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Clinical features and management of antrochoanal polyps in children: Cues from a clinical series of 58 patients.

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OBJECTIVE To review the clinical features of pediatric patients affected by antrochoanal polyps (ACPs) and surgically treated at three University settings. METHODS Retrospective study. The present research includes the clinical… Click to show full abstract

OBJECTIVE To review the clinical features of pediatric patients affected by antrochoanal polyps (ACPs) and surgically treated at three University settings. METHODS Retrospective study. The present research includes the clinical data of subjects affected by ACPs, aged <18 years and referred to three ENT Departments, between January 1st 2003 and September 30th 2016. All patients underwent nasal endoscopy and sinonasal imaging; all subjects have been treated surgically. RESULTS Fifty-eight patients underwent functional endoscopic sinus surgery (FESS) for ACPs removal, under general anesthesia. There were no major intraoperative complications. Recurrence occurred in 12 cases (20.5%). CONCLUSIONS FESS was the first-choice treatment for APCs in the present series; our recurrence rate was similar to that of other reports available in literature. Recurrences of ACPs in children still represent a clinical challenge; it is likely that an improved comprehension of ACPs biology could help in better understanding the pathophysiology of this disease.

Keywords: management antrochoanal; clinical features; polyps children; antrochoanal polyps; series; features management

Journal Title: International journal of pediatric otorhinolaryngology
Year Published: 2018

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