{"id":1406,"date":"2025-10-13T21:30:10","date_gmt":"2025-10-13T18:30:10","guid":{"rendered":"https:\/\/www.gedizserin.com\/en\/?p=1406"},"modified":"2025-10-13T21:30:10","modified_gmt":"2025-10-13T18:30:10","slug":"current-surgical-approaches-in-the-treatment-of-antrochoanal-polyp","status":"publish","type":"post","link":"https:\/\/www.gedizserin.com\/en\/current-surgical-approaches-in-the-treatment-of-antrochoanal-polyp\/","title":{"rendered":"Current Surgical Approaches in the Treatment of Antrochoanal Polyp"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_83 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">\u0130ndex<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.gedizserin.com\/en\/current-surgical-approaches-in-the-treatment-of-antrochoanal-polyp\/#Current_Surgical_Approaches_in_Antrochoanal_Polyp_Treatment\" >Current Surgical Approaches in Antrochoanal Polyp Treatment<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.gedizserin.com\/en\/current-surgical-approaches-in-the-treatment-of-antrochoanal-polyp\/#Introduction\" >Introduction<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.gedizserin.com\/en\/current-surgical-approaches-in-the-treatment-of-antrochoanal-polyp\/#How_Does_an_Antrochoanal_Polyp_Form\" >How Does an Antrochoanal Polyp Form?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.gedizserin.com\/en\/current-surgical-approaches-in-the-treatment-of-antrochoanal-polyp\/#Basic_Principle_of_Treatment_Find_the_Root_Clean_Completely\" >Basic Principle of Treatment: Find the Root, Clean Completely<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.gedizserin.com\/en\/current-surgical-approaches-in-the-treatment-of-antrochoanal-polyp\/#Endoscopic_Endonasal_Approach_FESS\" >Endoscopic Endonasal Approach (FESS)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.gedizserin.com\/en\/current-surgical-approaches-in-the-treatment-of-antrochoanal-polyp\/#Caldwell-Luc_Approach\" >Caldwell-Luc Approach<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.gedizserin.com\/en\/current-surgical-approaches-in-the-treatment-of-antrochoanal-polyp\/#Prelacrimal_Recess_Approach\" >Prelacrimal Recess Approach<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.gedizserin.com\/en\/current-surgical-approaches-in-the-treatment-of-antrochoanal-polyp\/#How_is_the_Surgical_Approach_Selected\" >How is the Surgical Approach Selected?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/www.gedizserin.com\/en\/current-surgical-approaches-in-the-treatment-of-antrochoanal-polyp\/#Does_Antrochoanal_Polyp_Recur\" >Does Antrochoanal Polyp Recur?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/www.gedizserin.com\/en\/current-surgical-approaches-in-the-treatment-of-antrochoanal-polyp\/#Conclusion\" >Conclusion<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Current_Surgical_Approaches_in_Antrochoanal_Polyp_Treatment\"><\/span>Current Surgical Approaches in Antrochoanal Polyp Treatment<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><strong>Prof. Dr. Gediz Murat Serin \u2013 Ear, Nose and Throat Specialist<\/strong><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Introduction\"><\/span>Introduction<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>An antrochoanal polyp is a <strong>benign mass<\/strong> that develops from the <strong>maxillary (cheek) sinus mucosa<\/strong>, extends into the nasal cavity and from there to the nasopharynx (choana). It is usually <strong>unilateral<\/strong> and is more common in children and young adults.<br \/>\nPatients mostly present with complaints such as <strong>nasal congestion<\/strong>, <strong>postnasal drip<\/strong>, <strong>snoring<\/strong>, and <strong>feeling of fullness in the back of the nose<\/strong>.<br \/>\nAlthough it may seem like a simple polyp, <strong>the main determinant in antrochoanal polyp treatment is the surgical access route.<\/strong> How the surgeon accesses which part of the sinus directly affects the success of the operation and the risk of recurrence.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_Does_an_Antrochoanal_Polyp_Form\"><\/span>How Does an Antrochoanal Polyp Form?