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Bilateral Antrochoanal Polyps: Possible Pathogenesis

Al-Qudah, Mohannad MD, FICS, FAAOHNS

Journal of Craniofacial Surgery: May 2011 - Volume 22 - Issue 3 - p 1116-1118
doi: 10.1097/SCS.0b013e3182108f0a
Brief Clinical Studies

Antrochoanal polyp is a rare, benign solitary mass that arises from maxillary sinus. It exits through sinus ostium, passes across the middle meatus, and reaches into the choana. In general, it represents up to 6% of all nasal polyps. Although it is usually unilateral, in extreme rare cases it could be bilateral.

We herein report a case of an 11-year-old girl who presented with bilateral antrochoanal polyps and was managed successfully by endoscopic surgical approach. We also hypothesize a possible pathophysiologic explanation of this rare disease.

From the Division of Otorhinolaryngology-Head and Neck Surgery, Department of Special Surgery, Jordan University of Science and Technology, Irbed, Jordan.

Received June 3, 2010.

Accepted for publication August 4, 2010.

Address correspondence and reprint requests to Mohannad Al-Qudah, MD, FICS, FAAOHNS, Department of Special Surgery, Jordan University of Science & Technology, PO Box 3030, Irbed 22110, Jordan; E-mail:

The author reports no conflicts of interest.

© 2011 Mutaz B. Habal, MD