Antrochoanal Polyp and Ethmoidal Polypi Presenting Simultaneously in a Patient with Chronic Rhinosinusitis: A Rare Clinical Occurrence and Review of Literature

Year 2025, , 1 - 5

Dr Ravi Kishore Hubballi , Hemanth Reddy H G

Abstract

Otuz sekiz yaşında erkek hasta, sol taraflı ilerleyici burun tıkanıklığı ve bilateral burun akıntısı (Sağ taraf sol taraftan daha fazla), sol taraflı hiposmi ve ağız solunumu atakları ile başvurdu. Hasta değerlendirildi ve burun ve paranazal sinüslerin bilgisayarlı tomografi taraması, pansinüzitli sol Antrokoanal (AC) polip olduğunu düşündürdü. Tanısal nazal endoskopi, bilateral etmoidal polipleri olan sol AC polipini gösterdi. Bu bulgularla hasta endoskopik polipektomi ve fonksiyonel endoskopik sinüs cerrahisi (FESS) için gönderildi. Histopatoloji raporu sol taraflı AC polipini ve bilateral etmoidal polipleri doğruladı. Literatürde aynı kişide hem AC polipinin hem de etmoidal polipinin eş zamanlı olarak görülmesi çok nadir olduğundan, her iki polip türünün etiyopatogenezini yeniden gözden geçirdiğimiz ve ayrıca eş zamanlı görülmeyle ilgili literatürü gözden geçirdiğimiz bu vakayı sunuyoruz.

Keywords

Antrochoanal polyp , Ethmoidal polypi , Polypectomy , Endoscopic sinus surgery

Antrochoanal Polyp and Ethmoidal Polypi Presenting Simultaneously in a Patient with Chronic Rhinosinusitis: A Rare Clinical Occurrence and Review of Literature.

Abstract

A thirty-eight years old male patient presented with recurrent episodes of left sided progressive nasal obstruction & bilateral nasal discharge (Right side more than left side), left sided hyposmia & mouth breathing. Patient was evaluated and Computed tomography scan of nose and paranasal sinuses was suggestive of left Antrochoanal (AC) polyp with pansinusitis. Diagnostic nasal endoscopy showed left AC polyp with bilateral ethmoidal polypi. With these findings patient was posted for endoscopic polypectomy and functional endoscopic sinus surgery (FESS). Histopathology report confirmed left sided AC polyp and bilateral ethmoidal polypi. Since simultaneous occurrence of both AC polyp and ethmoidal polypi in the same individual is very rarely documented in the literature, we are presenting this case through which we are revisiting the etiopathogenesis of both types of Polyps and also review the literature regarding simultaneous occurrence.

Keywords

Antrochoanal polyp , Ethmoidal polypi , Polypectomy , Endoscopic sinus surgery.

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