Significance of nasal septal deviation among patients with antrochoanal polyp

• Published in: Journal of laryngology and otology Vol. 137; no. 8; pp. 921 - 924
• Main Authors: Rozendorn, N, Warman, M, Zloczower, E, Mansour, J, Yakirevitch, A
• Format: Journal Article
• Language: English
• Published: Cambridge, UK Cambridge University Press 01.08.2023
• Subjects: Classification; Cysts; Epistaxis; Main Article; Medical imaging; Medical records; Pathogenesis; Patients; Physiology; Polyps; Sinuses; Sinusitis; Statistical analysis; Surgery; Tomography; Young adults; Nasal Polyps; Nasal Obstruction; Computed Tomography; Nasal Septum; Endoscopic Sinus Surgery
• ISSN: 0022-2151; 1748-5460
• DOI: 10.1017/S0022215122002614

This study aimed to examine the association between nasal septal deviation and antrochoanal polyp. This was a retrospective review of medical records and imaging of patients who underwent endoscopic sino-nasal surgery for antrochoanal polyp. Forty-eight patients operated on for antrochoanal polyp between 2009 and 2019 were eligible for the study. The median age was 32 years, and 52.1 per cent were male. Antrochoanal polyp was diagnosed equally in the right and left nasal cavities. Septal deviation was present in 77 per cent of such cases. In 44 per cent of septal deviation cases, the antrochoanal polyp was ipsilateral to the deviation, which was not statistically significant. The type of deviation according to the Mladina classification was not correlated with the laterality of septal deviation and antrochoanal polyp. The laterality of the septal deviation was not found to be correlated with that of the antrochoanal polyp. Therefore, performing routine septoplasty during antrochoanal polyp surgery is unnecessary unless the deviation interferes with the complete extraction of the polyp.