Antrochoanal Polyp

Embed Size (px)

Citation preview

  • 7/26/2019 Antrochoanal Polyp

    1/18

    Antrochoanal

    PolypRouzan Nassar 63Reem Eshra 64

  • 7/26/2019 Antrochoanal Polyp

    2/18

    What are nasal polyps?Nasal polyps are abnormal lesions that originate

    from any portion of the nasal mucosa orparanasal sinuses.

    Nasal polyps can aect anyone, they are morecommon in adults older than 40 and in adults andchildren with conditions such as asthma, chronicsinus infections chronic sinusitis!, chronic rhinitisand cystic "brosis

  • 7/26/2019 Antrochoanal Polyp

    3/18

  • 7/26/2019 Antrochoanal Polyp

    4/18

    Antrochoanal polypAntrochoanal polyps, are arising from the ma#illary

    antrum. Although their etiology remainsun$nown.

    &hese polyps originate in the lining of the ma#illaryantrum and gradually prolapse through the

    natural or an accessory ostium into the nasalca'ity and enlarge towards nasopharyn#.

  • 7/26/2019 Antrochoanal Polyp

    5/18

  • 7/26/2019 Antrochoanal Polyp

    6/18

    (pidemiology

    Antrochoanal polyps represent only

    appro#imately )*+ of sinonasalpolyps.

    &hey are most commonly seen in youngadults. &hey are slightly more common inmales compared to females .

    http://radiopaedia.org/articles/missing?article%5Btitle%5D=sinonasal+polypshttp://radiopaedia.org/articles/missing?article%5Btitle%5D=sinonasal+polypshttp://radiopaedia.org/articles/missing?article%5Btitle%5D=sinonasal+polypshttp://radiopaedia.org/articles/missing?article%5Btitle%5D=sinonasal+polyps
  • 7/26/2019 Antrochoanal Polyp

    7/18

    -linical picture

    *nasal obstruction

    */hinorrhea

    *snoring

    *headache

    *epista#is

    *anosmia

    *halitosis

    *dyspnea

    *dysphagia

    *dysphonia

    *nasal pruritis

    ymptoms

  • 7/26/2019 Antrochoanal Polyp

    8/18

    igns1ntranasal polypoidal mass.A larger polyp may

    e#tend into the nasopharyn# .Nasal endoscopy and -& are the main

    diagnostic techni2ues. A-Ps typically appearas a smooth, bluish or yellowish mass on

    nasal endoscopy

  • 7/26/2019 Antrochoanal Polyp

    9/18

    Preoperative evaluation

    -& Nasal

    endoscopyAppears assmooth,bluish mass

    Soft tissuemasses thatoccupy themaxillaryantrum an

    exten intonasal cavity!"#$%bone erosionan mayextenposteriorly to

  • 7/26/2019 Antrochoanal Polyp

    10/18

  • 7/26/2019 Antrochoanal Polyp

    11/18

  • 7/26/2019 Antrochoanal Polyp

    12/18

  • 7/26/2019 Antrochoanal Polyp

    13/18

  • 7/26/2019 Antrochoanal Polyp

    14/18

    $istopatholo'ic

    examinationPseuostrati(e

    ciliate epithelium

    )oose *# stroma"n(ltration of

    in+ammatory cells

  • 7/26/2019 Antrochoanal Polyp

    15/18

    i-erential ia'nosis.uvenile an'io(broma

    "nverte papilloma

    /ucocele/ucus retention cyst

    Nasopharyn'eal mali'nancies

  • 7/26/2019 Antrochoanal Polyp

    16/18

    #reatmentSimple

  • 7/26/2019 Antrochoanal Polyp

    17/18

    Referenceshttp://www.ksrhino.or.kr/upload/journal/0192000001.pdf

    http://otolaryngology.wdles.com/local--les/rhinology/4!9"994-ac-polyp.pdf

    http://doctorsgates.$logspot.com/2010/09/antrochoanal-polyp.html

    http://www.nc$i.nlm.nih.go%/pmc/articles/&'(29"!))/

    http://www.ksrhino.or.kr/upload/journal/0192000001.pdfhttp://otolaryngology.wdfiles.com/local--files/rhinology/48796994-ac-polyp.pdfhttp://otolaryngology.wdfiles.com/local--files/rhinology/48796994-ac-polyp.pdfhttp://otolaryngology.wdfiles.com/local--files/rhinology/48796994-ac-polyp.pdfhttp://otolaryngology.wdfiles.com/local--files/rhinology/48796994-ac-polyp.pdfhttp://www.ksrhino.or.kr/upload/journal/0192000001.pdf
  • 7/26/2019 Antrochoanal Polyp

    18/18

    &han$ 3ou