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VOLUME 15 , ISSUE 1 ( January-April, 2024 ) > List of Articles

CASE REPORT

Bilateral Antrochoanal Polyp in an Adult, a Rare Cause of Bilateral Nasal Blockage: Report of a Case and Review of the Literature—A Case Report

Clara Espina, Felip Ferrer Baixauli, María Aragonés Redó, Tomàs Pérez-Carbonell, Jaime Marco-Algarra

Keywords : Bilateral antrochoanal polyp, Bilateral nasal blockage, Case report, Functional endoscopic sinus surgery, Nasal cavity

Citation Information : Espina C, Baixauli FF, Redó MA, Pérez-Carbonell T, Marco-Algarra J. Bilateral Antrochoanal Polyp in an Adult, a Rare Cause of Bilateral Nasal Blockage: Report of a Case and Review of the Literature—A Case Report. Clin Rhinol An Int J 2024; 15 (1):48-50.

DOI: 10.5005/jp-journals-10013-1401

License: CC BY-NC 4.0

Published Online: 16-11-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Aim: To present a clinical case of bilateral antrochoanal polyps (ACPs) in a 38-year-old patient without history of asthma or allergy. Background: Antrochoanal polyps are benign tumors that originate from the maxillary sinus mucosa and emerge from the nasal cavity, arriving at the nasopharynx. The bilateral form of this entity is extremely rare and frequently appears as a bilateral nasal blockage, as we report in our review of the literature. Case description: We report a case of a 38-year-old male with no antecedents of asthma nor allergy diagnosed with bilateral ACPs removed by functional endoscopic sinus surgery (FESS). We present the clinical and therapeutic approach as well as the outcome and possible causes of appearance. Conclusion: Antrochoanal bilateral polyps are an extremely infrequent entity. Its diagnostic confirmation must be performed by histology, and its management is surgical. The present article recommends keeping the differential diagnosis of bilateral ACPs in cases of chronic bilateral nasal blockage. Clinical significance: The patient that we present did not have a previous history of asthma, allergy, or any anatomical alteration. Given this fact, as well as the low prevalence of bilateral ACPs, we must take into consideration that this form can be caused by another physiopathological mechanism, yet to be determined, and that is why we consider it important to report this type of case.

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  1. Killian G. The origin of choanal polypi. Lancet 1906;168(4324):81–82. DOI: 10.1016/S0140-6736(01)32583-7.
  2. Nikakhlagh S, Rahim F, Saki N, et al. Antrochoanal polyps: Report of 94 cases and review the literature. Niger J Med 2012;21(2):156–159. PMID: 23311182.
  3. Maldonado M, Martínez A, Alobid I, et al. The antrochoanal polyp. Rhinology 2004;42(4):178–182. PMID: 15626248.
  4. Frosini P, Picarella G, De Campora E. Antrochoanal polyp: Analysis of 200 cases. Acta Otorhinolaryngol Ital 2009;29(1):21–26. PMID: 19609378.
  5. Bozzo C, Garrel R, Meloni F, et al. Endoscopic treatment of antrochoanal polyps. Eur Arch Otorhinolaryngol 2007;264(2):145–150. DOI: 10.1007/s00405-006-0175-y.
  6. Casiano RR, Herzallah IR, Jean Anderson E. Endoscopic sinonasal dissection guide including orbit and skull base. Thieme 2017. DOI: 10.1055/b-005-143627.
  7. Freitas MR, Giesta RP, Pinheiro SD, et al. Antrochoanal polyp: A review of sixteen cases. Braz J Otorhinolaryngol 2006;72(6):831–835. DOI: 10.1016/s1808-8694(15)31052-1.
  8. Yaman H, Yilmaz S, Karali E, et al. Evaluation and management of antrochoanal polyps. Clin Exp Otorhinolaryngol 2010;3(2):110–114. DOI: 10.3342/ceo.2010.3.2.110.
  9. Yilmaz YF, Titiz A, Özcan M, et al. Bilateral antrochoanal polyps in an adult: A case report. B-ENT 2007;3(2):97–99. PMID: 17685053.
  10. Sousa DWS, Pinheiro SD, da Silva VC, et al. Bilateral antrochoanal polyps in an adult. Braz J Otorhinolaryngol 2011;77(4):539. DOI: 10.1590/S1808-86942011000400023.
  11. Pawan S, Gupta N. Bilateral antrochoanal polyp in an adult: A rarity. Clinical Rhinology An International Journal 2011;4(3):145–146. DOI: 10.5005/jp-journals-10013-1095.
  12. Ozdek A, Ozel HE. Unusual presentations of choanal polyps: Report of 3 cases. Ear Nose Throat J 2014;93(2):E10–E13. PMID: 24526483.
  13. Sabino HAC, Faria FM, Tamashiro E, et al. Bilateral antrochoanal polyp: Case report. Braz J Otorhinolaryngol 2014;80(2):182–183. DOI: 10.5935/1808-8694.20140037.
  14. Chodankar S, Tiwari M. Bilateral antrochoanal polyp in an elderly male-a rarity. Odisha J Otorhinolaryngol 2015;9.
  15. Oner F, Sakat MS, Gozeler MS, et al. Bilateral Antrochoanal Polyp. J Craniofac Surg 2015;26(7):e661–e662. DOI: 10.1097/SCS.0000000 000002072.
  16. Alashoura AS, Alshaikh NA, Yeak S. Bilateral antrochoanal polyps: A case report and literature review. Pan Arab J Rhinol 2016;6(2):59–63. DOI: 10.4103/2090-7540.200619.
  17. Iziki O, Rouadi S, Abada RL, et al. Bilateral antrochoanal polyp: Report of a new case and systematic review of the literature. J Surg Case Rep 2019;2019(3):rjz074. DOI: 10.1093/jscr/rjz074.
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