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Retrospective analysis of surgical treatment of choanal polyps

Year 2015, Volume: 25 Issue: 3, 144 - 151, 19.07.2015

Abstract

Objectives: This study aims to discuss the efficacy of the surgical method performed in patients with choanal polyp in the light of the literature. Patients and Methods: The study included 76 patients 42 males, 34 females; mean age 25.36 years; range 7 to 73 years diagnosed with choanal polyp in the sinonasal region between January 2005 and December 2013 in the otorhinolaryngology clinic of Kocaeli University. Age, sex, and presenting complaints of the patients, as well as the characteristics of the polyps localization, direction were retrospectively investigated. Results: The majority 98.68% of the patients with choanal polyp presented with nasal obstruction, followed by snoring, sleeping with the mouth open 25.0% , and nasal discharge 21.05% . According to their localizations, the origin of the polyps was the maxillary sinus in 65 patients, sphenoid sinus in six patients, middle turbinate in two patients, septum in two patients, and ethmoid sinus in one patient. Conclusion: Endoscopic approach is a safe and effective procedure for choanal polyp treatment. There was no significant difference between the success rates of the endoscopic approach and combined approaches.

References

  • Ozcan C, Duce MN, Görür K. Choanal polyp originating from the middle turbinate. Eur Arch Otorhinolaryngol 2004;261:184-6.
  • Altun H, Teker AM, Ceran M, Gedikli O. Endoscopic approach in patients with choanal polyps. [Article in Turkish] Kulak Burun Bogaz Ihtis Derg 2008;18:74-8.
  • Jang YJ, Rhee CK, Oh CH, Ryoo HG, Kim HG, Ha M. Arachidonic acid metabolites in antrochoanal polyp and nasal polyp associated with chronic paranasal sinusitis. Acta Otolaryngol 2000;120:531-4.
  • Sunagawa M, Kinjoh K, Nakamura M, Kosugi T. Urokinase-type plasminogen activator and plasminogen activator inhibitor antigen in tissue extracts of paranasal sinus mucous membranes affected by chronic sinusitis and antrochoanal polyps. Eur Arch Otorhinolaryngol 1999;256:237-41.
  • Freitas MR, Giesta RP, Pinheiro SD, Silva VC. Antrochoanal polyp: a review of sixteen cases. Braz J Otorhinolaryngol 2006;72:831-5.
  • Aydin O, Keskin G, Ustündağ E, Işeri M, Ozkarakaş H. Choanal polyps: an evaluation of 53 cases. Am J Rhinol 2007;21:164-8.
  • Balikci HH, Ozkul MH, Uvacin O, Yasar H, Karakas M, Gurdal M. Antrochoanal polyposis: analysis of 34 cases. Eur Arch Otorhinolaryngol 2013;270:1651-4.
  • Özkırış M. Choanal polyp originating from the middle turbinate: a case report. ACU Sağlık Bil Derg 2012;3:187-9.
  • Frosini P, Picarella G, De Campora E. Antrochoanal polyp: analysis of 200 cases. Acta Otorhinolaryngol Ital 2009;29:21-6.
  • Al-Qudah M. Bilateral antrochoanal polyps: possible pathogenesis. J Craniofac Surg 2011;22:1116-8.
  • Basu SK, Bandyopadhyay SN, Bora H. Bilateral antrochoanal polyps. J Laryngol Otol 2001;115:561-2.
  • Sousa DW, Pinheiro SD, Silva VC, Bastos JP. Bilateral antrochoanal polyps in an adult. Braz J Otorhinolaryngol 2011;77:539.
  • Tatlıpınar A, Gökçeer T, Köksal S, Esen E. Our clinical experience in patients with isolated choanal polyps reaching choana. KBB-Forum 2010;9:25-9.
  • Lee TJ, Huang SF. Endoscopic sinus surgery for antrochoanal polyps in children. Otolaryngol Head Neck Surg 2006;135:688-92.
  • Bozzo C, Garrel R, Meloni F, Stomeo F, Crampette L. Endoscopic treatment of antrochoanal polyps. Eur Arch Otorhinolaryngol 2007;264:145-50.
  • Ozcan C, Duce MN, Görür K. Choanal polyp originating from the cribriform plate. J Craniofac Surg 2010;21:806-7.
  • Dadaş B, Yilmaz O, Vural C, Caliş AB, Turgut S. Choanal polyp of sphenoidal origin. Eur Arch Otorhinolaryngol 2000;257:379-81.
  • Kim KS. Choanal polyp originating from the middle turbinate 2013;148:525-6.
  • Birkent H, Karahatay S, Durmaz A, Kurt B, Tosun F. Choanal polyp originating from the nasal septum: septochoanal polyp. Kulak Burun Bogaz Ihtis Derg 2009;19:163-6.
  • Al-Mazrou KA, Bukhari M, Al-Fayez AI. Characteristics of antrochoanal polyps in the pediatric age group. Ann Thorac Med 2009;4:133-6.
  • Yanagisawa K, Coelho DH, Yanagisawa E. Endoscopic removal of the antral and choanal portions of an antrochoanal polyp. Ear Nose Throat J 2005;84:194-5.
  • Ozdek A, Samim E, Bayiz U, Meral I, Safak MA, Oğuz H. Antrochoanal polyps in children. Int J Pediatr Otorhinolaryngol 2002;65:213-8.
  • Yaman H, Yilmaz S, Karali E, Guclu E, Ozturk O. Evaluation and management of antrochoanal polyps. Clin Exp Otorhinolaryngol 2010;3:110-4.
  • Sato K, Nakashima T. Endoscopic sinus surgery for antrochoanal polyp using CO2 laser and/or microresector: a long-term result. J Laryngol Otol 2005;119:362-5.
  • Eşki E, Imre A, Çallı Ç, Pınar E, Öncel S. Approaches to antrochoanal polyps in adults: long-term comparative results. [Article in Turkish] Kulak Burun Bogaz Ihtis Derg 2012;22:1-5.

