Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2023, Vol. 37 ›› Issue (6): 159-163.doi: 10.6040/j.issn.1673-3770.0.2022.218

• Clinical Study • Previous Articles     Next Articles

Clinical data analysis of 36 cases of antrochoanal polyp in Children

XU Hongming, FAN Wenyan, PU Shilei, LI Xiaoyan   

  1. Department of Otorhinolaryngology & Head and Neck Surgery, Children's Hospital of Shanghai / Children's Hospital Affiliated to Shanghai Jiao Tong University School of Medical, Shanghai 200062, China
  • Published:2023-12-15

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Abstract: Objective This paper explored the safety and efficacy of sinus absorbable steroid sustained-release implantation system in the treatment of antrochoanal polyp in children. Methods A total of 36 pediatric patients with antrochoanal polyps were divided into study group(26 cases)and control group(10 cases), depending on whether or not a sinus absorbable steroid sustained-release implantation system was implanted into the sinus cavity. All the patients were followed up for half a year. Visual analogue scale and Lund-Kennedy score were used to evaluate the symptoms and mucous membrane of the operative cavity. Results The mean age of the study group was(8.51±2.76)years, and that of the control group was(7.80±2.76)years, with no statistical difference(P=0.525). There was no significant difference in male/female ratio between the two groups(P=0.854). There was no significant difference in the symptom score between the two groups at one and three months of follow-up after the operation(P=0.485; P=0.113, respectively), but the symptom score of the study group was significantly improved compared with the control group at six months after the operation(P<0.05). The Lund-Kennedy score of the study group was significantly better than that of the control group at one month of follow-up(P<0.05), but there was no significant difference at 3, 6, and 12 months of follow-up(P=0.158, P=0.087, and P=0.555, respectively). There was respectively one case of recurrence in the study and control groups(3.85%/10%), with no statistical difference between the two groups(P=0.484). There were no intra-orbital and intra-cranial complications in the study and control groups. Conclusion In the surgical treatment of children with antrochoanal polyps, the application of sinus absorbable steroid sustained-release implantation system can effectively improve postoperative symptoms and operative cavity conditions. However, there was no statistical difference in recurrence rate, which needs to be verified by further clinical studies with a larger sample size. There was no increase in postoperative complications associated with sinus stents in this study.

Key words: Antrochoanal polyp, Bioabsorbable steroid-eluting sinus implants, Children, Nasal endoscopic surgery, Evaluation of therapeutic efficiency

CLC Number: 

  • R765.21
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