Ozdek Ali, Samim Erdal, Bayiz Unal, Meral Ilhan, Safak M Asim, Oğuz Haldun
ENT Department, Ministry of Health, Ankara Research and Training Hospital, Ankara, Turkey.
Int J Pediatr Otorhinolaryngol. 2002 Sep 24;65(3):213-8. doi: 10.1016/s0165-5876(02)00153-2.
To evaluate the characteristics of antrochoanal polyps (ACPs) in children.
10 children operated for ACP were investigated retrospectively. Demographic characteristics, surgical and histopathological findings were evaluated.
The mean age was 10.2 years. The antral part of ACP was removed through middle meatal antrostomy in four patients, and transcanine sinuscopy was needed in six patients. It was found that the polyp passed through the main ostium in seven patients and accessory ostium in three patients. The antral part of the polyp was found to be cystic in six patients and polypoid in four patients. There was recurrence of polyps during follow-up period in two cases in which antral part of the polyp was seen to be removed through middle meatal antrostomy during primary surgery. In histologic examination, prominent eosinophilia was detected only in one patient and no mucous gland was detected in any patient.
Endoscopic surgery through the middle meatal antrostomy combined with transcanine sinuscopy ensures the complete removal of the antral part of ACP in children.
评估儿童上颌窦后鼻孔息肉（ACPs）的特征。
回顾性研究10例接受ACPs手术的儿童。评估人口统计学特征、手术及组织病理学结果。
平均年龄为10.2岁。4例患者通过中鼻道上颌窦造口术切除ACPs的上颌窦部分，6例患者需要经犬齿窦镜检查。发现7例患者息肉通过主要开口，3例患者通过副开口。6例患者息肉的上颌窦部分为囊性，4例为息肉样。在初次手术中通过中鼻道上颌窦造口术切除息肉上颌窦部分的2例患者在随访期间息肉复发。组织学检查中，仅1例患者检测到明显嗜酸性粒细胞增多，所有患者均未检测到黏液腺。
通过中鼻道上颌窦造口术联合经犬齿窦镜检查的内镜手术可确保完全切除儿童ACPs的上颌窦部分。
