A rare cause of postnasal drip and nasal obstruction: Isolated sphenochoanal polyp

Önder Akdeniz; Fevzi Solmaz; Mehmet Haksever; Davut Akduman; Ercan Gündoğdu

doi:10.5799/ahinjs.01.2015.02.0513

A rare cause of postnasal drip and nasal obstruction: Isolated sphenochoanal polyp

Year 2015, Volume: 6 Issue: 2, - , 13.07.2015

Önder Akdeniz Fevzi Solmaz , Mehmet Haksever Davut Akduman Ercan Gündoğdu

https://doi.org/10.5799/ahinjs.01.2015.02.0513

Abstract

Choanal polyps are benign solitary masses, arising within the sinus and protruding into nasal cavity. The nomenclature is made according to the sinus that it is originated from. Sphenochoanal polyp (SCP) is quite rare, originates from sphenoid sinus, passes through the sphenoethmoid recess and elongates to nasopharynx and oropharynx. It may be confused with antrochoanal polyps on anterior rhinoscopy. Radiological examination with computerized tomography and nasal endoscopy are important in the differentiation of these two types of choanal polyps. Endoscopic approach for the complete removal of the SCP including its mucosa of the site of origin is extremely safe, which has minimal risk of recurrence. Herein we report a 30 years-old male patient with SCP, which was removed via endoscopic transnasal surgery. He had no recurrence at postoperative 9 months of follow-up. . J Clin Exp Invest 2015; 6 (2): 183-185

Key words: Nasal obstruction, nasal polyp, paranasal sinus disease, nasal surgical procedure

Keywords

Nasal obstruction, nasal polyp, paranasal sinus disease, nasal surgical procedure

References

1. Ozbay M, Yorgancilar E, Kinis V, et al. A rare cause of nasal obstruction: Sphenochoanal polyp. J Clin Exp Invest 2012;3:435-437.
2. Peker A, Peker E, Erden I. Discrimination of benign and malign sinonasal masses with diffusion-weighted MR imaging. Dicle Med J 2014;41:522-525.
3. Weissman JL, Tabor EK, Curtin HD. Sphenochoanal polyps: evaluation with CT and MR imaging. Radiology 1991;178:145-148.
4. Mills CP. Secretory cysts of the maxillary antrum and their relation to the development of antrochoanal polyp. J Laryngol Otol 1959;73:324-34.
5. Gordts F, Clement PA. Unusual choanal polyps. Acta Otorhinolaryngol Belg 1997;51:177-180.
6. Akduman D, Karaman M, Aydin E, et al. Coincidence of conchachoanal polyp and complete mulberry hypertrophy of inferior concha. Laryngoscope 2009;119:762-764.
7. Ileri F, Köybaşioĝlu A, Uslu S. Clinical presentation of a sphenochoanal polyp. Eur Arch Otorhinolaryngol 1998;255:138-139.
8. Crampette L, Mondain M, Rombaux P. Sphenochoanal polyp in children. Diagnosis and treatment. Rhinology 1995;33:43-5.
9. Spraggs PD. Radiological diagnosis of spheno-choanal polyp. J Laryngol Otol 1993;107:159-160
10. Sethi DS. Isolated sphenoid lesions: diagnosis and management. Otolaryngol Head Neck Surg. 1999;120:730-736.
11. Berg O, Carenfelt C, Silfverswärd C, Sobin A. Origin of the choanal polyp. Arch Otolaryngol Head Neck Surg 1988;114:1270-1271.
12. Myers EN, Cunningham MJ. Modified Caldwell-Luc approach for the treatment of antral choanal polyps. Laryngoscope 1986;96:911-913.
13. Lessa MM, Voegels RL, Pádua F, et al. Sphenochoanal polyp: diagnose and treatment. Rhinology 2002 ;40:215-216.
14. Ozcan M, Ozlugedik S, Ikinciogullari A. Simultaneous antrochoanal and sphenochoanal polyps: a rare clinical entity. J Laryngol Otol 2005;119:152-154.
15. Tysome JR, Saleh HA. Sphenochoanal polyp presenting with concomitant nasal polyps. Ear Nose Throat J 2007;86:50-52.

Geniz akıntısı ve burun tıkanıklığının nadir bir sebebi: izole sfenokoanal polip

Year 2015, Volume: 6 Issue: 2, - , 13.07.2015

Önder Akdeniz Fevzi Solmaz , Mehmet Haksever Davut Akduman Ercan Gündoğdu

https://doi.org/10.5799/ahinjs.01.2015.02.0513

Abstract

Koanal polipler, sinüs mukozasından kaynaklanıp nazal boşluğa doğru çıkan, iyi huylu soliter lezyonlardır. Adlandırma kaynaklandığı sinüse göre yapılır. Sfenokoanal polip (SKP) oldukça nadir görülür ve sfenoid sinüsten kaynaklanıp sfenoetmoid resesten geçerek nazofarenks ve orofarenkse uzanır. Anterior rinoskopide antrokoanal poliplerle karıştırılabilir. Bilgisayarlı tomografi ve nazal endoskopi bu iki koanal polip tipinin ayrımında önemlidir. Endoskopik yaklaşımla SKP’in kaynakladığı mukoza ile birlikte tamamen çıkarılması oldukça güvenli olup nüks açısından minimal riske sahiptir. Bu çalışmada, sfenokanal polibi bulunan ve bu kitlesi endoskopik transnazal cerrahi ile çıkarılan, 30 yaşında bir erkek hasta bildirdik. Hastanın postoperatif 9 aylık takibinde rekürrens saptanmadı

