ENDOSCOPIC POLYPECTOMY WITH MIDDLE MEATAL ANTROSTOMY AS STANDARD TECHNIQUE FOR TREATMENT OF ANTROCHOANAL POLYP. (PROBLEMS & PITFALLS) A PROSPECTIVE STUDY
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Antrochoanal polyp is a benign non-atopic lesion of the maxillary si nus that represent approximately 4 to 6 percent of nasal polyps In gen eral population. The common symptom is nasal obstruction due to its growth through the sinus ostlum into the nasal cavity towards the cboana. Surgery is the only feasible treatment, and many surgical approach es are known as modalities of treatment one of which is endoscopic na sal approach which associated with lower morbidity. Aim: To assess the effectiveness of endoscopic sinus surgery in the treatment of antro choanal polyp. Materials and Methods: A prospective study, 16 patients, who were diagnosed based on history, physical examination and computed tomog raphy, treated between January 2008 and March 2009 in Benha uni versity hospital, The surgical approach was endoscopic polypectomy with middle meatal antrostomy. Results: Sixteen patient with antrochoanal polyp ACP, 9 (56%) were females and 7 (44%) males, were Included In this study. The main Symptoms were nasal abstraction 14 (88%), oral breathing 10 (63%), snaring 8(50%), rhinorrhea 5(31%) and heahache 3 (19%), with fol low up period 15 months tor each patient.