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Endoscopic removal of the antral portion of antrochoanal polyp by powered instrumentation

Title
Endoscopic removal of the antral portion of antrochoanal polyp by powered instrumentation
Authors
Hong S.K.Min Y.-G.Kim C.N.Byun S.W.
Ewha Authors
김종남변성완
SCOPUS Author ID
김종남scopusscopus; 변성완scopus
Issue Date
2001
Journal Title
Laryngoscope
ISSN
0023-852XJCR Link
Citation
vol. 111, no. 10, pp. 1774 - 1778
Indexed
SCI; SCIE; SCOPUS WOS scopus
Abstract
Objectives: To introduce a new surgical technique for endoscopic removal of the antral portion of antrochoanal polyp (ACP) by powered instrumentation and to determine its efficacy by measures of relevant patient outcome. Study Design: Prospective study in 28 patients undergoing endoscopic sinus surgery for ACP by our surgical technique. Methods: Improvements of clinical symptoms and endoscopic and computed tomographic findings were evaluated post-operatively with a follow-up period ranging from 12 to 52 months. All symptom scores on a 100-mm visual analogue scale before operation were compared with those at the last visit after operation. Postoperative endoscopic and computed tomographic findings were graded using a three-point scale ranging from 0 to 2. In surgical technique, the antral portion of ACP was identified through the enlarged ostium under intranasal endoscopy and removed by a blade of powered instrumentation that was inserted through the canine fossa. Results: Symptom scores were all significantly reduced postoperatively. All but one patient showed improvement in clinical symptoms and endoscopic and computed tomographic findings during the follow-up period. There were no major complications specific to this technique. Conclusion: Our technique provides an attractive alternative to other methods for removing the antral portion of an ACP and is associated with excellent outcomes and minimal morbidities.
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의학전문대학원 > 의학과 > Journal papers
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