetic Surgery

Journal Section

Case Report

Publication Date

July 7, 2026

Submission Date

May 6, 2025

Acceptance Date

February 14, 2026

Published in Issue

Year 2026 Volume: 12 Number: 1

APA
Yıldırım, C., Datli, A., Yarar, S., & Tekin, C. (2026). A Rare Case That Causes Dyspnea, Dysphagia And Snoring: A Giant Antrochoanal Polyp. Akdeniz Tıp Dergisi, 12(1). https://doi.org/10.53394/akd.1692922
AMA
1.Yıldırım C, Datli A, Yarar S, Tekin C. A Rare Case That Causes Dyspnea, Dysphagia And Snoring: A Giant Antrochoanal Polyp. Akd Med J. 2026;12(1). doi:10.53394/akd.1692922
Chicago
Yıldırım, Cem, Asli Datli, Serhat Yarar, and Cengiz Tekin. 2026. “A Rare Case That Causes Dyspnea, Dysphagia And Snoring: A Giant Antrochoanal Polyp”. Akdeniz Tıp Dergisi 12 (1). https://doi.org/10.53394/akd.1692922.
EndNote
Yıldırım C, Datli A, Yarar S, Tekin C (July 1, 2026) A Rare Case That Causes Dyspnea, Dysphagia And Snoring: A Giant Antrochoanal Polyp. Akdeniz Tıp Dergisi 12 1
IEEE
[1]C. Yıldırım, A. Datli, S. Yarar, and C. Tekin, “A Rare Case That Causes Dyspnea, Dysphagia And Snoring: A Giant Antrochoanal Polyp”, Akd Med J, vol. 12, no. 1, July 2026, doi: 10.53394/akd.1692922.
ISNAD
Yıldırım, Cem - Datli, Asli - Yarar, Serhat - Tekin, Cengiz. “A Rare Case That Causes Dyspnea, Dysphagia And Snoring: A Giant Antrochoanal Polyp”. Akdeniz Tıp Dergisi 12/1 (July 1, 2026). https://doi.org/10.53394/akd.1692922.
JAMA
1.Yıldırım C, Datli A, Yarar S, Tekin C. A Rare Case That Causes Dyspnea, Dysphagia And Snoring: A Giant Antrochoanal Polyp. Akd Med J. 2026;12. doi:10.53394/akd.1692922.
MLA
Yıldırım, Cem, et al. “A Rare Case That Causes Dyspnea, Dysphagia And Snoring: A Giant Antrochoanal Polyp”. Akdeniz Tıp Dergisi, vol. 12, no. 1, July 2026, doi:10.53394/akd.1692922.
Vancouver
1.Cem Yıldırım, Asli Datli, Serhat Yarar, Cengiz Tekin. A Rare Case That Causes Dyspnea, Dysphagia And Snoring: A Giant Antrochoanal Polyp. Akd Med J. 2026 Jul. 1;12(1). doi:10.53394/akd.1692922