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VOLUME 10 , ISSUE 1 ( January-April, 2018 ) > List of Articles

ORIGINAL ARTICLE

Antrochoanal Polyp Recurrence-free Management: Our Experience

Venkatesh Manikrao Patil, Rashmi M Patil, Vinayak V Rayakar, Ravindrakumar N Karadi

Keywords : Antrochoanal polyp, Endoscopic sinus surgery, Mini Caldwell–Luc, Recurrence.

Citation Information : Patil VM, Patil RM, Rayakar VV, Karadi RN. Antrochoanal Polyp Recurrence-free Management: Our Experience. Int J Otorhinolaryngol Clin 2018; 10 (1):4-10.

DOI: 10.5005/jp-journals-10003-1280

License: CC BY-NC 3.0

Published Online: 01-06-2018

Copyright Statement:  Copyright © 2018; The Author(s).


Abstract

The terminology “antrochoanal polyp” emerged from nasal polyp only when Killian in 1906 noted the antral connection of this polyp. Hence, it is also known as Killian's polyp. Many surgical techniques are described for the management of antrochoanal polyp: (1) Killian's avulsion of pedicle of polyp; (2) Caldwell–Luc surgery; (3) endoscopy sinus surgery. When polyp origin is broadly based or when base is located at unfavorable portion, such as anterior/inferior portion of maxillary sinus, recurrence occurs due to retention of diseased mucosa carrying mucous cyst. Propensity of polyp to recur after various methods of treatment has led to the development of a technique that causes least recurrence. A technique that prevents recurrence will be the best one.


