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Objective: This study aimed to examine the clinical, radiological, and surgical characteristics of the antrochoanal polyp (ACP) and compare the results between children and adults.
Methods: In this retrospective study, the clinical characteristics, computed tomography (CT) findings, accompanying nasal anatomic variations, surgical methods, and results of 71 patients who applied to the Tokat State Hospital between January 2009 and October 2017, and who were operated for ACP, were investigated.
Results: The study included a total of 71 patients, 25 (35.2%) of whom were children and 45 (64.8%) were adults. The most common anatomic variation that accompanied ACP was septum deviation (53.2%), and the second most common was concha bullosa (29.5%). In adults, septum deviation was seen at significantly higher levels than in children (P<.05). ACP excision in children was performed only with the endoscopic approach (100%), and no external approach was employed. In adults, however, endoscopic surgery was performed at a rate of 80.4%, and the combined approach (endoscopic surgery and mini-Caldwell) was performed at a rate of 19.5%. The average follow-up period was 43.3±24.5 months (range, 9–85 months) in children and 46.9±26.4 months (range, 10–91 months) in adults. Recurrence was observed in 7 (28%) children and in 3 (6. 52%) in adults (P<.05).
Conclusion: Our study shows that there are some differences in the characteristics of ACP between children and adults. Septum deviation and ipsilateral sinus effects are higher in adults than in children. The recurrence rate is lower in adults than in children. Therefore, the walls of the maxillary antrum must be evaluated as much as possible in children in whom only the endoscopic technique is performed.
Cite this article as: Aksakal C. Examining the differences in the characteristics of antrochoanal polyps between children and adults. B-ENT 2021; 17(1): 1-6.