Orta konkadan kaynaklanan dev anjiyomatöz koanal polip: Olgu sunumu

Abstract

Choanal polyps (CPs) can be defined as histologically benign, solitary, soft tissue lesions extending towards the junction between the nasal cavity and the nasopharynx through the choana. They usually originate from the maxillary sinus. In this report, we present an unusual case of a giant angiomatous CP arising from the inferior part of the middle turbinate that completely filled the nasopharynx. A 24-year-old man presented with five-year history of left-sided nasal obstruction, nasal discharge and mildto-moderate epistaxis. The diagnosis was supported by contrastenhanced computed tomography scan of the paranasal sinuses with angiography and confirmed by histopathological examination. The lesion was removed by combined endoscopic and transoral approach. In addition, we discuss the pathogenesis, clinical, radiological and pathological characteristics of angiomatous CPs, and their differential diagnosis.

Keywords

• Epistaksis,nazal polipler,nazal cerrahi prosedür,konka,High altitude,allergic rhinitis,bronchial hyperreactivity

References

1. 1. ‹la K, Topda¤ M, Öztürk M, ‹fleri M, Ayd›n Ö, Keskin G. Retrospective analysis of surgical treatment of choanal polyps. Kulak Burun Bogaz Ihtis Derg 2015;25:144–51.
2. 2. Prasad U, Sagar PC, Shahul Mameed OAN. Choanal polyp. J Laryngol Otol 1970;85:951–4.
3. 3. Özkan C, Duce MN, Görür K. Choanal polyp originating from the middle turbinate. Eur Arch Otorhinolaryngol 2004;261:184–6.
4. 4. Özk›r›fl M. Choanal polyp originating from the middle turbinate: a case report. Ac›badem Üniversitesi Sa¤l›k Bilimleri Dergisi 2012;3:187–9.
5. 5. Kim KS. Choanal polyp originating from the middle turbinate. Otolaryngol Head Neck Surg 2013;148:525–6.
6. 6. Ceylan A, Asal K, Çelenk F, Uslu S. An angiomatous nasal polyp: a very rare variant of sinochoanal nasal polyps. B-ENT 2007;3:145–7.
7. 7. Lopatin A, Bykova V, Piskunov G. Choanal polyps: one entity, one surgical approach? Rhinology 1997;35:79–83.
8. 8. Batsakis JG, Sneige N. Choanal and angiomatous polyps of the sinonasal tract. Ann Otol Rhinol Laryngol 1992;101:623–5.

9. 9. Sayed RH, Abu-Dief EE. Does antrochoanal polyp present with epistaxis? J Laryngol Otol 2010;124:505–9.
10. 10. Perić A, Sotirović J, Cerović S, Živić L. Immunohistochemistry in diagnosis of extranasopharyngeal angiofibroma originating from nasal cavity: case presentation and review of the literature. Acta Medica (Hradec Kralove) 2013;56:133–41.