Antrochoanal polyp: a comparative study of endoscopic endonasal surgery alone and endoscopic endonasal plus mini-Caldwell technique
Antrochoanal polyp: a comparative study of endoscopic endonasal surgery alone and endoscopic endonasal plus mini-Caldwell technique
复制标题
DOI：
10.1007/s00405-008-0890-7
复制
发表时间：
2009-08-01
影响因子：
2.6
通讯作者：
Jafari, Rozita
中科院分区：
文献类型：
--
作者：
Atighechi, Saeid;Baradaranfar, Mohammad Hossein;Jafari, Rozita
上颌窦后鼻孔息肉（ACP）起源于上颌窦。为了减少后鼻孔息肉的再生长率，必须完全切除后鼻孔息肉的窦部及其附件。有几种方法，但在这项研究中，两种技术进行了比较研究。这项回顾性研究通过分析40例ACP手术患者的数据库进行，其中19例接受了内镜鼻内息肉切除术，21例接受了内镜鼻内手术和微型Caldwell手术。比较两种技术的并发症和再生率。结果显示，两组的术后并发症（出血、粘连、开口狭窄）均为轻度，两组之间无任何显著差异。内镜鼻内手术组19例中，4例复发，而微型Caldwell组无复发。（P = 0.042））。这一结果意味着，为了防止不完全切除和复发，应考虑联合方法（内窥镜鼻内手术和微型考德威尔），特别是当ACP的窦部的附着部位未被检测到时。
Antrochoanal polyp (ACP) originates in the maxillary sinus. To diminish the regrowth rate of choanal polyp, a complete removal of the antral portion and its attachment is necessary. There are several methods for this purpose, but in this study two techniques were comparatively investigated. This retrospective study was conducted by analyzing the database of 40 operated patients for ACP, 19 of whom underwent an endoscopic endonasal removal of polyps and 21 experienced endoscopic endonasal surgery with mini-Caldwell operation. The two techniques were compared with regard to their complications and regrowth rate. It emerged that post-operative complications (bleeding, synechia, ostia stenosis) in both groups were mild and there was not any significant difference between the two groups. Out of 19 cases in the endoscopic endonasal surgery group, 4 had recurrences, while in the mini-Caldwell group we had no recurrence. (P = 0.042)). This result implies that, in order to prevent incomplete excision and recurrences, combined approaches (endoscopic endonasal surgery and mini-Caldwell) should be considered, particularly when the attachment site of the antral part of ACP is undetected.