Atypical presentation of antrochoanal polyp in a child

Antrochoanal polyp is a benign, solitary polypoid lesion arising from the edematous mucosa of the maxillary sinus and extending through the maxillary ostium into the nose. In children, it constitutes 33% of all nasal polyps. It presents most commonly with unilateral nasal obstruction and puru...

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Main Authors: Leyla Kansu, Erdinç Aydin
Format: Article
Language:English
Published: Hacettepe University Institute of Child Health 2011-06-01
Series:The Turkish Journal of Pediatrics
Online Access:https://turkjpediatr.org/article/view/1776
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author Leyla Kansu
Erdinç Aydin
author_facet Leyla Kansu
Erdinç Aydin
author_sort Leyla Kansu
collection DOAJ
description Antrochoanal polyp is a benign, solitary polypoid lesion arising from the edematous mucosa of the maxillary sinus and extending through the maxillary ostium into the nose. In children, it constitutes 33% of all nasal polyps. It presents most commonly with unilateral nasal obstruction and purulent rhinorrhea. Surgery is the usual treatment for antrochoanal polyps. The primary aim of treatment for antrochoanal polyp must be complete removal with total cleaning of the maxillary sinus. In this article, we present a case of a 13-year-old boy with an antrochoanal polyp who complained of difficulty in breathing and swallowing; the differential diagnosis of nasopharyngeal masses and the treatment of antrochoanal polyps in children are also discussed. Antrochoanal polyps present most commonly with unilateral nasal obstruction; however, they sometimes present atypically. Clinical manifestations may mimic other neoplasms in the nasal cavity and nasopharynx. Nasopharyngeal masses must be evaluated by endoscopic examination and radiologic imaging before surgery to avoid unnecessary and harmful surgical techniques. Reporting this case is important to direct attention of the Ear, Nose and Throat specialist and pediatricians when facing similar cases.
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publisher Hacettepe University Institute of Child Health
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spelling doaj-art-1193adc4e3634a74bb5455b32c3952cc2025-08-20T03:00:54ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212011-06-01533Atypical presentation of antrochoanal polyp in a childLeyla Kansu0Erdinç AydinDepartment of Otolaryngology-Head and Neck Surgery, Başkent University, Faculty of Medicine, Ankara, Turkey. Antrochoanal polyp is a benign, solitary polypoid lesion arising from the edematous mucosa of the maxillary sinus and extending through the maxillary ostium into the nose. In children, it constitutes 33% of all nasal polyps. It presents most commonly with unilateral nasal obstruction and purulent rhinorrhea. Surgery is the usual treatment for antrochoanal polyps. The primary aim of treatment for antrochoanal polyp must be complete removal with total cleaning of the maxillary sinus. In this article, we present a case of a 13-year-old boy with an antrochoanal polyp who complained of difficulty in breathing and swallowing; the differential diagnosis of nasopharyngeal masses and the treatment of antrochoanal polyps in children are also discussed. Antrochoanal polyps present most commonly with unilateral nasal obstruction; however, they sometimes present atypically. Clinical manifestations may mimic other neoplasms in the nasal cavity and nasopharynx. Nasopharyngeal masses must be evaluated by endoscopic examination and radiologic imaging before surgery to avoid unnecessary and harmful surgical techniques. Reporting this case is important to direct attention of the Ear, Nose and Throat specialist and pediatricians when facing similar cases. https://turkjpediatr.org/article/view/1776
spellingShingle Leyla Kansu
Erdinç Aydin
Atypical presentation of antrochoanal polyp in a child
The Turkish Journal of Pediatrics
title Atypical presentation of antrochoanal polyp in a child
title_full Atypical presentation of antrochoanal polyp in a child
title_fullStr Atypical presentation of antrochoanal polyp in a child
title_full_unstemmed Atypical presentation of antrochoanal polyp in a child
title_short Atypical presentation of antrochoanal polyp in a child
title_sort atypical presentation of antrochoanal polyp in a child
url https://turkjpediatr.org/article/view/1776
work_keys_str_mv AT leylakansu atypicalpresentationofantrochoanalpolypinachild
AT erdincaydin atypicalpresentationofantrochoanalpolypinachild