Despite being the most common benign tumor of salivary glands, pleomorphic adenoma in hard palate is a rare site. Such tumors are a challenge to remove surgically. These tumors usually require an extensive resection with wide margins and removal of surrounding mucoperiosteum. There is also usually requirement of removal of a number of teeth or portion of maxilla, especially if the size is huge. The resulting disfigurement can be a problem for young females. We present a case of successful treatment of pleomorphic adenoma of the hard palate in a 15-year old female patient, which was achieved through an enbloc removal technique with clear margins, without the need for partial maxillectomy or bone removal. This approach played a pivotal role in preventing any potential disfigurement and preserving the aesthetic appearance of the patient. The personalized approach towards patient care was instrumental in tailoring the surgical strategy to meet the specific needs of the individual.

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Bilateral antrochoanal polyps (ACPs) are a rare entity. We studied four cases of bilateral ACPs that presented to us. We found a close association of allergy (75%) and chronic rhinosinusitis (CRS) (50%) as etiological factors. The anatomical factors like deviated nasal septum (75%), inferior turbinate hypertrophy (50%), and concha bullosa (25%) are also commonly associated with bilateral ACPs. Endoscopic sinus surgery was performed in all the patients with special emphasis to correct the anatomical factors. Inferior meatal antrostomy was performed in two cases to allow easy access of the angled microdebrider blade for clearing the polyp from the anterolateral and anterosuperior limits of the antrum. After a mean follow-up period of 23 months, no recurrence was found. How to cite this article Virk RS, Penubarthi LK, Gupta AK, Jain P, Kaushik E. Bilateral Antrochoanal Polyps: An Analysis from Four Cases. J Postgrad Med Edu Res 2016;50(4):173-175.