DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20202224

Antrochoanal polyp in a six year old child: a rare presentation

Shashikant A. Pol, Surinder K. Singhal, Nitin Gupta, Jyotika Sharma

Abstract


Antrochoanal polyp is a benign solitary sinonasal polyp arising within the maxillary sinus and extending into nasopharynx via sinus ostium. It is reported commonly in young adults mainly in 3rd to 5th decades. Antrochoanal polyp accounts 4% to 6% of sinonasal polyps in general population and approximately 33% in paediatric population. Here we are reporting a case of antrochoanal polyp in just six year child because of its relative rarity. We report a case of six year old female patient who presented with left sided nasal obstruction for 3 months. It was associated with nasal discharge. Anterior rhinoscopy showed presence of a single polypoidal mass filling left nasal cavity, posterior extent of the mass could not be assessed clinically due to small age of the patient. Non-contrast computed tomography of nose and paranasal sinuses was done to see the exact extent of the mass. The mass was removed completely by endoscopic approach and histopathologically confirmed as antrochoanal polyp. Antrochoanal polyp should be kept in differential diagnosis when a patient comes with unilateral nasal obstruction and discharge. Though it is commonly seen in young adults, rarely, children younger than 10 years of age can be affected. Complete endoscopic excision is necessary to avoid recurrence.


Keywords


Antrochoanal polyp, Maxillary sinus, Sinus ostium, Sinonasal polyp, Non contrast computed tomography scan

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References


Mandour ZM. Antrochoanal polyp in pediatric age group. Egyptian J Ear Nose Throat Allied Sci. 2017;18(1):17-21.

Al-Mazrou KA, Bukhari M, Al-Fayez AI. Characteristics of antrochoanal polyps in the pediatric age group. Ann Thorac Med. 2009;4(3):133-6.

Weber SA, Iyomasa RM, Corrêa CC, Florentino WN, Ferrari GF. Nasal polyposis in cystic fibrosis: follow-up of children and adolescents for a 3-year period. Braz J Otorhinolaryngol. 2017;83:677-82.

Mainz JG, Koitschev A. Pathogenesis and management of nasal polyposis in cystic fibrosis. Curr Allergy Asthma Rep. 2012;12(2):163-74.

Islas FAE, Gonzalez JLT, Camarillo JMM. Antrochoanal polyp: A literature update. J Otolaryngol Rhinol. 2018;4:049.

da Silva Franche GL, Granzotto EH, de Borba AT, Hermes F, de Souza Saleh C, de Souza PA. Endoscopic polipectomy with middle meatal antrostomy for antrochoanal polyp treatment. Braz J Otorhinolaryngol. 2007;73(5):689-92.

Yaman H, Yilmaz S, Karali E, Guclu E, Ozturk O. Evaluation and management of antrochoanal polyps. Clin Exp Otorhinolaryngol. 2010;3(2):110-4.

Gendeh BS, Long YT, Misiran K. Antrochoanal polyps: clinical presentation and the role of powered endoscopic polypectomy. Asian J Surg. 2004;27(1):22-5.

Frosini P, Picarella G, De Campora E. Antrochoanal polyp: analysis of 200 cases. Acta Otorhinolaryngol Ital. 2009;29(1):21-6.

Cook PR, Davis WE, McDonald R, McKinsey JP. Antrochoanal polyposis: a review of 33 cases. Ear Nose Throat J. 1993;72(6):401-2.

Rao US, Sandeep V. Clinical and Radiological study of antrochoanal polyps. IJCMR. 2016;3(4):1162-6.

Stern RC, Boat TF, Wood RE, Matthews LW, Doershuk CF. Treatment and Prognosis of Nasal Polyps in Cystic Fibrosis. Am J Dis Child. 1982;136(12):1067-70.

Lee TJ, Huang SF. Endoscopic sinus surgery for antrochoanal polyps in children. Otolaryngol Head Neck Surg. 2006;135(5):688-92.

Ozdek A, Samim E, Bayiz U, Meral I, Safak MA, Oğuz H. Antrochoanal polyp in children. Int J Pediatr Otorhinolaryngol. 2002;65:213–8.