Article Type
Article
Abstract
Background & Aim of the work: Antrochoanal polyps (ACPs) are polypoidal benign lesions arising from the maxillary antrum mucosa, extending through the sinus ostium into the nasal cavity. Endoscopic sinus surgery with middle meatal antrostomy has become the most popular approach in ACP treatment. This approach, a minimally invasive and effective method, provides complete removal with negligible complications. The transnasal prelacrimal recess approach is a novel surgical technique for the treatment of sinonasal tumors. This approach provides an extended surgical view and allows direct access to the maxillary sinus to resect tumor, and therefore reduces recurrence. The aim of this work is to evaluate the long term surgical outcomes and possible complications of prelacrimal recess approach for treatment of antrochoanal polyps.
Patients and Methods: In this work, 30 patients with recurrent antrochoanal polyp underwent surgery with a transnasal endoscopic prelacrimal recess approach, were included in our study. The approach is evaluated for the ability to visualise the origin of the polyp in the maxillary cavity, complications and the long term follow up for the rate of recurrence.
Results: Transnasal prelacrimal recess approach was successful in 86.67% of the patients (26/30), as 4 patients were successfully treated with wide endoscopic middle meatal antrostomy. 23.3% of patients (7/30) suffered from postoperative epiphora, 13.3% (4/30) suffered from epistaxis, 16.7% of them (5/30) had cheek edema, and 10% of patients (3/30) suffered from synechia formation between the lateral nasal wall and septum. 2 patients (6.67%) had temporary check numbness which improved within 3 months. None of them had nasal obstruction or nasal stenosis postoperatively, all of them had the flap healed and all of them had the inferior turbinate preserved. During the long follow-up period (18 months) no recurrence had developed.
Conclusion: After a long term follow up, transnasal endoscopic prelacrimal recess approach was found to be safe and effective surgical procedure for treatment of recurrent antrochoanal polyp, which allows for complete exposure and removal of the antral part of the polyps to prevent recurrence without major complications.
Keywords: Prelacrimal Recess Approach, Antrochoanal Polyp, Recurrent ACP. gebelik hafta hafta gebelik kadın doğum kadın doğum doktoru bahçelievler kadın doğum doktoru kadın hastalıkları hamilelik belirtileri
Recommended Citation
Abdelmonam S, Sabry R, Genedy H,
et al.
Application of Transnasal endoscopic prelacrimal recess approach to the maxillary sinus in Recurrent Antrochoanal Polyp. A long Term Follow up Review.
Pan Arab J. Rhinol.
2019;
9 : -.
Available at:
https://pajr.researchcommons.org/journal/vol9/iss2/3
