Sphenochoanal polyps in children — a systematic review (1995‒2021)
Objectives: Nasal polyps that originate from the sphenoid sinus and reach the nasopharynx are called sphenochoanal polyps. Reports on sphenochoanal polyps in children have thus far been limited only to case reports. This review aims to describe and summarize clinical presentation, diagnosis, managem...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-11-01
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| Series: | Brazilian Journal of Otorhinolaryngology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1808869422000374 |
| _version_ | 1828116063706939392 |
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| author | Krystian Tywoniuk Karolina Haber Józef Mierzwiński |
| author_facet | Krystian Tywoniuk Karolina Haber Józef Mierzwiński |
| author_sort | Krystian Tywoniuk |
| collection | DOAJ |
| description | Objectives: Nasal polyps that originate from the sphenoid sinus and reach the nasopharynx are called sphenochoanal polyps. Reports on sphenochoanal polyps in children have thus far been limited only to case reports. This review aims to describe and summarize clinical presentation, diagnosis, management, surgical approaches to the sphenochoanal polyps with recurrence rate after surgery in pediatric patients reported in the literature. Methods: A systematic literature review was performed using PubMed, MEDLINE and Cochrane Library Databases for articles published prior to December 2021 to identify all studies reporting on pediatric patients with sphenochoanal polyps. Clinical presentation, management options, surgical approaches and outcomes of applied management were extracted from included studies. Results: 9 articles provided data on 11 eligible patients with an age range 3 years and 8 months–16 years. The commonest symptoms included: nasal obstruction, nasal discharge, and headache respectively. All patients were subjected to surgical treatment. No recurrences after the endoscopic sphenoidotomy were reported. Conclusion: Sphenochoanal polyps should be kept in mind in the differential diagnosis of unilateral nasal cavity or paranasal sinuses masses. Misdiagnosis can result in recurrences in patients with sphenochoanal polyp, who can be mistakenly diagnosed with antrochoanal polyp and underwent inadequate treatment not involving sphenoidotomy and exact identification of the site of implantation. The symptoms of sphenochoanal polyps are nonspecific. |
| first_indexed | 2024-04-11T12:51:13Z |
| format | Article |
| id | doaj.art-eb2a3393f9814d5d896c085a95c1658f |
| institution | Directory Open Access Journal |
| issn | 1808-8694 |
| language | English |
| last_indexed | 2024-04-11T12:51:13Z |
| publishDate | 2022-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brazilian Journal of Otorhinolaryngology |
| spelling | doaj.art-eb2a3393f9814d5d896c085a95c1658f2022-12-22T04:23:13ZengElsevierBrazilian Journal of Otorhinolaryngology1808-86942022-11-0188S179S187Sphenochoanal polyps in children — a systematic review (1995‒2021)Krystian Tywoniuk0Karolina Haber1Józef Mierzwiński2Children's Hospital of Bydgoszcz, Department of Otolaryngology, Audiology and Phoniatrics, Pediatric Auditory Implant Program. Ul. Chodkiewicza 44, 85-667 Bydgoszcz, PolandChildren's Hospital of Bydgoszcz, Department of Otolaryngology, Audiology and Phoniatrics, Pediatric Auditory Implant Program. Ul. Chodkiewicza 44, 85-667 Bydgoszcz, Poland; Corresponding author.Children's Hospital of Bydgoszcz, Department of Otolaryngology, Audiology and Phoniatrics, Pediatric Auditory Implant Program. Ul. Chodkiewicza 44, 85-667 Bydgoszcz, Poland; Nicolaus Copernicus University, Collegium Medicum. Department of Preventive Nursing. Ul. Łukasiewicza 1, 85-821 Bydgoszcz, PolandObjectives: Nasal polyps that originate from the sphenoid sinus and reach the nasopharynx are called sphenochoanal polyps. Reports on sphenochoanal polyps in children have thus far been limited only to case reports. This review aims to describe and summarize clinical presentation, diagnosis, management, surgical approaches to the sphenochoanal polyps with recurrence rate after surgery in pediatric patients reported in the literature. Methods: A systematic literature review was performed using PubMed, MEDLINE and Cochrane Library Databases for articles published prior to December 2021 to identify all studies reporting on pediatric patients with sphenochoanal polyps. Clinical presentation, management options, surgical approaches and outcomes of applied management were extracted from included studies. Results: 9 articles provided data on 11 eligible patients with an age range 3 years and 8 months–16 years. The commonest symptoms included: nasal obstruction, nasal discharge, and headache respectively. All patients were subjected to surgical treatment. No recurrences after the endoscopic sphenoidotomy were reported. Conclusion: Sphenochoanal polyps should be kept in mind in the differential diagnosis of unilateral nasal cavity or paranasal sinuses masses. Misdiagnosis can result in recurrences in patients with sphenochoanal polyp, who can be mistakenly diagnosed with antrochoanal polyp and underwent inadequate treatment not involving sphenoidotomy and exact identification of the site of implantation. The symptoms of sphenochoanal polyps are nonspecific.http://www.sciencedirect.com/science/article/pii/S1808869422000374Nasal polypsChoanal polypsChild |
| spellingShingle | Krystian Tywoniuk Karolina Haber Józef Mierzwiński Sphenochoanal polyps in children — a systematic review (1995‒2021) Brazilian Journal of Otorhinolaryngology Nasal polyps Choanal polyps Child |
| title | Sphenochoanal polyps in children — a systematic review (1995‒2021) |
| title_full | Sphenochoanal polyps in children — a systematic review (1995‒2021) |
| title_fullStr | Sphenochoanal polyps in children — a systematic review (1995‒2021) |
| title_full_unstemmed | Sphenochoanal polyps in children — a systematic review (1995‒2021) |
| title_short | Sphenochoanal polyps in children — a systematic review (1995‒2021) |
| title_sort | sphenochoanal polyps in children a systematic review 1995 2021 |
| topic | Nasal polyps Choanal polyps Child |
| url | http://www.sciencedirect.com/science/article/pii/S1808869422000374 |
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