Nikakhlagh Soheila, Rahim Fakher, Saki Nader, Mohammadi Hamdollah, Maliheh Yavari Md
Imam Khomeini hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Niger J Med. 2012 Apr-Jun;21(2):156-9.
The aim of this study was to evaluate the management of antrochoanal polys (ACPs) with functional endoscopic sinus surgery and review literatures.
We retrospectively studied the clinical presentations and operative records of 94 patients with ACPs treated surgically in the period of September 1999 to March 2008 (about 9 years). Age, gender, side, Clinical symptoms, duration of follow up, associated rhinological findings, forms of surgical treatment, postoperative complications and recurrence rate were reviewed.
Total records of 94 patients [mean (+/- SD age of 26.5 +/- 12.8 years, 55 males (58.5%) and 39 females (41.5%)] were studied. Postoperative follow-up duration ranged from 8 to 68 months. The most common clinical symptom was nasal obstruction (100%) and Rhinorrhoea (57.4%). The origins and sites of the pedicle in the maxillary sinus were mostly present in medial wall in 32 patients. Recurrence rate in our study was of 5.3% (5 cases) after 10 months postoperatively. For the revision surgery, endoscopic resection was combined with Caldwell-Luc procedure.
The antrochoanal polyp happens predominantly in children and young adults of both male and female patients. Endoscopic sinus surgery is an effective, safe and reliable method with major advantage for the treatment of antrochoanal polyps.
本研究旨在评估功能性鼻内镜鼻窦手术治疗上颌窦后鼻孔息肉（ACPs）的效果并复习相关文献。
我们回顾性研究了1999年9月至2008年3月（约9年）期间接受手术治疗的94例上颌窦后鼻孔息肉患者的临床表现和手术记录。对患者的年龄、性别、患侧、临床症状、随访时间、相关鼻科检查结果、手术治疗方式、术后并发症及复发率进行了分析。
共研究了94例患者的记录[平均（±标准差）年龄为26.5±12.8岁，男性55例（58.5%），女性39例（41.5%）]。术后随访时间为8至68个月。最常见的临床症状是鼻塞（100%）和流涕（57.4%）。32例患者上颌窦息肉蒂的起源和部位大多位于内侧壁。本研究术后10个月的复发率为5.3%（5例）。对于翻修手术，采用鼻内镜切除联合柯-陆氏手术。
上颌窦后鼻孔息肉主要发生于儿童及青年男女患者。鼻内镜鼻窦手术是治疗上颌窦后鼻孔息肉的一种有效、安全且可靠的方法，具有显著优势。
