Burun tıkanıklığının nadir bir nedeni: Sfenokoanal polip
Koanal polipler genellikle maksiller sinüs antrumundan köken alırlar. Sfenoid sinüsten köken alan sfenokoanal polip oldukça nadirdir. Hastalar antrokoanal poliple benzer bulgularla başvururlar. Radyoloji bu iki farklı koanal polibin ayırımında önemli bir yere sahiptir. Polibin bir kısmının çıkartılmadığı yetersiz cerrahilerde tekrarlama olasılığı yüksektir. Endoskopik sinüs cerrahisiyle başarılı bir şekilde tedavi edilen sfenokoanal polipli bir olguyu sunuyoruz. Hasta bir yıldır şikayeti olmadan izlenmektedir.
A rare cause of nasal obstruction: Sphenochoanal polyp
Choanal polyps mostly arise from the antrum of maxillary sinus. Sphenochoanal polyp arising from the sphenoid sinus is extremely rare. It presents with similar symptoms of antrochoanal polyps. Radiological examination is important in differentiation of these two types of choanal polyps. Inadequate surgery that leaves some part of the polyp has a high risk of recurrence. We present a case of sphenochoanal polyp treated successfully with endoscopic sinus surgery. The patient is symptom free for 1 year.
___
- 1. Lessa MM, Voegels RL, Padua F, Wiikmann C, Romano FR, Butugan O. Sphenochoanal polyp: diagnose and treatment. Rhinology 2002;40(4):215-6.
- 2. Skladzien J, Litwin JA, Nowogrodzka-Zagorska M, Wierzchowski W. Morphological and clinical characteristics of antrochoanal polyps: comparison with chronic inflammation associated polyps of the maxillary sinus. Auris Nasus Larynx 2001;28(2):137-41.
- 3. Ozcan C, Duce MN, Gorur K. Choanal polyp originating from the middle turbinate. Eur Arch Otorhinolaryngol 2004;261(4):184-6.
- 4. Tosun F, Yetiser S, Akcam T, Ozkaptan Y. Sphenochoanal polyp: endoscopic surgery. Int J Pediatr Otorhinolaryngol 2001;58(1):87-90.
- 5. Dabholkar JP, Nair DR, Sharma A. Sphenochoanal polyp- a rare diagnosis in nasal obstruction. Indian J Otolaryngol Head neck Surg 2008;60(3):271-3.
- 6. Crampette L, Mondain M, Rombaux P. Sphenochoanal polyp in children. Diagnosis and treatment. Rhinology 1995;33(1):43-5.
- 7. Dadas B¸ Yilmaz O, Vural C, Calis AB¸ Turgut S. Choanal polyp of sphenoidal origin, Eur Arch Otorhinolaryngol 2000;257(7):379-81.
- 8. Berg O, Carenfelt C, Silfversward C, Sobin A. Origin of the antrochoanal polyp. Arch Otolaryngol Head Neck Surg 1988;114(11):1270-1.
- 9. Ileri F, Koybasıoglu A, Uslu S. Clinical presentation of a sphenochoanal polyp. Eur Arch Otorhinolaryngol 1998;255(3):138-9.
- 10. Aktas D, Yetiser S, Gerek M, Kurnaz A, Can C, Kahramanyol M. Antrochoanal polyps; analysis of 16 cases, Rhinology 1998;36(2):81-5.