Improvement of SNOT-22 in Cured Antrochoanal Polyps

Abstract

Objective: Antrochoanal polyps (ACP) are unilateral nasal masses originating from the maxillarysinuses. We used the Sinonasal Outcome Test (SNOT-22) for determining the quality of life beforeand after ACP were excised via surgery.Methods: Forty ACP were excised by a combination surgery of powered instrument and caninefossa catheterization. We measured and compared SNOT-22 levels before and one month afterthe surgery.Results: A total of 22 male and 18 female subjects with unilateral ACP were included in the present study; 14 subjects were less than 20 years of age and the remaining subjects were between15 and 68 years. The mean follow-up period was 34±20 months. No recurrence was observed inthe follow-up period. The mean total preoperative SNOT-22 score was 50.61±19.21 and the meanpostoperative SNOT-22 score was 16.80±10.75.Conclusion: Combined powered surgery is a good alternative for ACP removal. Besides providinga clean surgical field, complete excision of the polyp prevents recurrences. This surgery significantly improved the quality of life, which was visible even after three years.