Hostname: page-component-76fb5796d-vfjqv Total loading time: 0 Render date: 2024-04-29T21:52:28.719Z Has data issue: false hasContentIssue false
  • English
  • Français

Significance of nasal septal deviation among patients with antrochoanal polyp

Published online by Cambridge University Press:  14 December 2022

N Rozendorn Open the ORCID record for N Rozendorn [Opens in a new window] ,
M Warman ,
E Zloczower ,
J Mansour  and
A Yakirevitch Open the ORCID record for A Yakirevitch [Opens in a new window]
N Rozendorn
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Sheba Medical Center, Tel Hashomer, Israel
M Warman
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Kaplan Medical Center, Rehovot, Israel Faculty of Medicine, Hebrew University of Jerusalem, Israel
E Zloczower
Affiliation:
Faculty of Medicine, Hebrew University of Jerusalem, Israel
J Mansour
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Sheba Medical Center, Tel Hashomer, Israel
A Yakirevitch*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Sheba Medical Center, Tel Hashomer, Israel Sackler Faculty of Medicine, Tel Aviv University, Israel
*
Corresponding author: Dr A Yakirevitch, Department of Otolaryngology – Head and Neck Surgery, Sheba Medical Center, Tel Hashomer, Ramat-Gan, 52621, Israel E-mail: arkadiyak@gmail.com, Fax: +97 235 302 238
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

This study aimed to examine the association between nasal septal deviation and antrochoanal polyp.

Methods

This was a retrospective review of medical records and imaging of patients who underwent endoscopic sino-nasal surgery for antrochoanal polyp.

Results

Forty-eight patients operated on for antrochoanal polyp between 2009 and 2019 were eligible for the study. The median age was 32 years, and 52.1 per cent were male. Antrochoanal polyp was diagnosed equally in the right and left nasal cavities. Septal deviation was present in 77 per cent of such cases. In 44 per cent of septal deviation cases, the antrochoanal polyp was ipsilateral to the deviation, which was not statistically significant. The type of deviation according to the Mladina classification was not correlated with the laterality of septal deviation and antrochoanal polyp.

Conclusion

The laterality of the septal deviation was not found to be correlated with that of the antrochoanal polyp. Therefore, performing routine septoplasty during antrochoanal polyp surgery is unnecessary unless the deviation interferes with the complete extraction of the polyp.

Keywords

Nasal PolypsComputed TomographyNasal ObstructionEndoscopic Sinus SurgeryNasal Septum
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 137 , Issue 8 , August 2023 , pp. 921 - 924
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Dr A Yakirevitch takes responsibility for the integrity of the content of the paper

References

Maldonado, M, Martínez, A, Alobid, I, Mullol, J. The antrochoanal polyp. Rhinology 2004;42:178–82Google ScholarPubMed
Iziki, O, Rouadi, S, Abada, RL, Roubal, M, Mahtar, M. Bilateral antrochoanal polyp: report of a new case and systematic review of the literature. J Surg Case Rep 2019;2019:rjz074CrossRefGoogle ScholarPubMed
Yaman, H, Yilmaz, S, Karali, E, Guclu, E, Ozturk, O. Evaluation and management of antrochoanal polyps. Clin Exp Otorhinolaryngol 2010;3:110–4CrossRefGoogle ScholarPubMed
Sarafraz, M, Niazi, A, Araghi, S. The prevalence of clinical presentations and pathological characteristics of antrochoanal polyp. Niger J Med 2015;24:12–16Google ScholarPubMed
Chen, JM, Schloss, MD, Azouz, ME. Antro-choanal polyp: a 10-year retrospective study in the pediatric population with a review of the literature. J Otolaryngol 1989;18:168–72Google ScholarPubMed
Cook, PR, Davis, WE, McDonald, R, McKinsey, JP. Antrochoanal polyposis: a review of 33 cases. Ear Nose Throat J 1993;72:401–2CrossRefGoogle ScholarPubMed
Frosini, P, Picarella, G, De Campora, E. Antrochoanal polyp: analysis of 200 cases. Acta Otorhinolaryngol Ital 2009;29:21–6Google ScholarPubMed
Mostafa, HS, Fawzy, TO, Jabri, WR, Ayad, E. Lymphatic obstruction: a novel etiologic factor in the formation of antrochoanal polyps. Ann Otol Rhinol Laryngol 2014;123:381–6CrossRefGoogle ScholarPubMed
Mladina, R. The role of maxillar morphology in the development of pathological septal deformities. Rhinology 1987;25:199–205Google ScholarPubMed
Berg, O, Carenfelt, C, Silfverswärd, C, Sobin, A. Origin of the choanal polyp. Arch Otolaryngol Head Neck Surg 1988;114:1270–1CrossRefGoogle ScholarPubMed
Piquet, JJ, Chevalier, D, Leger, GP, Rouquette, I, Leconte-Houcke, M. Endonasal microsurgery of antro-choanal polyps. Acta Otorhinolaryngol Belg 1992;46:267–71Google ScholarPubMed
Lee, TJ, Huang, SF. Endoscopic sinus surgery for antrochoanal polyps in children. Otolaryngol Head Neck Surg 2006;135:688–92CrossRefGoogle ScholarPubMed
Hekmatnia, A, Shirvani, F, Mahmoodi, F, Hashemi, M. Association of anatomic variations with antrochoanal polyps in paranasal sinus computed tomography scan. J Res Med Sci 2017;22:3Google ScholarPubMed
Balikci, HH, Ozkul, MH, Uvacin, O, Yasar, H, Karakas, M, Gurdal, M. Antrochoanal polyposis: analysis of 34 cases. Eur Arch Otorhinolaryngol 2013;270:1651–4CrossRefGoogle ScholarPubMed
Mladina, R, Cujić, E, Subarić, M, Vuković, K. Nasal septal deformities in ear, nose, and throat patients: an international study. Am J Otolaryngol 2008;29:75–82CrossRefGoogle ScholarPubMed