Our Summary

The research paper discusses a rare case of a two-part, or bifid, antrochoanal polyp in a 55-year-old man. Antrochoanal polyps are non-cancerous growths that start in the sinus cavity and can extend into the nasal passage. These growths are usually singular and cystic. Properly identifying and removing the point where the polyp is attached to the sinus wall is crucial to prevent it from growing back. In this case, the polyp was attached to the back lower wall of the sinus and then split into two branches. These branches left the sinus through two different openings. Only the rear part extended into the nasal passage. The doctors successfully removed the polyp using a surgery performed with a nasal endoscope.

FAQs

  1. What are antrochoanal polyps?
  2. How are antrochoanal polyps usually removed?
  3. What is the significance of identifying where the polyp is attached to the sinus wall?

Doctor’s Tip

A doctor might tell a patient undergoing nasal polyp removal to follow post-operative care instructions carefully, including using nasal saline rinses to keep the nasal passages clean and moist, avoiding activities that could increase nasal pressure (such as bending over or heavy lifting), and attending follow-up appointments to monitor healing and prevent recurrence. It’s important to follow these instructions to ensure a successful recovery and minimize the risk of complications.

Suitable For

Patients who are typically recommended nasal polyp removal include those who have:

  1. Nasal polyps that are causing symptoms such as nasal congestion, difficulty breathing, loss of smell, or facial pain.
  2. Recurrent or chronic sinus infections that are not responding to medical treatment.
  3. Nasal polyps that are large or obstructing the nasal passages.
  4. Nasal polyps that are causing complications such as obstructive sleep apnea or chronic sinusitis.
  5. Nasal polyps that are associated with conditions such as asthma or allergies.

It is important for patients to consult with an otolaryngologist (ear, nose, and throat specialist) to determine if nasal polyp removal is necessary and to discuss the best treatment options for their individual case.

Timeline

Before nasal polyp removal:

  • Patient may experience symptoms such as nasal congestion, runny nose, postnasal drip, loss of smell, facial pain or pressure, and headaches
  • Patient may undergo diagnostic tests such as a nasal endoscopy, CT scan, or MRI to confirm the presence of nasal polyps
  • Patient may try conservative treatments such as nasal corticosteroids, antihistamines, or nasal irrigation to manage symptoms

After nasal polyp removal:

  • Patient undergoes surgery using a nasal endoscope to remove the polyp
  • Recovery time varies but typically involves nasal congestion, mild discomfort, and some bleeding for a few days
  • Patient may need to use nasal sprays or rinse to keep the nasal passages clear and reduce inflammation
  • Follow-up visits with the doctor to monitor healing and ensure the polyps do not return
  • Patient should continue to manage any underlying conditions that may have contributed to the development of nasal polyps, such as allergies or chronic sinusitis.

What to Ask Your Doctor

  1. What are the benefits of removing the nasal polyps?
  2. What are the risks or potential complications associated with the removal procedure?
  3. What is the success rate of the procedure in preventing the polyps from growing back?
  4. What is the recovery process like after the surgery?
  5. Are there any lifestyle changes or medications that can help prevent the polyps from returning?
  6. How long will it take for me to notice an improvement in my symptoms after the polyp removal?
  7. Are there any alternative treatment options available for nasal polyps?
  8. How often should I follow up with you after the surgery?
  9. Are there any specific warning signs or symptoms I should watch out for after the procedure?
  10. Can you explain the specifics of my case and how the polyp was attached to the sinus wall in order to better understand the surgical approach taken?

Reference

Authors: Al-Qudah M. Journal: J Craniofac Surg. 2019 Jun;30(4):e342-e343. doi: 10.1097/SCS.0000000000005313. PMID: 30807479