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Antrochoanal polyp usually occurs as a result of <strong>impaired drainage of the maxillary sinus<\/strong> and consequent <strong>chronic inflammation (sinusitis)<\/strong>.<br \/>\nWhen the natural opening (ostium) of the sinus narrows or becomes blocked, <strong>edema and negative pressure<\/strong> develop in the mucosa inside. This leads to the mucosa protruding outward through the ostium, that is, polyp formation.<br \/>\nOver time, this tissue progresses into the nose and as far as the nasopharynx.<br \/>\nFactors facilitating the process:<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Basic_Principle_of_Treatment_Find_the_Root_Clean_Completely\"><\/span>Basic Principle of Treatment: Find the Root, Clean Completely<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The most critical point in antrochoanal polyp treatment is to remove not only the part inside the nose, but also <strong>the root part inside the maxillary sinus<\/strong> completely.<br \/>\nBecause the actual source of the polyp is inside the sinus. If the root is left, the disease recurs after a while.<br \/>\nTherefore, choosing the appropriate surgical approach through which the surgeon can access all parts of the sinus is very important.<\/p>\n<ol>\n<li>\n<h3><span class=\"ez-toc-section\" id=\"Endoscopic_Endonasal_Approach_FESS\"><\/span>Endoscopic Endonasal Approach (FESS)<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<\/li>\n<\/ol>\n<p>Today, it is the <strong>gold standard<\/strong> method in antrochoanal polyp surgery.<br \/>\nThe natural ostium is widened through the nose with the help of an endoscope, the inside of the sinus is completely visualized, and the area where the polyp is rooted is cleaned.<\/p>\n<p><strong>Advantages:<\/strong><\/p>\n<ul>\n<li>No skin incision required, leaves no scar.<\/li>\n<li>Preserves natural anatomy.<\/li>\n<li>Recovery is fast and comfortable.<\/li>\n<li>Cosmetic results are excellent.<\/li>\n<\/ul>\n<p>When performed correctly, the recurrence rate is around <strong>5\u201310%<\/strong>.<\/p>\n<p>In addition, this method also allows these problems to be resolved in the same session in patients with accompanying <strong>sinusitis<\/strong> or <strong>nasal congestion<\/strong>. Thus, both the patient&#8217;s breathing quality and sinus health are corrected at the same time.<\/p>\n<ol start=\"2\">\n<li>\n<h3><span class=\"ez-toc-section\" id=\"Caldwell-Luc_Approach\"><\/span>Caldwell-Luc Approach<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<\/li>\n<\/ol>\n<p>It is a classical method frequently used before the endoscopic surgery era.<br \/>\nWith an incision made from the upper lip mucosa, <strong>the anterior wall of the maxillary sinus is opened<\/strong> and the polyp is cleaned directly.<\/p>\n<p><strong>Advantage:<\/strong><\/p>\n<ul>\n<li>Evaluates the inside of the sinus with a wide view, clarifies the location of the root.<\/li>\n<\/ul>\n<p><strong>Disadvantages:<\/strong><\/p>\n<ul>\n<li>Risk of <strong>alveolar wall damage<\/strong> due to working close to tooth roots,<\/li>\n<li><strong>Infraorbital nerve paresthesia<\/strong>,<\/li>\n<li>Complications such as <strong>facial edema<\/strong> and <strong>postoperative scar<\/strong> formation.<\/li>\n<\/ul>\n<p>Therefore, today the Caldwell-Luc approach is generally preferred in <strong>revision cases<\/strong> or in <strong>posterior-inferior roots that cannot be reached endoscopically<\/strong>.<\/p>\n<ol start=\"3\">\n<li>\n<h3><span class=\"ez-toc-section\" id=\"Prelacrimal_Recess_Approach\"><\/span>Prelacrimal Recess Approach<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<\/li>\n<\/ol>\n<p>It is the <strong>most modern and physiological method for accessing the lower and anterior parts of the maxillary sinus<\/strong>, which has come to the forefront in recent years.<br \/>\nIn this technique, by entering <strong>from the front of the lacrimal canal (tear duct)<\/strong>, the entire inner surface of the sinus can be viewed endoscopically.<\/p>\n<p><strong>Advantages:<\/strong><\/p>\n<ul>\n<li>Provides atraumatic access to all parts of the sinus.<\/li>\n<li>No facial incision.<\/li>\n<li>Lacrimal canal is preserved.