Regression of a Sphenochoanal Polyp in a Child

Lim, Wye-Keat; Sdralis, Theo

doi:10.1097/00005537-200405000-00022

Cited by 18 publications

(10 citation statements)

References 8 publications

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“…Die bestehende Unsicherheit in Diagnose, Art und Zeitpunkt der richtigen Therapie machen eine individuelle Analyse und Entscheidung sowie eine umfassende Kommunikation mit Kind und Eltern notwendig. Die spontane Rückbildung eines Sphenochoanalpolypen ist möglich [864]. Eine "second-look"-Operation zur Nachsorge ist heute speziellen Fällen vorbehalten [865,866].…”

Section: Nasennebenhöhlenchirurgie Bei Kindernunclassified

Aktueller Stand der endonasalen Nasennebenhöhlenchirurgie

Weber

2015

Laryngo-Rhino-Otol

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Endonasal endoscopic sinus surgery is the standard procedure for surgery of most paranasal sinus diseases.Appropriate frame conditions provided, the respective procedures are safe and successful.These prerequisites encompass appropriate technical equipment, anatomical oriented surgical technique, proper patient selection, and individually adapted extent of surgery.The range of endonasal sinus operations has dramatically increased during the last 20 years and reaches from partial uncinectomy to pansinusoperation with extended surgery of the frontal (Draf type III), maxillary (grade 3-4, medial maxillectomy, prelacrimal approach) and sphenoid sinus.In addition there are operations outside and beyond the paranasal sinuses. The development of surgical technique is still constantly evolving.This article gives a comprehensive review on the most recent state of the art in endoscopic sinus surgery according to the literature with the following aspects: principles and fundamentals, surgical techniques, indications, outcome, postoperative care, nasal packing and stents, technical equipment.

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Section: Nasennebenhöhlenchirurgie Bei Kindernunclassified

Aktueller Stand der endonasalen Nasennebenhöhlenchirurgie

Weber

2015

Laryngo-Rhino-Otol

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“…This type of polyp might be different from those developing from the maxillary antrum and is easier to locate and remove from its origin. No other types of choanal polyps in children were found, though several have been reported in other studies [ 17 , 18 ].…”

Section: Discussionmentioning

confidence: 79%

Antrochoanal Polyps: How Long Should Follow-Up Be after Surgery?

Chaiyasate

Roongrotwattanasiri

Patumanond

et al. 2015

International Journal of Otolaryngology

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Objective. To investigate the length of follow-up needed to detect recurrence of antrochoanal polyps. Methods. A retrospective investigation was performed on patients who had been operated on with a preoperative diagnosis of antrochoanal polyps in Chiang Mai University hospital from 2006 to 2012. Results and Discussion. Of the 38 cases of choanal polyps, 27 were adults (71%). The median age was 23.5, ranging from 7 to 64 years old. Eighteen patients were male (47.4%). The origin of choanal polyps was the maxillary antrum in 32 patients. The most common symptom was nasal obstruction (97.4%). The surgical procedures were polypectomy in one child and combined endoscopic and transcanine fossa approach in two adults. The remainder of the patients underwent endoscopic removal of the polyps. The follow-up time ranged from 1 day to 8 years. There were 5 cases of recurrence of which four were in children. The time for recurrence was 1.2 ± 0.6 years (95% CI 0.51, 1.97). Conclusion. Antrochoanal polyps are more common in younger patients. Recurrence was significantly higher in children. Follow-up of patients should be for at least 2 years postoperatively in order to detect 95% of recurrence.

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“…Unilateral nasal obstruction is the most common presenting symptom, other presenting symptoms include purulent nasal discharge, epistaxis , retro orbital pain, epistaxis. Eustachian tube dysfunction, snoring and obstructive sleep apnoea have been reported (6)(7)(8)(9). A mass arising from sphenoid sinus must raise suspicion of neoplasm.…”

Section: Discussionmentioning

confidence: 99%

“…Misdiagnosis may result in inadequate treatment and surgical complications. Though there have been reports of regression of choanal polyps using medical treatment (16)(17),it is generally agreed that surgical intervention is the current standard management (1)(2)(3)(4)(5)(6)(7)(17)(18). Most authors recommend total removal under endoscopic guidance, as simple polypectomy alone carries a higher risk of recurrence (1)(2)(3)(4)(6)(7)18).…”

Section: Fig 3: and Fig 4: Diagnostic Nasal Endoscopy Images Of Isolamentioning

confidence: 99%

Sphenochoanal Polyp Right With Left Septal Spur: Rare Entity

Goyal¹

2018

EJMR

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Choanal polyps can be classified as antrochoanal, sphenochoanal or ethmochoanal polyps depending upon the site of origin, in comparison to common nasal polyps and antrochoanal polyps, reports of sphenochoanal polyps are relatively rare. Authors present a case of a 18 year old boy presenting to the clinic with unilateral nasal obstruction and nasal tone in voice, which was a diagnostic dilemma for the radiology department as it was misdiagnosed unable to be differentiated by CT scan. MRI scan of the patient confirmed the diagnosis of a sphenochoanal polyp. We aspire to widen the horizon of the knowledge by discussing the case and enabling timely diagnosis and treatment.

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Regression of a Sphenochoanal Polyp in a Child

Abstract: This patient is believed to be the youngest reported to have sphenochoanal polyp, and the only one where the polyp had completely regressed. This regression suggests that sphenochoanal polyps may be more common than is thought but are mostly asymptomatic.

Cited by 18 publications

References 8 publications

Aktueller Stand der endonasalen Nasennebenhöhlenchirurgie

Aktueller Stand der endonasalen Nasennebenhöhlenchirurgie

Antrochoanal Polyps: How Long Should Follow-Up Be after Surgery?

Sphenochoanal Polyp Right With Left Septal Spur: Rare Entity

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