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Objectives: Nasal polyps in the children are uncommon and its
etiology is unclear. The purpose of this study is evaluation the
alternatives of treatment, histopathological and clinical features of
nasal polyposis which in pediatric population, in the light of
literature.
Methods: From 1997 to 2005, 23 patients (17 male, 6 female) whose
ages between 6-17 years (mean age 11.2 years) who diagnosed as nasal
polyp and treated surgically were included to the study. The charts of
patients were reviewed retrospectively about the symptoms and findings,
the localizations and types of the polyps, the radiological status, the
surgical approaches, the follow-up duration and the recurrence.
Results: The most common symptom was nasal obstruction (91.3%).
The other symptoms were nasal discharge (56.6%), postnasal discharge
(52.1%), snoring (47%) and facial pain (26%). By physical examination;
bilateral polyps in 10 patients (43%), unilateral polyp in seven
patients (30.4%) and choanal polyp in six patients (26%) (antrachoanal
in 5 and sphenochoanal in one) were determined. On paranasal sinus CT
investigation; pansinusal pathology in 8 patients, ethmoid and maxillary
sinuses pathologies in 8 patients, maxillary sinus pathologies in 5
patients, bilateral isolated ethmoid sinus pathology in one patient and
isolated sphenoid sinus in one patient were observed. The expanding of
sphenoid sinus ostium and the removing of mucosa which origin of nasal
polyps in one patient, Caldwell-Luc procedure in two patients,
endoscopic surgery combined with Caldwell-Luc procedure in three
patients, intranasal polypectomy in four patients and endoscopic surgery
in 13 patients were performed. Postoperative bleeding was seen observed
in one patient as complication. On histopathological evaluation; polyp
characterized with atypic stroma in two patients (8.6%), allergic polyp
in three patients (13%) and inflammatory polyp in 18 patients (78.2%)
were diagnosed. The postoperative follow-up durations were between 2-48
months (mean 15 months). The recurrence occurred in three patients.
Conclusion:
Inflammatory polyps are the majority of pediatric nasal polyps. The
surgical approach is effective and safety treatment method for pediatric
nasal polyp. |