Keywords

Burun tıkanıklığı, nazal polip, paranazal sinüs hastalığı, nazal cerrahi işlem

References

1. Ozbay M, Yorgancilar E, Kinis V, et al. A rare cause of nasal obstruction: Sphenochoanal polyp. J Clin Exp Invest 2012;3:435-437.
2. Peker A, Peker E, Erden I. Discrimination of benign and malign sinonasal masses with diffusion-weighted MR imaging. Dicle Med J 2014;41:522-525.
3. Weissman JL, Tabor EK, Curtin HD. Sphenochoanal polyps: evaluation with CT and MR imaging. Radiology 1991;178:145-148.
4. Mills CP. Secretory cysts of the maxillary antrum and their relation to the development of antrochoanal polyp. J Laryngol Otol 1959;73:324-34.
5. Gordts F, Clement PA. Unusual choanal polyps. Acta Otorhinolaryngol Belg 1997;51:177-180.
6. Akduman D, Karaman M, Aydin E, et al. Coincidence of conchachoanal polyp and complete mulberry hypertrophy of inferior concha. Laryngoscope 2009;119:762-764.
7. Ileri F, Köybaşioĝlu A, Uslu S. Clinical presentation of a sphenochoanal polyp. Eur Arch Otorhinolaryngol 1998;255:138-139.
8. Crampette L, Mondain M, Rombaux P. Sphenochoanal polyp in children. Diagnosis and treatment. Rhinology 1995;33:43-5.
9. Spraggs PD. Radiological diagnosis of spheno-choanal polyp. J Laryngol Otol 1993;107:159-160
10. Sethi DS. Isolated sphenoid lesions: diagnosis and management. Otolaryngol Head Neck Surg. 1999;120:730-736.
11. Berg O, Carenfelt C, Silfverswärd C, Sobin A. Origin of the choanal polyp. Arch Otolaryngol Head Neck Surg 1988;114:1270-1271.
12. Myers EN, Cunningham MJ. Modified Caldwell-Luc approach for the treatment of antral choanal polyps. Laryngoscope 1986;96:911-913.
13. Lessa MM, Voegels RL, Pádua F, et al. Sphenochoanal polyp: diagnose and treatment. Rhinology 2002 ;40:215-216.
14. Ozcan M, Ozlugedik S, Ikinciogullari A. Simultaneous antrochoanal and sphenochoanal polyps: a rare clinical entity. J Laryngol Otol 2005;119:152-154.
15. Tysome JR, Saleh HA. Sphenochoanal polyp presenting with concomitant nasal polyps. Ear Nose Throat J 2007;86:50-52.

There are 15 citations in total.

Details

Primary Language	English
Journal Section	Case Report
Authors	Önder Akdeniz This is me Fevzi Solmaz Mehmet Haksever This is me Davut Akduman This is me Ercan Gündoğdu This is me
Publication Date	July 13, 2015
Published in Issue	Year 2015 Volume: 6 Issue: 2

Cite

APA	Akdeniz, Ö., Solmaz, F., Haksever, M., Akduman, D., et al. (2015). A rare cause of postnasal drip and nasal obstruction: Isolated sphenochoanal polyp. Journal of Clinical and Experimental Investigations, 6(2). https://doi.org/10.5799/ahinjs.01.2015.02.0513
AMA	Akdeniz Ö, Solmaz F, Haksever M, Akduman D, Gündoğdu E. A rare cause of postnasal drip and nasal obstruction: Isolated sphenochoanal polyp. J Clin Exp Invest. July 2015;6(2). doi:10.5799/ahinjs.01.2015.02.0513
Chicago	Akdeniz, Önder, Fevzi Solmaz, Mehmet Haksever, Davut Akduman, and Ercan Gündoğdu. “A Rare Cause of Postnasal Drip and Nasal Obstruction: Isolated Sphenochoanal Polyp”. Journal of Clinical and Experimental Investigations 6, no. 2 (July 2015). https://doi.org/10.5799/ahinjs.01.2015.02.0513.
EndNote	Akdeniz Ö, Solmaz F, Haksever M, Akduman D, Gündoğdu E (July 1, 2015) A rare cause of postnasal drip and nasal obstruction: Isolated sphenochoanal polyp. Journal of Clinical and Experimental Investigations 6 2
IEEE	Ö. Akdeniz, F. Solmaz, M. Haksever, D. Akduman, and E. Gündoğdu, “A rare cause of postnasal drip and nasal obstruction: Isolated sphenochoanal polyp”, J Clin Exp Invest, vol. 6, no. 2, 2015, doi: 10.5799/ahinjs.01.2015.02.0513.
ISNAD	Akdeniz, Önder et al. “A Rare Cause of Postnasal Drip and Nasal Obstruction: Isolated Sphenochoanal Polyp”. Journal of Clinical and Experimental Investigations 6/2 (July 2015). https://doi.org/10.5799/ahinjs.01.2015.02.0513.
JAMA	Akdeniz Ö, Solmaz F, Haksever M, Akduman D, Gündoğdu E. A rare cause of postnasal drip and nasal obstruction: Isolated sphenochoanal polyp. J Clin Exp Invest. 2015;6. doi:10.5799/ahinjs.01.2015.02.0513.
MLA	Akdeniz, Önder et al. “A Rare Cause of Postnasal Drip and Nasal Obstruction: Isolated Sphenochoanal Polyp”. Journal of Clinical and Experimental Investigations, vol. 6, no. 2, 2015, doi:10.5799/ahinjs.01.2015.02.0513.
Vancouver	Akdeniz Ö, Solmaz F, Haksever M, Akduman D, Gündoğdu E. A rare cause of postnasal drip and nasal obstruction: Isolated sphenochoanal polyp. J Clin Exp Invest. 2015;6(2).