<\/li>\n<li>Risk of recurrence is quite low.<\/li>\n<\/ul>\n<p>Therefore, especially in <strong>recurrent antrochoanal polyp<\/strong> cases, the prelacrimal approach is a more physiological and safer alternative compared to Caldwell-Luc.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_is_the_Surgical_Approach_Selected\"><\/span>How is the Surgical Approach Selected?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The most appropriate surgical method is different for each patient:<\/p>\n<ul>\n<li><strong>First case<\/strong> \u2192 Endoscopic endonasal approach is often sufficient.<\/li>\n<li><strong>Recurrent or deeply located polyp<\/strong> \u2192 Prelacrimal or if necessary Caldwell-Luc can be added.<\/li>\n<\/ul>\n<p>Surgical selection is determined according to the patient&#8217;s age, sinus anatomy, location of the polyp, and accompanying <strong>sinusitis\/nasal congestion<\/strong> status.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Does_Antrochoanal_Polyp_Recur\"><\/span>Does Antrochoanal Polyp Recur?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Yes, it can recur.<br \/>\nHowever, recurrence is usually related to <strong>incomplete cleaning of the root inside the sinus<\/strong> or <strong>continuation of chronic inflammation<\/strong>.<br \/>\nWith the right technique, when the root is completely removed and sinusitis is controlled, <strong>the risk of recurrence is quite low.<\/strong><\/p>\n<p>In the postoperative period:<\/p>\n<ul>\n<li>Saline irrigation,<\/li>\n<li>Allergy control,<\/li>\n<li>Regular endoscopic examination<br \/>\nplay an important role in preventing recurrence.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Conclusion\"><\/span>Conclusion<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Antrochoanal polyp is a condition that presents with complaints similar to nasal congestion and sinusitis but requires careful surgical planning.<br \/>\nThe most important point for successful treatment is <strong>to reach the sinus root and completely clean the mucosal source area.<\/strong><\/p>\n<p>Today, <strong>endoscopic sinus surgery<\/strong> is the gold standard. However, in some complex cases, a combination with the <strong>prelacrimal approach<\/strong> or <strong>Caldwell-Luc method<\/strong> can provide additional advantages to the surgeon.<\/p>\n<p>With proper patient selection, complete resection, and regular follow-up, <strong>the risk of recurrence is minimized<\/strong>, and the patient&#8217;s both breathing and quality of life significantly improve.<\/p>\n<p><strong>Keywords (SEO):<\/strong><br \/>\nantrochoanal polyp, antrochoanal polyp treatment, antrochoanal polyp surgery, endoscopic sinus surgery, prelacrimal approach, Caldwell-Luc, sinusitis, nasal congestion, ENT specialist Istanbul, Prof. Dr. Gediz Murat Serin<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Current Surgical Approaches in Antrochoanal Polyp Treatment Prof. Dr. Gediz Murat Serin \u2013 Ear, Nose and Throat Specialist Introduction An antrochoanal polyp is a benign mass that develops from the maxillary (cheek) sinus mucosa, extends into the nasal cavity and from there to the nasopharynx (choana). It is usually unilateral and is more common in [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1407,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[],"class_list":["post-1406","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"_links":{"self":[{"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/posts\/1406","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/comments?post=1406"}],"version-history":[{"count":1,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/posts\/1406\/revisions"}],"predecessor-version":[{"id":1408,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/posts\/1406\/revisions\/1408"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/media\/1407"}],"wp:attachment":[{"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/media?parent=1406"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/categories?post=1406"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/tags?post=1406"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}