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KMID : 0361020180610080408
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Korean Journal of Otolaryngology - Head and Neck Surgery
2018 Volume.61 No. 8 p.408 ~ p.411
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A Comparative Study of Antrochoanal Polyp in Children and Adults
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Yoon Jin
Yu Joon-Sang
Lee Jae-Hoon
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Abstract
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Background and Objectives: Antrochoanal polyp (ACP) is defined as a polyp that originates in the maxillary sinus. The polyps are usually seen in children and adolescents. The aim of this study was to compare the characteristics between the child and adults groups who have ACP.
Subjects and Method: A total of 55 patients who underwent endoscopic sinus surgery for ACP was enrolled in this study. The population of this study was divided into child (≤17 years old) and adult (≥18 years old) groups. The clinical data and CT findings including stages, maxillary sinus retention cyst (MSRC) of non-ACP lesion side, and accompanying sinusitis using Lund-Mackay score were retrospectively investigated.
Results: On CT stage of ACPs and MSRC, there were no significant differences between the two groups (p＞0.05). The accompanying sinusitis was more common in child group (p＜0.05). Endoscopic sinus surgery (ESS) combined canine fossa approach as well as ESS alone were the effective methods in treating ACPs in both groups.
Conclusion: The accompanying sinusitis could be common in children with ACPs, which should be treated with ACPs simultaneously.
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KEYWORD
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Adult, Antrochoanal polyp, Child, Sinusitis
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