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  1. Cook PR, Davis WE, McDonald R, McKinsey JP. Antrochoanal polyposis: a review of 33 cases. Ear Nose Throat J 1993 Jun;72(6):401-402, 404-410.
  2. Deka RC. Antrochoanal polyp: its pathogenesis, origin, management by functional endonasal endoscopic surgery. Indian J Otolaryngol Head Neck Surg 1999 Jan;51(1):33-35.
  3. Özdek A, Samim E, Bayiz Ü, Meral I, Þafak MA, Oðuz H. Antrochoanal polyps in children. Int J Pediatr Otorhinolaryngol 2002 Sep;65(3):213-218.
  4. El-Guindy A, Mansour MH. The role of transcanine surgery in antrochoanal polyp. J Laryngal Otol 1994 Dec;108(12): 1055-1057.
  5. Berg O, Carenfelt C, Silfverswärd C, Sobin A. Origin of the choanal polyp. Arch Otolaryngol Head Neck Surg 1988 Nov;114(11):1270-1271.
  6. Aktaþ D, Yetiþer S, Gerek M, Kurnaz A, Can C, Kahramanyol M. Antrochoanal polyps: analysis of 16 cases. Rhinology 1998 Jun;36(2):81-85.
  7. Mills CP. Secretory cyst of maxillary antrum and their relation to development of antrochoanal polyp. J Laryngol Otol 1959 May;73(5):324-334.
  8. Majumdar B, Bull PD. The incidence and bacteriology of maxillary sinusitis in nasal polyposis. J Laryngol Otol 1982 Oct;96(10):937-941.
  9. 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. Act Otolaryngol. 2000 Jun; 120(4):531-534.
  10. Sunagawa M, Kinjoh K, Nakamura M, Kosugi T. Urokinasetype 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(5):237–241
  11. Drake-Lee AB, Lowe D, Swanston A, Grace A. Clinical profile and recurrence of nasal polyp. J Laryngol Otol 1984 Aug;98(8):783-793.
  12. Kakoi H, Hiraide F. A histological study of formation and growth of nasal polyps. Acta Otolaryngol 1987 Jan-Feb; 103(1-2):137-144.
  13. Yanagisawa E, Yanagisawa K, Fortgang P. Endosocpic excision of large benign antral lesion via modified (“mini”) Caldwell-Luc procedure. Ear Nose Throat J 1995 Sep;74(9): 620-621.
  14. Myers EN, Cunningham MJ. Modified Caldwell-Luc approach for treatment of antrochoanal polyps. Laryngoscope 1986 Aug;96(8):911-913.
  15. Ryan RE Jr, Neel HB .Antral-choanal polyps. J Otolaryngol. 1979 Aug; 8(4):344-346.
  16. Gendeh BS, Long YT, Misiran K. Antrochoanal polyp: clinical presentation and role of powered endoscopic polypectomy. Asian J Surg 2004 Jan;27(1):22-25.
  17. Kamel R. Endoscopic transnasal surgery in antrochonal polyp. Arch Otolaryngol Head Neck Surg 1990 Jul;116(7):841-843.
  18. Ophir D, Marshak G. Removal of antral polyp through an extended nasoantral window. Laryngoscope 1987 Nov;97(11): 1356-1357.
  19. Atighechi S, Baradaranfar MH, Karimi G, Jafari R. Antrochoanal polyp: a comparative study of endoscopic endonasal surgery alone and endoscopic endonasal plus mini-Caldwell technique. Eur Arch Otorhinolaryngol 2009 Aug;266(8):1245-1248.
  20. Lee TJ, Huang SF. Endoscopic sinus surgery for antrochoanal polyps in children. Otolaryngol Head Neck Surg 2006 Nov;135(5):688-692.
  21. Mantovani K, Bisanha AA, Demarco RC, Tamashiro E, Martinez R, Anselmo-Lima WT. Maxillary sinuses microbiology from patients with chronic rhinosinusitis. Braz J Otorhinolaryngol 2010 Sep-Oct;76(5):548-551.
  22. Brook I, Gober AE. Recovery of potential pathogens in the nasopharynx of healthy and otitis media-prone children and their smoking and nonsmoking parents. Ann Otol Rhinol Laryngol 2008 Oct;117(10):727-730.
  23. Wu J, Peters BA, Dominianni C, Zhang Y, Pei Z, Yang L, Ma Y, Purdue MP, Jacobs EJ, Gapstur SM, et al. Cigarette smoking and the oral microbiome in a large study of American adults. ISME J 2016 Mar;10(10):2435-2446.
  24. Ertel A, Eng R, Smith SM. The differential effect of cigarette smoke on the growth of bacteria found in humans. Chest 1991 Sep;100(3):628-630.
  25. Reh DD, Higgins TS, Smith TL. Impact of tobacco smoke on chronic rhinosinusitis: a review of the literature. Int Forum Allergy Rhinol 2012 Sep-Oct;2(5):362-369.
  26. Lee KI, Kim DW, Kim EH, Kim JH, Samivel R, Kwon JE, Ahn JC, Chung YJ, Mo JH. Cigarette smoke promotes eosinophilic inflammation, airway remodeling, and nasal polyps in a murine polyp model. Am J Rhinol Allergy 2014 May-Jun;28(3):208-214.
  27. Kumar PS, Matthews CR, Joshi V, de Jager M, Aspiras M. Tobacco smoking affects bacterial acquisition and colonization in oral biofilms. Infect Immun 2011 Nov;79(11): 4730-4738.
  28. Namiot Z, Namiot DB, Kemona A, Gołebiewska M, Bucki R. The effect of cigarette smoking and alcohol consumption on efficacy of Helicobacter pylori eradication. Pol Arch Med Wewn 2000 Sep;104(3):569-574.
  29. Linder JA, Sim I. Antibiotic treatment of acute bronchitis in smokers: a systematic review. J Gen Intern Med 2002 Mar;17(3):230-234.
  30. Lee WK, Ramanathan M Jr, Spannhake EW, Lane AP. The cigarette smoke component acrolein inhibits expression of the innate immune components IL-8 and human betadefensin 2 by sinonasal epithelial cells. Am J Rhinol 2007 Nov-Dec;21(6):658-663.
  31. Kamath PM, Shenoy VS, Mittal N, Sharma NK. Microbiological analysis of paranasal sinuses in chronic sinusitis—a south Indian coastal study. Egypt J Ear Nose Throat All Sci 2013 Nov;14(3):185-189.
  32. Bezerra TF, Pádna FG, Ogawa AI, Gebrim EM, Saldiva PH, Voegels RL. Biofilms in chronic rhinosinusitis with nasal polyps: pilot study. Braz J Otorhinolaryngol 2009 Nov- Dec;75(6):788-793.
  33. Hashemi M, Sadeghi MMM, Omrani MR, Torabi MA. Microbiology and antimicrobial resistance in chronic resistant rhino sinusitis with or without polyp after functional endoscopic sinus surgery. J Res Med Sci 2005;10(3):167-171.
  34. Farahani F, Youse Mashouf R, Hashemian F, Esmaeili R. Antimicrobial resistance patterns of aerobic organisms in patients with chronic rhinosinusitis in Hamadan, Iran. Avicenna J Clin Microb Infec 2014 Aug;1(2):e18961..
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