AI Summary & Key Takeaways
AI InsightIn this case, total excision of a left-sidedangiomatous antrochoanal polyp with bone destruc-tion was managed with nasal endoscopic approach.Troublesome intraoperative bleeding was avoided withefective additional measures.
📌 3 Key Takeaways
Abstract
Angiomatous polyps are rare sinonasal masses and maypresent with intense epistaxis. Angiomatous antrocho- anal polyps are rare variants of antrochoanal polyps,and their diagnosis and management requires moredetailed evaluation in respect to classical antrochoanalpolyps. In both antrochoanal polyps and angiomatouspolyps, bone destruction is an exceptional fnding. Tesigns of bone destruction and epistaxis suggest addi- tional pathologies including inverted papilloma, lobu- lar capillary haemangioma and carcinoma as diferen-tial diagnoses. In this case, total excision of a left-sidedangiomatous antrochoanal polyp with bone destruc-tion was managed with nasal endoscopic approach.Troublesome intraoperative bleeding was avoided withefective additional measures.
Özet
Anjiomatöz polipler yoğun epistaksis ile karşımıza çıka-bilen nadir görülen sinonazal kitlelerdir. Anjiomatöz an-trokoanal polip, antrokoanal poliplerin nadir görülen birçeşididir. Tanı ve tedavide klasik antrokoanal poliplere kı-yasla daha detaylı değerlendirme gerektirir. Antrokoanalve anjiomatöz poliplerin her ikisinde de kemik destrük-siyonu beklenmedik bir bulgudur. Kemik destrüksiyonuve epistaksis bulguları, ayırıcı tanıda inverted papillom,kapiller hemanjiom ve karsinom gibi patolojileri akla ge-tirir. Bu vakada kemik destrüksiyonu bulunan sol taraf an-jiomatöz antrokoanal polip nazal endoskopik yaklaşımlatotal eksize edilerek tedavi edildi. Etkin ek önlemler alı-narak, cerrahi esnasında can sıkıcı kanamadan kaçınıldı.