Čanji Karol V, Mitrović Slobodan M
Med Pregl. 2014 Nov-Dec;67(11-12):410-2. doi: 10.2298/mpns1412410c.
Antrochoanal polyp is a benign tumor of the maxillary sinus mucosa passing through the sinus ostium into the nasal cavity. Nasal obstruction is the most common symptom in all patients.
The authors present a case of a 28-year old female who was admitted to hospital with breathing difficulty, unilateral nasal secretion, headache and deformity of the nasal pyramid. Computerized tomography examination of the nose and paranasal sinuses indicated a possibility of giant antrochoanal polyp. The antrochoanal polyp was extirpated completely using forceps, under general endotracheal anesthesia. The length of the giant polyp was 16 cm. A follow-up examination of the nose and the right maxillary sinus was performed using a rigid endoscope, but no remains of the polyp were found.
The authors believe that this is probably the first or a very rare published case of complete extirpation of a giant antrochoanal polyp of this size.
上颌窦后鼻孔息肉是一种起源于上颌窦黏膜并经窦口长入鼻腔的良性肿瘤。鼻塞是所有患者最常见的症状。
作者报告一例28岁女性患者，因呼吸困难、单侧鼻分泌物、头痛及鼻背畸形入院。鼻及鼻窦计算机断层扫描检查提示可能为巨大上颌窦后鼻孔息肉。在全身气管内麻醉下，用钳子完整摘除了上颌窦后鼻孔息肉。该巨大息肉长度为16厘米。使用硬式内窥镜对鼻腔及右上颌窦进行了随访检查，未发现息肉残留。
作者认为，这可能是首次报道或极为罕见的如此大小的巨大上颌窦后鼻孔息肉完整摘除病例。
