Alt konkadan kaynaklanan nazal polipozisi taklit eden koanal polip

Koanal polipler sıklıkla maksiller sinus orijinli olma- sına karşın, nadiren alt konkadan da kaynaklanabi- lir. Bu yazıda, 10 yıldır horlama, ağız solunumu, bu- run akıntısı ve iki taraflı burun tıkanıklığı yakınma- sı olan 14 yaşında bayan hasta sunuldu. Endosko- pik muayenesinde sağ burun boşluğunu polipoid bir kitle tamamen kapatmıştı. Polipoid kitle sol ko- anayı da tamamen kapatıyordu. Endoskopik poli- pektomiyle polip dokusu çıkarıldı ve polipoid kitle- nin sağ alt konkadan kaynaklandığı görüldü. Tek taraflı nazal polipoid kitleli olgularda alt konkadan köken alan koanal polip de ayırıcı tanıda dikkate alınmalıdır

Choanal polyp originated from the inferior turbinate presenting as nasal polyposis

Although choanal polyps frequently arise from the max- illary sinüs, a choanal polyp originating from the inferi­ or turbinate is a rare entity. A 14-year-old girl who had a history of bilateral nasal obstruction with snoring, mouth breathing and nasal discharge for 10 years, was presented. İn endoscopic examination, a polypoid mass completely obliterated the right nasal cavity. Left choana was also totally occluded by the polypoid mass. Endoscopic polypectomy was performed and it was observed that the polyp was originated from right inferior turbinate. Choanal polyps arising from the infe­ rior turbinate should be kept in mind in the differential diagnosis of the unilateral nasal polypoid masses.

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  • Berg O, Carenfelt C, Silfversward C, Sobin A. Origin of the choanal polyp. Arch Otolaryngol Head Neck Surg 1988;114:1270-1.
  • Chen JM, Schloss MD, Azouz ME. Antro-choanal polyp: a 10-year retrospective study in the pediatric population with a review of the literature. J Otolaryngol 1989;18:168-72.
  • Lopatin A, Bykova V, Piskunov G. Choanal polyps: one entity, one surgical approach? Rhinology 1997; 35:79-83.
  • Yumoto E, Yamagata K, Shinohara T. Two cases of paranasal sinusitis with choanal polyp in children. Nippon Jibiinkoka Gakkai Kaiho 1992;95:1223-8.
  • Dadas B, Yilmaz O, Vural C, Calis AB, Turgut S. Choanal polyp of sphenoidal origin. Eur Arch Otorhinolaryngol 2000;257:379-81.
  • Ileri F, Koybasioglu A, Uslu S. Clinical presentation of a sphenochoanal polyp. Eur Arch Otorhinolaryngol 1998;255:138-9.
  • Gordts F, Clement PA. Unusual choanal polyps. Acta Otorhinolaryngol Belg 1997;51:177-80.
  • Aktas D, Yetiser S, Gerek M, Kurnaz A, Can C, Kahramanyol M, et al. Antrochoanal polyps: analysis of 16 cases. Rhinology 1998;36:81-5.