Endoscopic approach for the treatment of antrochoanal polyp

Objective: to determine the efficacy of endoscopic removal of the antrochoanal polyp with middle meatal antrostomy in terms of morbidity and recurrence. design: a descriptive study place and duration of study: ent unit i,allama iqbal medical college/jinnah hospital,lahore,from march 2008 to september 2009. patients and methods: twenty four consecutive patients (10 females,14 males; mean age 22 years; range 14 to 32 years) were included. preoperatively,all the patients were evaluated with detailed history,endoscopic nasal cavity and nasopharyngeal examination and computed tomography. age,gender,main symptom leading to consultation,previous surgical treatment performed,duration of hospital stay and recurrence were evaluated. follow-up examinations were performed in the first,three and six months postoperative. results: all twelve patients underwent endoscopic removal of antrochoanal polyps with middle meatal antrostomy. males 58.33% are affected more than the females 41.67%. right side 66.67% is more commonly involved in our patients. six patients had past history of intra nasal polypectomy. nasal obstruction 91.67% and mouth breathing 58.33% were two main symptoms seen at the time of presentation followed by snoring,rhinorrhea and post nasal discharge seen in 33.33%; headache and epistaxsis were present in 25% and 8.33% patients. all patients had three day of hospital stay and none of them had any serious post operative problem. none of the patient had recurrence up till now. conclusion: endoscopic sinus surgery proved an ideal approach for antrochoanal polyps as it enables complete removal of the antral portion of the polyp.