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Combined approach for paediatric recurrent antrochoanal polyp: a single-centre case series of 27 children

Published online by Cambridge University Press:  09 May 2019

E Mantilla ,
P Villamor ,
C De La Torre  and
H Álvarez-Neri
E Mantilla
Affiliation:
Department of Paediatric Otolaryngology, Hospital Infantil de México Federico Gómez, Mexico City, Mexico
P Villamor*
Affiliation:
Department of Paediatric Otolaryngology, Hospital Infantil de México Federico Gómez, Mexico City, Mexico
C De La Torre
Affiliation:
Department of Paediatric Otolaryngology, Hospital Infantil de México Federico Gómez, Mexico City, Mexico
H Álvarez-Neri
Affiliation:
Department of Paediatric Otolaryngology, Hospital Infantil de México Federico Gómez, Mexico City, Mexico
*
Author for correspondence: Dr Perla Villamor, Calle Dr Márquez 162, Cuauhtémoc, 06720 Ciudad de México, CDMX, Mexico E-mail: perla.villamor@gmail.com
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Abstract

Objective

To compare functional endoscopic sinus surgery with a combined approach (functional endoscopic sinus surgery plus Caldwell–Luc procedure) for the treatment of paediatric antrochoanal polyp, in terms of antrochoanal polyp recurrence and safety.

Method

This retrospective case series comprises 27 paediatric patients with recurrent antrochoanal polyp, treated from January 2010 to January 2018.

Results

The average age of the patients at the time of diagnosis was 10.4 ± 2.49 years. The recurrence rate after functional endoscopic sinus surgery alone was 72.9 per cent, compared with 12.5 per cent after functional endoscopic sinus surgery plus the Caldwell–Luc procedure (p < 0.00001). No complications were reported during surgery or follow up.

Conclusion

The correct identification of the origin of the antrochoanal polyp and an adequate returning of maxillary ventilation by widening the ostium can prevent recurrences. Although functional endoscopic sinus surgery continues to be the ‘gold standard’ for antrochoanal polyp treatment, in cases of revision surgery, a combined approach could ensure the complete removal of the polyp through the two openings.

Keywords

Recurrent Antrochoanal PolypChildrenRecurrenceRevision SurgeryFunctional Endoscopic Sinus SurgeryCaldwell-Luc
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 7 , July 2019 , pp. 627 - 631
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Dr P Villamor takes responsibility for the integrity of the content of the paper

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