Clinical features and management of antrochoanal polyps in children: Cues from a clinical series of 58 patients.
Int J Pediatr Otorhinolaryngol. 2018 Nov;114:87-91
Authors: Pagella F, Emanuelli E, Pusateri A, Borsetto D, Cazzador D, Marangoni R, Maiorano E, Zanon A, Cogliandolo C, Ciorba A, Pelucchi S
OBJECTIVE: To review the clinical features of pediatric patients affected by antrochoanal polyps (ACPs) and surgically treated at three University settings.
METHODS: Retrospective study. The present research includes the clinical data of subjects affected by ACPs, aged <18 years and referred to three ENT Departments, between January 1st 2003 and September 30th 2016. All patients underwent nasal endoscopy and sinonasal imaging; all subjects have been treated surgically.
RESULTS: Fifty-eight patients underwent functional endoscopic sinus surgery (FESS) for ACPs removal, under general anesthesia. There were no major intraoperative complications. Recurrence occurred in 12 cases (20.5%).
CONCLUSIONS: FESS was the first-choice treatment for APCs in the present series; our recurrence rate was similar to that of other reports available in literature. Recurrences of ACPs in children still represent a clinical challenge; it is likely that an improved comprehension of ACPs biology could help in better understanding the pathophysiology of this disease.
PMID: 30262373 [PubMed – in process]