A Comparative Study of Antrochoanal Polyp in Children and Adults / 대한이비인후과학회지

ABSTRACT

BACKGROUND AND OBJECTIVES: Antrochoanal polyp (ACP) is defned as a polyp that originates in the maxillary sinus. The polyps are usually seen in children and adolescents. The aim of this study was to compare the characteristics between the child and adults groups who have ACP. SUBJECTS AND METHOD: A total of 55 patients who underwent endoscopic sinus surgery for ACP was enrolled in this study. The population of this study was divided into child (≤17 years old) and adult (≥18 years old) groups. The clinical data and CT fndings including stages, maxillary sinus retention cyst (MSRC) of non-ACP lesion side, and accompanying sinusitis using Lund-Mackay score were retrospectively investigated. RESULTS: On CT stage of ACPs and MSRC, there were no signifcant differences between the two groups (p > 0.05). The accompanying sinusitis was more common in child group (p < 0.05). Endoscopic sinus surgery (ESS) combined canine fossa approach as well as ESS alone were the effective methods in treating ACPs in both groups. CONCLUSION: The accompanying sinusitis could be common in children with ACPs, which should be treated with ACPs simultaneously.