Role of Prelacrimal Recess Approach Assisted Middle Meatal Antrostomy in Primary Antrochoanal Polyp Management
Abstract
Background
Primary antrochoanal polyp management is commonly done via middle meatal antrostomy which has a significant risk of recurrence. The prelacrimal recess approach is reported to minimize this risk
Aim
This study aims to compare the results of prelacrimal recess approach assisted middle metal antrostomy with middle metal antrostomy alone in the management of primary antrochoanal polyp.
Patients and methods
A randomized prospective Comparative Study was performed on sixty patients with primary antrochoanal polyps. The patients were allocated randomly into two groups, group (A) 30 patients were surgically managed via only endoscopic middle meatal antrostomy, and group (B) 30 patients were subjected to endoscopic prelacrimal recess approach assisted middle meatal antrostomy.
Results
Age (p=0.4), sex (p=0.6), and lesion side (p=0.8) showed no statistically significant differences between the study groups, although mean operative duration was considerably shorter in Group A (p>0.001). Regarding the complications, there was no statistically significant difference between the two study groups regarding the occurrence of Nasal obstruction(p=0.3) and Synechia(p=0.1), while the Recurrence rate was statistically significantly higher among group A than group B (p=0.03)
Conclusion
Prelacrimal recess approach is a unique method for removing antrochoanal polyps to prevent its recurrence with reasonable operative time and few postoperative problems.
Keywords
Prelacrimal; Antrostomy; Antrochoanal