Clinical features and management of antrochoanal polyps in children: cues from a clinical series of 58 patients

Publication date: Available online 29 August 2018

Source: International Journal of Pediatric Otorhinolaryngology

Author(s): Fabio Pagella, Enzo Emanuelli, Alessandro Pusateri, Daniele Borsetto, Diego Cazzador, Roberta Marangoni, Eugenia Maiorano, Alessia Zanon, Cristina Cogliandolo, Andrea Ciorba, Stefano Pelucchi

Abstract

Objective

To review the clinical features of pediatric patients affected by antrochoanal polyps (ACPs) and surgically treated at three University settings.

Methods

Retrospective study. The present research includes the clinical data of subjects affected by ACPs, aged < 18 years and referred to three ENT Departments, between January 1^st 2003 and September 30^th 2016. All patients underwent nasal endoscopy and sinonasal imaging; all subjects have been treated surgically.

Results

Fifty-eight patients underwent functional endoscopic sinus surgery (FESS) for ACPs removal, under general anesthesia. There were no major intraoperative complications. Recurrence occurred in 12 cases (20.5%).

Conclusions

FESS was the first-choice treatment for APCs in the present series; our recurrence rate was similar to that of other reports available in literature. Recurrences of ACPs in children still represent a clinical challenge; it is likely that an improved comprehension of ACPs biology could help in better understanding the pathophysiology of this disease.

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