Giant Antrochoanal Polyp in a Six-years-old Boy: A Case Report and Literature Review

Abstract

Antrochoanal polyps are more prevalent in children than adults. Unilateral nasal obstruction and rhinorrhea are usually the features of unilateral antrochoanal polyps. Bilateral nasal obstruction can be a feature of antrochoanal polyp if it is large and obstruct both choanae. The giant antrochoanal polyp is rarely reported in the literature. We are reporting this scenario of giant left antrochoanal polyp in a 6-years-old boy who presented with bilateral nasal obstruction, nasal and postnasal mucopurulent discharge, hypo-nasal speech, mouth breathing, snoring, and obstructive sleep apnea syndrome. The physical examination revealed a mass seen in the oropharynx behind the uvula. Further examination by nasal endoscopy, computerized tomography, and histopathological evaluation of the excised polyp have confirmed the diagnosis of an antrochoanal polyp. Although this entity is not commonly seen in daily clinical practice, careful assessment is needed to not miss the diagnosis for early treatment to avoid unwanted complications.

Antrochoanal Polyp: A Case Report

“…Most cases of ACP are presented with unilateral nasal obstruction, rarely bilateral, mouth breathing, rhinorrhea, nasal speech, snoring, and obstructive sleep apnea syndrome. [1] Yet, in selective cases, patients might present with epistaxis, hyposmia, and headaches. [1] Histological aspects are the gold standard diagnostic tool.…”

“…[1] Yet, in selective cases, patients might present with epistaxis, hyposmia, and headaches. [1] Histological aspects are the gold standard diagnostic tool. [1] Although the combination of endoscopy and computed tomography (CT) of sinonasal cavities can guide diagnostic reasoning.…”

“…[1] Histological aspects are the gold standard diagnostic tool. [1] Although the combination of endoscopy and computed tomography (CT) of sinonasal cavities can guide diagnostic reasoning. [1] A CT scan classifies ACP into three stages depending on the degree of extension to the nasopharynx and visibility of the accessory ostium: [1] stage one, the polyp extends to the nose but not to the nasopharynx.…”

“…Antrochoanal polyp (ACP) is a tumor that arises from the maxillary antrum and passes ostia through the nose to the choana [1]. Fortunately, it was considered a benign polypoid lesion [1].…”

“…Antrochoanal polyp (ACP) is a tumor that arises from the maxillary antrum and passes ostia through the nose to the choana [1]. Fortunately, it was considered a benign polypoid lesion [1]. Some cases developed as a consequence of an allergic condition, although this lesion is non-ectopic.…”