Koanal poliplerin cerrahi tedavisinin retrospektif analizi

Year 2015, Volume: 25 Issue: 3, 144 - 151, 19.07.2015

Abstract

Amaç: Bu çalışmada, koanal polibi olan hastalarda uygulanan cerrahi yöntemin etkinliği literatür ışığında tartışıldı.Hastalar ve Yöntemler: Çalışmaya Kocaeli Üniversitesi Kulak Burun Boğaz kliniğinde Ocak 2005 - Aralık 2013 tarihleri arasında sinonazal bölgede koanal polip tanısı konulmuş 76 hasta 42 erkek, 34 kadın; ort. yaş 25.36 yıl; dağılım 7-73 yıl dahil edildi. Hastaların yaş, cinsiyet ve kliniğe başvuru yakınmaları ile beraber poliplerin özellikleri yerleşim yeri, yönü retrospektif olarak araştırıldı.Bulgular: Koanal polibi olan hastaların büyük çoğunluğu %98.68 burun tıkanıklığı ile başvurdu; bunu horlama, ağzı açık uyuma %25.0 ve burun akıntısı %21.05 izledi. Yerleşim yerlerine göre polipler 65 hastada maksiller sinüs, altı hastada sfenoid sinüs, iki hastada orta konka, iki hastada septum ve bir hastada etmoid sinüs kaynaklıydı.Sonuç: Endoskopik yaklaşım koanal polip tedavisinde güvenilir ve etkili bir işlemdir. Endoskopik yaklaşım ve kombine yaklaşımların başarı oranları arasında anlamlı farklılık yoktu

