Antrokoanal Polipli Hastalara Yaklaşımımız

Yıl 2021, Cilt: 6 Sayı: 3, 81 - 84, 01.12.2021

Mehmet Yaşar Mustafa Şahin Ali Bayram Hatice Karaman Cemil Mutlu

Öz

ÖZET

Amaç: Antrokoanal polipli hastalarımızın tanı tedavi ve takibini değerlendirmek.
Gereç ve Yöntem: 2014-2017 yılları arasında antrokoanal polip tanısıyla opere edilen hastaların preop semptomları, ameliyat bulguları ve postop 1.hafta, 1.ay, 2.ay, 1.yıl ve 2.yıl takiplerindeki muayeneleri analiz edildi.
Bulgular: Ortalama yaş 23.2 idi. Hastaların 8’inde sağ 10’unda sol antrokoanal polip izlendi. 18 hastada tek taraflı burun tıkanıklığı mevcuttu.11 hastada ilk semptom orofarinkse uzanan kitle iken diğer en sık semptom ise 9 hastada görülen rinore idi. Nüks oranı %11 idi.
Sonuç: Antrokoanal polip çocukluk ve genç erişkin çağda sık görülen genellikle tek taraflı nazal obstrüksiyonla kliniğe başvuran hastalarda yapılan endoskopik muayenede antrumdan koanaya kadar uzanan kitle olup tedavisi FESC ile ktilenin total eksize edilmesidir.


ABSTRACT

Objective: To evaluate the diagnosis, treatment and follow-up of our patients with antrochoanal polyps.
Materials and Methods: The preoperative symptoms, surgical findings, and postoperative examinations at the 1st week, 1st month, 2nd month, 1st year and 2nd year follow-ups of the patients who were operated with the diagnosis of antrochoanal polyp between 2014 and 2017 were analyzed.
Results: The mean age was 23.2. Eight of the patients had right antrochoanal polyps and 10 of them had left antrochoanal polyps. The first symptom in 11 patients was a mass extending to the oropharynx, and the second most common symptom was rhinorrhea in 9 patients. The recurrence rate was 11%.
Conclusion: Antrochoanal polyp is a mass extending from the antrum to the choana in the endoscopic examination performed in patients who apply to the clinic with usually unilateral nasal obstruction, which is common in childhood and young adulthood, and its treatment is total excision of the cleft with FESC.

Anahtar Kelimeler

Polipler, endoskopik cerrahi işlem, nazal Tıkanıklık

Kaynakça

• Killian, G. (1906). The origin of choanal polypi. The Lancet, 168(4324), 81-82.
• Sabino, H. A. C., Faria, F. M., Tamashiro, E., Lima, W. T. A., & Valera, F. C. P. (2014). Bilateral antrochoanal polyp: case report☆. Brazilian journal of otorhinolaryngology, 80, 182-183.
• Karakoç, Ö., Yıldızoğlu, Ü., Aşık, B., Bınar, M., & Gerek, M. (2011). Nadir bir burun tıkanıklığı nedeni: Frontokoanal polip.
• YAŞAR, M., YILDIRIM, A., BEBEK, A. İ., & KUNT, T. (2007). Sfenokoanal polip. Türk Otolarengoloji Arşivi, 45(2), 105-107.
• Chagarlamudi, K., O'Brien, W. T., Towbin, R. B., & Towbin, A. J. (2019). Antrochoanal polyp. Appl Radiol, 48(1), 38-40.
• Yaman, H., Yilmaz, S., Karali, E., Guclu, E., & Ozturk, O. (2010). Evaluation and management of antrochoanal polyps. Clinical and experimental otorhinolaryngology, 3(2), 110.
• Lee, T. J., & Huang, S. F. (2006). Endoscopic sinus surgery for antrochoanal polyps in children. Otolaryngology—Head and Neck Surgery, 135(5), 688-692.
• Cook, P. R., Davis, W. E., McDonald, R., & McKinsey, J. P. (1993). Antrochoanal polyposis: a review of 33 cases. Ear, nose & throat journal, 72(6), 401-411.
• Knör, M., Tziridis, K., Agaimy, A., Zenk, J., & Wendler, O. (2015). Human papillomavirus (HPV) prevalence in nasal and antrochoanal polyps and association with clinical data. PLoS One, 10(10), e0141722.
• Orvidas, L. J., Beatty, C. W., & Weaver, A. L. (2001). Antrochoanal polyps in children. American journal of rhinology, 15(5), 321-325.
• Min, Y. G., Chung, J. W., Shin, J. S., & Chi, J. G. (1995). Histologic structure of antrochoanal polyps. Acta oto-laryngologica, 115(4), 543-547.
• Špadijer-Mirković, C., Perić, A., Vukomanović-Đurđević, B., & Stanojević, I. (2015). Clinical case report of a large antrochoanal polyp. ACTA MEDICA, 57(2), 78-82.
• Chaiyasate, S., Roongrotwattanasiri, K., Patumanond, J., & Fooanant, S. (2015). Antrochoanal polyps: how long should follow-up be after surgery?. International journal of otolaryngology, 2015.