Ras, A., El-Bahy, A., Abdelsamie, A. (2023). Role of Prelacrimal Recess Approach Assisted Middle Meatal Antrostomy in Primary Antrochoanal Polyp. Benha Medical Journal, 40(Special issue (Surgery)), 336-349. doi: 10.21608/bmfj.2023.171855.1699
Abou Bakr Elshafey Ras; Abdelrahman Mahmoud El-Bahy; Alaa Mohamed Abdelsamie. "Role of Prelacrimal Recess Approach Assisted Middle Meatal Antrostomy in Primary Antrochoanal Polyp". Benha Medical Journal, 40, Special issue (Surgery), 2023, 336-349. doi: 10.21608/bmfj.2023.171855.1699
Ras, A., El-Bahy, A., Abdelsamie, A. (2023). 'Role of Prelacrimal Recess Approach Assisted Middle Meatal Antrostomy in Primary Antrochoanal Polyp', Benha Medical Journal, 40(Special issue (Surgery)), pp. 336-349. doi: 10.21608/bmfj.2023.171855.1699
Ras, A., El-Bahy, A., Abdelsamie, A. Role of Prelacrimal Recess Approach Assisted Middle Meatal Antrostomy in Primary Antrochoanal Polyp. Benha Medical Journal, 2023; 40(Special issue (Surgery)): 336-349. doi: 10.21608/bmfj.2023.171855.1699
Role of Prelacrimal Recess Approach Assisted Middle Meatal Antrostomy in Primary Antrochoanal Polyp
1Department of Otolaryngology, Faculty of Medicine, Banha University, Banha, Egypt
2otolaryngology department, faculty of medicine, benha university, benha, egypt
Abstract
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
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