References

  • Ozcan C, Duce MN, Görür K. Choanal polyp originating from the middle turbinate. Eur Arch Otorhinolaryngol 2004;261:184-6.
  • Altun H, Teker AM, Ceran M, Gedikli O. Endoscopic approach in patients with choanal polyps. [Article in Turkish] Kulak Burun Bogaz Ihtis Derg 2008;18:74-8.
  • Jang YJ, Rhee CK, Oh CH, Ryoo HG, Kim HG, Ha M. Arachidonic acid metabolites in antrochoanal polyp and nasal polyp associated with chronic paranasal sinusitis. Acta Otolaryngol 2000;120:531-4.
  • Sunagawa M, Kinjoh K, Nakamura M, Kosugi T. Urokinase-type plasminogen activator and plasminogen activator inhibitor antigen in tissue extracts of paranasal sinus mucous membranes affected by chronic sinusitis and antrochoanal polyps. Eur Arch Otorhinolaryngol 1999;256:237-41.
  • Freitas MR, Giesta RP, Pinheiro SD, Silva VC. Antrochoanal polyp: a review of sixteen cases. Braz J Otorhinolaryngol 2006;72:831-5.
  • Aydin O, Keskin G, Ustündağ E, Işeri M, Ozkarakaş H. Choanal polyps: an evaluation of 53 cases. Am J Rhinol 2007;21:164-8.
  • Balikci HH, Ozkul MH, Uvacin O, Yasar H, Karakas M, Gurdal M. Antrochoanal polyposis: analysis of 34 cases. Eur Arch Otorhinolaryngol 2013;270:1651-4.
  • Özkırış M. Choanal polyp originating from the middle turbinate: a case report. ACU Sağlık Bil Derg 2012;3:187-9.
  • Frosini P, Picarella G, De Campora E. Antrochoanal polyp: analysis of 200 cases. Acta Otorhinolaryngol Ital 2009;29:21-6.
  • Al-Qudah M. Bilateral antrochoanal polyps: possible pathogenesis. J Craniofac Surg 2011;22:1116-8.
  • Basu SK, Bandyopadhyay SN, Bora H. Bilateral antrochoanal polyps. J Laryngol Otol 2001;115:561-2.
  • Sousa DW, Pinheiro SD, Silva VC, Bastos JP. Bilateral antrochoanal polyps in an adult. Braz J Otorhinolaryngol 2011;77:539.
  • Tatlıpınar A, Gökçeer T, Köksal S, Esen E. Our clinical experience in patients with isolated choanal polyps reaching choana. KBB-Forum 2010;9:25-9.
  • Lee TJ, Huang SF. Endoscopic sinus surgery for antrochoanal polyps in children. Otolaryngol Head Neck Surg 2006;135:688-92.
  • Bozzo C, Garrel R, Meloni F, Stomeo F, Crampette L. Endoscopic treatment of antrochoanal polyps. Eur Arch Otorhinolaryngol 2007;264:145-50.
  • Ozcan C, Duce MN, Görür K. Choanal polyp originating from the cribriform plate. J Craniofac Surg 2010;21:806-7.
  • Dadaş B, Yilmaz O, Vural C, Caliş AB, Turgut S. Choanal polyp of sphenoidal origin. Eur Arch Otorhinolaryngol 2000;257:379-81.
  • Kim KS. Choanal polyp originating from the middle turbinate 2013;148:525-6.
  • Birkent H, Karahatay S, Durmaz A, Kurt B, Tosun F. Choanal polyp originating from the nasal septum: septochoanal polyp. Kulak Burun Bogaz Ihtis Derg 2009;19:163-6.
  • Al-Mazrou KA, Bukhari M, Al-Fayez AI. Characteristics of antrochoanal polyps in the pediatric age group. Ann Thorac Med 2009;4:133-6.
  • Yanagisawa K, Coelho DH, Yanagisawa E. Endoscopic removal of the antral and choanal portions of an antrochoanal polyp. Ear Nose Throat J 2005;84:194-5.
  • Ozdek A, Samim E, Bayiz U, Meral I, Safak MA, Oğuz H. Antrochoanal polyps in children. Int J Pediatr Otorhinolaryngol 2002;65:213-8.
  • Yaman H, Yilmaz S, Karali E, Guclu E, Ozturk O. Evaluation and management of antrochoanal polyps. Clin Exp Otorhinolaryngol 2010;3:110-4.
  • Sato K, Nakashima T. Endoscopic sinus surgery for antrochoanal polyp using CO2 laser and/or microresector: a long-term result. J Laryngol Otol 2005;119:362-5.
  • Eşki E, Imre A, Çallı Ç, Pınar E, Öncel S. Approaches to antrochoanal polyps in adults: long-term comparative results. [Article in Turkish] Kulak Burun Bogaz Ihtis Derg 2012;22:1-5.
There are 25 citations in total.

Details

Primary Language English
Journal Section Research Article
Authors

Kadri İla This is me

Murat Topdağ This is me

Murat Öztürk This is me

Mete İşeri This is me

Ömer Aydın This is me

Gürkan Keskin This is me

Publication Date July 19, 2015
Published in Issue Year 2015 Volume: 25 Issue: 3

Cite

APA İla, K., Topdağ, M., Öztürk, M., İşeri, M., et al. (2015). Retrospective analysis of surgical treatment of choanal polyps. The Turkish Journal of Ear Nose and Throat, 25(3), 144-151.
AMA İla K, Topdağ M, Öztürk M, İşeri M, Aydın Ö, Keskin G. Retrospective analysis of surgical treatment of choanal polyps. Tr-ENT. July 2015;25(3):144-151.
Chicago İla, Kadri, Murat Topdağ, Murat Öztürk, Mete İşeri, Ömer Aydın, and Gürkan Keskin. “Retrospective Analysis of Surgical Treatment of Choanal Polyps”. The Turkish Journal of Ear Nose and Throat 25, no. 3 (July 2015): 144-51.
EndNote İla K, Topdağ M, Öztürk M, İşeri M, Aydın Ö, Keskin G (July 1, 2015) Retrospective analysis of surgical treatment of choanal polyps. The Turkish Journal of Ear Nose and Throat 25 3 144–151.
IEEE K. İla, M. Topdağ, M. Öztürk, M. İşeri, Ö. Aydın, and G. Keskin, “Retrospective analysis of surgical treatment of choanal polyps”, Tr-ENT, vol. 25, no. 3, pp. 144–151, 2015.
ISNAD İla, Kadri et al. “Retrospective Analysis of Surgical Treatment of Choanal Polyps”. The Turkish Journal of Ear Nose and Throat 25/3 (July 2015), 144-151.
JAMA İla K, Topdağ M, Öztürk M, İşeri M, Aydın Ö, Keskin G. Retrospective analysis of surgical treatment of choanal polyps. Tr-ENT. 2015;25:144–151.
MLA İla, Kadri et al. “Retrospective Analysis of Surgical Treatment of Choanal Polyps”. The Turkish Journal of Ear Nose and Throat, vol. 25, no. 3, 2015, pp. 144-51.
Vancouver İla K, Topdağ M, Öztürk M, İşeri M, Aydın Ö, Keskin G. Retrospective analysis of surgical treatment of choanal polyps. Tr-ENT. 2015;25(3):144-51.