Antrochoanal

Polyp
Rouzan Nassar 63
Reem Eshra 64

What are nasal polyps?

Nasal polyps are abnormal lesions that originate
from any portion of the nasal mucosa or
paranasal sinuses.
Nasal polyps can affect anyone, they are more
common in adults older than 40 and in adults and
children with conditions such as asthma, chronic
sinus infections (chronic sinusitis), chronic rhinitis
and cystic fibrosis

Antrochoanal polyp

Antrochoanal polyps, are arising from the maxillary

antrum. Although their etiology remains
unknown.
These polyps originate in the lining of the maxillary
antrum and gradually prolapse through the
natural or an accessory ostium into the nasal
cavity and enlarge towards nasopharynx.

Epidemiology
Antrochoanal polyps represent only
approximately 3-6% ofsinonasal polyps.
They are most commonly seen in young
adults. They are slightly more common in
males compared to females.

Clinical picture:

:Symptoms

-nasal obstruction
-Rhinorrhea
-snoring
-headache
-epistaxis
-anosmia
-halitosis
-dyspnea
-dysphagia
-dysphonia
-nasal pruritis

Signs:

Intranasal polypoidal mass.A larger polyp may

extend into the nasopharynx .
Nasal endoscopy and CT are the main
diagnostic techniques. ACPs typically appear
as a smooth, bluish or yellowish mass on
nasal endoscopy

Preoperative evaluation
CT
Soft tissue
masses that
occupy the
maxillary
antrum and
extend into
nasal cavity
WITHOUT
bone erosion
and may
extend
posteriorly to

Nasal
endoscopy
Appears as
smooth,
bluish mass

Histopathologic
examination
Pseudostratified

ciliated epithelium
Loose CT stroma
Infiltration of
inflammatory cells

Differential diagnosis
Juvenile angiofibroma
Inverted papilloma
Mucocele
Mucus retention cyst
Nasopharyngeal malignancies

Treatment
Simple

References
http://www.ksrhino.or.kr/upload/journal/0192000001.pdf
http://otolaryngology.wdfiles.com/local--files/rhinology/487

96994-ac-polyp.pdf
http://doctorsgates.blogspot.com/2010/09/antrochoanalpolyp.html
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2896733/

Thank You