Abstract

IGLESIAS MAMMON, Tebelio Enrique; RAMIREZ RIVERA, María Elizabeth  and  RAMIREZ RIVERA, Jorge Isaac. Pediatric antrochoanal polyp. Description of a clinical case. Salud, Barranquilla [online]. 2019, vol.35, n.2, pp.298-305. ISSN 0120-5552.  https://doi.org/10.14482/sun.35.2.618.92.

Antrochoanal polyps are benign and pedunculated masses in the nasal cavity, whose etiology remains unknown. Clinical manifestations are anteroposterior rhinorrhea, chronic nasal obstruction, snoring, foreign body sensation and even obstructive sleep apnea syndrome in children. The diagnosis is clinical and relies on rhinoscopy and endoscopy. The Waters or Blondeau projection and the computed tomography provides data of occupation in the maxillary sinus. The differential diagnosis of pediatric antrochoanal polyp includes adenoid hypertrophy, foreign bodies, meningoencephalocele and angiofibroma. The treatment is the resection of the polyp by endonasal, endoscopic or microsurgical sinusotomy; or via vestibular, according to the Caldwell-Luc technique.

We present the case of a 14-year-old patient, attended at the Hospital Dr. Francisco de Icaza Bustamante, Guayaquil (Ecuador).

Keywords : Nasal polyps; nasal obstruction; Pediatrics.

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