Antrochoanal polyp : endoscopic polypectomy versus simple intranasal avulsion

Abstract EN

Objective : the aim of the present study is to compare the results of endoscopic polypectomy versus simple intranasal avulsion of antrochoanal polyp in respects of recurrence rate and postoperative morbidity.

Methods : retrospective study concerned with 18 patients suffering from antrochoanal polyps who underwent endoscopic polypectomy through middle meatal antrostomy and compared with the corresponding results of 14 patients who were treated by simple intranasal avulsion as a control group.

The study was carried out at Al-Jumhori Teaching Hospital/ Mosul-Iraq for the period from January 2008 to July 2010.

The mean follow up period was 13 months with a range of 3-24 months.

Results : the mean age of our patients was 26.1 years with a range of 6-65 years.

The study included male patients (55.5 %) and 8 females (44.5 %) with a ratio of 1.25:1.

Five out of 18 patients (27.7 %) gave positive history of allergy.

The recurrence rate of antrochoanal polyp following endoscopic polypectomy and simple intranasal avulsion were 11.1 % and 35.7 % respectively.

Conclusions : 0ur study reinforces endoscopic removal of antrochoanal polyp through middle meatal antrostomy because of low recurrence rate, low morbidity and the ability to deal with any associated ethmoidal polyps simultaneously.