Abstract
Most of the nasal polyps arise from the lateral walls of the nasal cavity. Nasal polyps originating from the nasal septum with choanal extension are extremely rare. We report a case of large choanal polyp that arised from the posterosuperior aspect of the nasal septum, and extended down to the oropharynx. A 52-year-old woman presented with a two-year history of progressive nasal obstruction and snoring. Findings of anterior rhinoscopy were in normal limits. We think that the term “septochoanal polyp,” which, as far as we know, has not been mentioned in the literature before, can be used for this rare lesion.
References
- Christmas DA, Mirante JP, Yanagisawa E. Endoscopic view of a nasal septal polyp. Ear Nose Throat J 2006; 85:300.
- Stammberger HR. Functional endoscopic sinus sur- gery: the messerklinger technique. Philadelphia: B.C. Decker; 1991.
- Ozcan C, Duce MN, Görür K. Choanal polyp originating from the middle turbinate. Eur Arch Otorhinolaryngol 2004;261:184-6.
- Ileri F, Köybaşioğlu A, Uslu S. Clinical presentation of a sphenochoanal polyp. Eur Arch Otorhinolaryngol 1998;255:138-9.
- Batsakis JG, Sneige N. Choanal and angiomatous pol- yps of the sinonasal tract. Ann Otol Rhinol Laryngol 1992;101:623-5.
- Tosun F, Yetiser S, Akcam T, Ozkaptan Y. Sphenochoanal polyp: endoscopic surgery. Int J Pediatr Otorhinolaryngol 2001;58:87-90.
- Lopatin A, Bykova V, Piskunov G. Choanal polyps: one entity, one surgical approach? Rhinology 1997;35:79-83.
- Bailey Q. Choanal polyp arising from the posterior end of the nasal septum. J Laryngol Otol 1979;93:735-6.
- Ozgirgin ON, Kutluay L, Akkuzu G, Gungen Y. Choanal polyp originating from the nasal septum: a case report. Am J Otolaryngol 2003;24:261-4.
- Killian G. The origin of choanal polypi. Lancet 1906;2:81-2.
- Yanagisawa E, Christmas DA, Yanagisawa R. Endoscopic view of the sites of origin of nasal polyps. Ear Nose Throat J 2000;79:490-2.
- Bernstein JM, Gorfien J, Noble B. Role of allergy in nasal polyposis: a review. Otolaryngol Head Neck Surg 1995;113:724-32.
- Ogawa H. A possible role of aerodynamic factors in nasal polyp formation. Acta Otolaryngol Suppl 1986; 430:18-20.
Abstract
Nazal poliplerin büyük bir kısmı nazal kavitenin lateral duvarlarından kaynaklanmaktadır. Nazal septumdan köken alan ve koanaya uzanım gösteren nazal polip- ler son derece nadirdir. Bu yazıda, nazal septumun arka üst kısmından köken alan ve orofarenkse doğru uzanım gösteren büyük bir koanal polip olgusu sunul- du. İki yıldır burunda tıkanıklık ve horlama yakınması ile kliniğimize başvuran 52 yaşında kadın hastada anterior rinoskopi bulguları normal sınırlar içerisindey- di. Bilgimiz dahilinde literatürde daha önce kullanıl- mayan “septokoanal polip” teriminin bu nadir olgu için kullanımının uygun olduğu düşünüldü
References
- Christmas DA, Mirante JP, Yanagisawa E. Endoscopic view of a nasal septal polyp. Ear Nose Throat J 2006; 85:300.
- Stammberger HR. Functional endoscopic sinus sur- gery: the messerklinger technique. Philadelphia: B.C. Decker; 1991.
- Ozcan C, Duce MN, Görür K. Choanal polyp originating from the middle turbinate. Eur Arch Otorhinolaryngol 2004;261:184-6.
- Ileri F, Köybaşioğlu A, Uslu S. Clinical presentation of a sphenochoanal polyp. Eur Arch Otorhinolaryngol 1998;255:138-9.
- Batsakis JG, Sneige N. Choanal and angiomatous pol- yps of the sinonasal tract. Ann Otol Rhinol Laryngol 1992;101:623-5.
- Tosun F, Yetiser S, Akcam T, Ozkaptan Y. Sphenochoanal polyp: endoscopic surgery. Int J Pediatr Otorhinolaryngol 2001;58:87-90.
- Lopatin A, Bykova V, Piskunov G. Choanal polyps: one entity, one surgical approach? Rhinology 1997;35:79-83.
- Bailey Q. Choanal polyp arising from the posterior end of the nasal septum. J Laryngol Otol 1979;93:735-6.
- Ozgirgin ON, Kutluay L, Akkuzu G, Gungen Y. Choanal polyp originating from the nasal septum: a case report. Am J Otolaryngol 2003;24:261-4.
- Killian G. The origin of choanal polypi. Lancet 1906;2:81-2.
- Yanagisawa E, Christmas DA, Yanagisawa R. Endoscopic view of the sites of origin of nasal polyps. Ear Nose Throat J 2000;79:490-2.
- Bernstein JM, Gorfien J, Noble B. Role of allergy in nasal polyposis: a review. Otolaryngol Head Neck Surg 1995;113:724-32.
- Ogawa H. A possible role of aerodynamic factors in nasal polyp formation. Acta Otolaryngol Suppl 1986; 430:18-20.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | June 8, 2009 |
| Published in Issue | Year 2009 Volume: 19 Issue: 3 |