Removal of antrochoanal polyps

Non-atopic, benign lesions, which arise from the maxillary sinus, are called Antrochoanal polyps (ACP) or Killians polyps. The conventional doctors treat polyps through complete surgical removal of the polyp which involves pain, bleeding, a long recovery processes, the risk of facial disfigurement and a relatively high recurrence rate. The basic treatment for the antrochoanal polyp is intranasal snare polypectomy. The base of the polyp i.e. the nasal part is also removed along with the complete removal of the antral part to prevent the recurrence. In endoscopic surgery, the attachment site of the stalk is identified and it is excised along with a small cuff of adjacent mucosa. Visualization of the stalk base can be achieved using a medial meatotomy, or through a small cut in the inferior meatus. Endoscopic sinus surgery is the treatment of choice in patients with antrochoanal polyp because the technique preserves the function and capacity of the maxillary antrum. There are no additional maneuvers required and recurrence rate is also very low. The antral part is removed through a Caldwell- Luc antrostomy, inferior meatal antrostomy, or middle meatal antrostomy.

The variety of techniques used include; the Caldwell-Luc procedure, endoscopic polypectomy with middle meatal antrostomy, endoscopic polypectomy with antrostomy through the inferior meatus and endoscopic polypectomy with middle meatal antrostomy and the use of microshaver with or without transcanine access.

Endoscopic Sinus surgery

Endoscopic sinus surgery or sinoscopy is a procedure for the removing blockages in the sinuses. The blockages cause a condition called sinusitis in which the sinuses become clogged and swell causing pain and impaired breathing. In sinus surgery procedure an endoscope inserted into the nose, for the visualization of inner areas and it does not involve cutting of the skin. Sinus surgery using endoscopic method is a new technique designed to increase the air flow through the sinuses and allows the easy drain of mucus out of the nose. In addition of removing the nasal blockage, the procedure can relieve facial pain, improve breathing and improve the sense of smell and taste.

Endoscopic sinus surgery is an effective procedure to correct sinusitis, deviated septum, polyps and tumors. The advantage of endoscopic sinus surgery is that it is not ablative and destructive and the goal is to open the natural drainage channels and restoring normal physiologic function. Other advantages over past sinus surgeries are: diminished post operative discomfort, minimal nasal packing, decreased bleeding. Fast recovery from endoscopic sinus surgery and 90% success rate is appreciable.

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