Guest guest Posted July 11, 2010 Report Share Posted July 11, 2010 This article is basic and descriptive, but one of its points is that the rate of recurrence of polyposis is lower when the surgery goes to the root of the polyp and cuts everything off. It loks like there is a higher recurrence rate with simple polypectomy, which does not always cut the polyp stalk entirely. --------- Clin Exp Otorhinolaryngol. 2010 Jun;3(2):110-4. Epub 2010 Jun 30. Evaluation and management of antrochoanal polyps. Yaman H, Yilmaz S, Karali E, Guclu E, Ozturk O. Department of Otorhinolaryngology, Duzce University Medical Faculty, Duzce, Turkey. Abstract Antrochoanal polyps (ACPs) are benign polypoid lesions arising from the maxillary antrum and they extend into the choana. They occur more commonly in children and young adults, and they are almost always unilateral. The etiopathogenesis of ACPs is not clear. Nasal obstruction and nasal drainage are the most common presenting symptoms. The differential diagnosis should include the causes of unilateral nasal obstruction. Nasal endoscopy and computed tomography scans are the main diagnostic techniques, and the treatment of ACPs is always surgical. Functional endoscopic sinus surgery (FESS) and powered instrumentation during FESS for complete removal of ACPs are extremely safe and effective procedures. Physicians should focus on detecting the exact origin and extent of the polyp to prevent recurrence. PMID: 20607082 [PubMed - in process]Free Article Quote Link to comment Share on other sites More sharing options...
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