Mehmet HAKSEVER, Fevzi SOLMAZ, Önder AKDENİZ, Ercan GÜNDOĞDU, Davut AKDUMAN

A rare cause of postnasal drip and nasal obstruction: Isolated sphenochoanal polyp

Koanal polipler, sinüs mukozasından kaynaklanıp nazal boşluğa doğru çıkan, iyi huylu soliter lezyonlardır. Adlandırma kaynaklandığı sinüse göre yapılır. Sfenokoanal polip (SKP) oldukça nadir görülür ve sfenoid sinüsten kaynaklanıp sfenoetmoid resesten geçerek nazofarenks ve orofarenkse uzanır. Anterior rinoskopide antrokoanal poliplerle karıştırılabilir. Bilgisayarlı tomografi ve nazal endoskopi bu iki koanal polip tipinin ayrımında önemlidir. Endoskopik yaklaşımla SKP'in kaynakladığı mukoza ile birlikte tamamen çıkarılması oldukça güvenli olup nüks açısından minimal riske sahiptir. Bu çalışmada, sfenokanal polibi bulunan ve bu kitlesi endoskopik transnazal cerrahi ile çıkarılan, 30 yaşında bir erkek hasta bildirdik. Hastanın postoperatif 9 aylık takibinde rekürrens saptanmadı.

Geniz akıntısı ve burun tıkanıklığının nadir bir sebebi: izole sfenokoanal polip

Choanal polyps are benign solitary masses, arising within the sinus and protruding into nasal cavity. The nomenclature is made according to the sinus that it is originated from. Sphenochoanal polyp (SCP) is quite rare, originates from sphenoid sinus, passes through the sphenoethmoid recess and elongates to nasopharynx and oropharynx. It may be confused with antrochoanal polyps on anterior rhinoscopy. Radiological examination with computerized tomography and nasal endoscopy are important in the differentiation of these two types of choanal polyps. Endoscopic approach for the complete removal of the SCP including its mucosa of the site of origin is extremely safe, which has minimal risk of recurrence. Herein we report a 30 years-old male patient with SCP, which was removed via endoscopic transnasal surgery. He had no recurrence at postoperative 9 months of follow-up. . J Clin Exp Invest 2015; 6 (2): 183-185.

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