ANTROCHOANAL POLYPS: PRESENTATION AND MANAGEMENT

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Abstract

ABSTRACT
Objective: To determine the pattern of presentation and management of Antrochoanal polyps.
Material and Methods: This descriptive prospective study was conducted at the department of ENT, Head and Neck
Surgery Hayat abad Medical Complex (HMC), Peshawar and Lady Reading Hospital Peshawar-Pakistan from September
2010 to October 2012 with one year follow up. After admitting the patients were assessed in terms of detailed
history, thorough examination of ENT and relevant investigations. These patients were subjected to polypectomy
under general anesthesia and Caldwell Luc operation was performed in case of recurrent antrochoanal polyps. Nasal
cavities were packed with furacin (nitrofurazone) impregnated roll gauze for 24-48 hours. Oral antibiotic, analgesics
and vasoconstrictive nasal spray were given to patients. The statistical analysis was performed using the statistical
program for social sciences (SPSS version 17).
Results: This study included 33 cases constituting 19 male and 14 female, with male: female ratio of 1.3:1. The age
of the patients ranged from 06-57 years with mean age of 29.13 + S.D 17.23 years. Majority of the patients (33.33%)
were in age group 11-20 years followed by 7 cases (21.21%) in age group 21-30 year. The presenting complaints of
these patients were mainly unilateral nasal obstruction (90.90%), nasal discharge (51.51%) and both sided nasal obstruction
(30.30%). Antrochoanal polypectomy was performed in 30 patients (90.90%) while Caldwell Luc operation
was performed in 3 cases (9.09%) for recurrent ACP.
Conclusion: It is concluded that antrochoanal polyps mainly present with unilateral nasal obstruction and it can be
treated surgically by simple polypectomy. Functional Endoscopic Sinus Surgery is the technique of choice and Caldwell
Luc operation can be adopted in cases with recurrent polyp
Authors: 
Qaisar Khan1
Fazal-I Wahid
Asghar ullah Khan3
Muhammad Riaz Khan1
Naseemul Haq2
Muhammad Javad

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