Antrochoanal Polyps: How Long Should Follow-Up Be after Surgery?

International Journal of Otolaryngology
Saisawat ChaiyasateSupranee Fooanant

Abstract

Objective. To investigate the length of follow-up needed to detect recurrence of antrochoanal polyps. Methods. A retrospective investigation was performed on patients who had been operated on with a preoperative diagnosis of antrochoanal polyps in Chiang Mai University hospital from 2006 to 2012. Results and Discussion. Of the 38 cases of choanal polyps, 27 were adults (71%). The median age was 23.5, ranging from 7 to 64 years old. Eighteen patients were male (47.4%). The origin of choanal polyps was the maxillary antrum in 32 patients. The most common symptom was nasal obstruction (97.4%). The surgical procedures were polypectomy in one child and combined endoscopic and transcanine fossa approach in two adults. The remainder of the patients underwent endoscopic removal of the polyps. The follow-up time ranged from 1 day to 8 years. There were 5 cases of recurrence of which four were in children. The time for recurrence was 1.2 ± 0.6 years (95% CI 0.51, 1.97). Conclusion. Antrochoanal polyps are more common in younger patients. Recurrence was significantly higher in children. Follow-up of patients should be for at least 2 years postoperatively in order to detect 95% of recurrence.

References

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Citations

Jun 4, 2016·Journal of Medical Case Reports·Chakapan Promsopa
May 10, 2019·The Journal of Laryngology and Otology·E MantillaH Álvarez-Neri
Oct 27, 2020·Acta otorhinolaryngologica Italica : organo ufficiale della Società italiana di otorinolaringologia e chirurgia cervico-facciale·Hasan Ibrahim Al-BalasErnesto Pasquini
Jun 1, 2016·The Journal of Craniofacial Surgery·Senol ComogluKemal Deger

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