Article Type
Article
Abstract
Background: Antrochoanal polyps (ACPS) are common nasal masses that necessitate surgical intervention. The aim of this study is to assess the benefits, indications, and limitations of transnasal prelacrimal recess approach (PLRA) in management of primary and recurrent ACPS.
Patients and Methods: Thirty six patients with the diagnosis of ACPS underwent endoscopic sinus surgery (ESS) between 2013 and 2018. Patients are divided into 2 groups; ESS group included 14 patients who underwent ESS alone (12 patients had primary ACPS and 2 patients had recurrent ACPS). PLRA group included 22 patients who underwent ESS + PLRA (8 patients had primary ACPS and 14 patients had recurrent ACPS). The benefits, indications, limitations, and complications of PLRA are evaluated.
Results: Addition of PLRA to the routinely used ESS enabled complete removal of ACPS in both primary and recurrent cases under direct vision without the need to additional open approaches. Postoperative complications in PLRA group were temporary epiphora in 5 patients (13.9%) and cheeck edema in 3 patients (11.1%). Synechia formation occurred in 3 patients (8.3%); 2 patients in PLRA group and 1 patient in ESS group. No recurrences occurred during follow up period. The mean follow up period was 22.52 months (range from 8 to 44 months).
Conclusion: PLRA enables complete resection of ACPS in both primary and recurrent cases with minimal complications. The origin of ACPS can be precisely identified and removed under vision without the need for open approaches.
Keywords: Prelacrimal recess approach; antrochoanal polyp; recurrent antrochoanal polyp; endoscopic sinus surgery.
Recommended Citation
Fawaz M, Reda R, Abd- Elmonaem S,
et al.
Assessment of the role of prelacrimal recess approach in management of primary and recurrent antrochoanal polyps.
Pan Arab J. Rhinol.
2018;
8 : -.
Available at:
https://pajr.researchcommons.org/journal/vol8/iss2/3
