Bilateral antrochoanal polyps: a case report
Abstract Background Antrochoanal or Killian polyp is a rare polyp of the maxillary sinus in adults. It is generally unilateral, implanted on the lateral wall of the maxillary sinus upon the uncinate process. Bilateral cases are very rare; only 14 cases have been cited from 1980 to 2020. Case present...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2021-04-01
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| Series: | The Egyptian Journal of Otolaryngology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43163-021-00090-0 |
| _version_ | 1797203991042457600 |
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| author | Kaoutar cherrabi Nabil Touihem Ismail Nakkabi Karim Nadour |
| author_facet | Kaoutar cherrabi Nabil Touihem Ismail Nakkabi Karim Nadour |
| author_sort | Kaoutar cherrabi |
| collection | DOAJ |
| description | Abstract Background Antrochoanal or Killian polyp is a rare polyp of the maxillary sinus in adults. It is generally unilateral, implanted on the lateral wall of the maxillary sinus upon the uncinate process. Bilateral cases are very rare; only 14 cases have been cited from 1980 to 2020. Case presentation Our patient presented with a complete bilateral nasal obstruction, this symptom persisted for more than 10 years, with a perceived prolapse in his throat in the last 4 months. Anterior rhinoscopy showed a polyp that took up the totality of his nasal vestibule. Posterior rhinoscopy showed a polyp bulging behind the uvula. The challenge in this case is related to diagnosis decision; conditions with the same clinical presentation are several. Diagnosis was established through the clinical, radiological, and endoscopic aspects, and confirmed by histological findings. Management was obtained through functional endoscopic sinus surgery; no recurrence was noted in the 12-month follow-up, and clinical signs had completely subsided. Conclusion Diagnosis in bilateral forms of Killian polyp is perplexing; however, its management is generally simple, with excellent outcome. We report the case of the 15th patient along with a systematic literature review discussing bilateral Killian polyps, illustrated by a rare case of enormous bilateral antrochoanal polyps. |
| first_indexed | 2024-04-24T08:28:07Z |
| format | Article |
| id | doaj.art-74153a075cae41ddabfd18059528eab3 |
| institution | Directory Open Access Journal |
| issn | 1012-5574 2090-8539 |
| language | English |
| last_indexed | 2024-04-24T08:28:07Z |
| publishDate | 2021-04-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Otolaryngology |
| spelling | doaj.art-74153a075cae41ddabfd18059528eab32024-04-16T21:08:21ZengSpringerOpenThe Egyptian Journal of Otolaryngology1012-55742090-85392021-04-0137111010.1186/s43163-021-00090-0Bilateral antrochoanal polyps: a case reportKaoutar cherrabi0Nabil Touihem1Ismail Nakkabi2Karim Nadour3ENT and Cervico-Facial Surgery Department, Hassan II University HospitalFaculty of Medicine and Pharmacy, Sidi Mohammed Ben Abdellah UniversityFaculty of Medicine and Pharmacy, Sidi Mohammed Ben Abdellah UniversityFaculty of Medicine and Pharmacy, Sidi Mohammed Ben Abdellah UniversityAbstract Background Antrochoanal or Killian polyp is a rare polyp of the maxillary sinus in adults. It is generally unilateral, implanted on the lateral wall of the maxillary sinus upon the uncinate process. Bilateral cases are very rare; only 14 cases have been cited from 1980 to 2020. Case presentation Our patient presented with a complete bilateral nasal obstruction, this symptom persisted for more than 10 years, with a perceived prolapse in his throat in the last 4 months. Anterior rhinoscopy showed a polyp that took up the totality of his nasal vestibule. Posterior rhinoscopy showed a polyp bulging behind the uvula. The challenge in this case is related to diagnosis decision; conditions with the same clinical presentation are several. Diagnosis was established through the clinical, radiological, and endoscopic aspects, and confirmed by histological findings. Management was obtained through functional endoscopic sinus surgery; no recurrence was noted in the 12-month follow-up, and clinical signs had completely subsided. Conclusion Diagnosis in bilateral forms of Killian polyp is perplexing; however, its management is generally simple, with excellent outcome. We report the case of the 15th patient along with a systematic literature review discussing bilateral Killian polyps, illustrated by a rare case of enormous bilateral antrochoanal polyps.https://doi.org/10.1186/s43163-021-00090-0Antrochoanal polypBilateralRareCTSurgeryEndoscopy |
| spellingShingle | Kaoutar cherrabi Nabil Touihem Ismail Nakkabi Karim Nadour Bilateral antrochoanal polyps: a case report The Egyptian Journal of Otolaryngology Antrochoanal polyp Bilateral Rare CT Surgery Endoscopy |
| title | Bilateral antrochoanal polyps: a case report |
| title_full | Bilateral antrochoanal polyps: a case report |
| title_fullStr | Bilateral antrochoanal polyps: a case report |
| title_full_unstemmed | Bilateral antrochoanal polyps: a case report |
| title_short | Bilateral antrochoanal polyps: a case report |
| title_sort | bilateral antrochoanal polyps a case report |
| topic | Antrochoanal polyp Bilateral Rare CT Surgery Endoscopy |
| url | https://doi.org/10.1186/s43163-021-00090-0 |
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