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    Antrochoanal Polyp: Clinical Presentation and Retrospective Comparison of Endoscopic Sinus Surgery and Endoscopic Sinus Surgery Plus Mini-Caldwell Surgical Procedures
    (Lippincott Williams & Wilkins, 2014) Kelles, Mehmet; Toplu, Yuksel; Yildirim, Ilhami; Okur, Erdogan
    Antrochoanal polyp is a benign polypoid lesion orginating from the maxillary sinus antrum and extending to the choana. Our aim was to assess the clinical presentation and associated rhinological findings of antrochoanal polyp patients and to evaluate results of 2 surgical treatments termed endoscopic sinus surgery (ESS) and ESS plus mini-Caldwell operation. The study included 46 patients. Factors such as patient age, sex, history of chronic sinusitis, allergic rhinitis, septal deviations, chonca bullosa, turbinate hypertrophy, and the origin of the polyp were assessed. We also evaluated ESS and ESS plus mini-Caldwell surgical procedures for recurrences, synechia, bleeding, and ostium stenosis. Overall, there were 27 men and 19 women. The ESS approach was used in 26 cases, and 20 cases had combined ESS and mini-Caldwell procedures. The statistical significant difference between the 2 groups was only recurrence (P < 0.05). In the ESS group, bleeding, synechia, and ostium stenosis were seen more than in the ESS + mini-Caldwell group, but there was no significant difference between the 2 groups in bleeding, synechia, and ostium stenosis (P > 0.05). We thought that lower rate of recurrence found in ESS + Caldwell group in this study was associated with better visualization of the maxillary sinus walls and, therefore, easier resection of the remnant polyp. We concluded that higher incidences of bleeding and synechia were related to the mucosal damage occurring in the septum and the inferior concha due to excessive manipulation of endoscope and surgical instruments.
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    A rare case of rhinosinusitis: Three different complications in a patient
    (2020) Kumbul, Yusuf Cagdas; Sayin, Sarper; Okur, Erdogan; Yasan, Hasan; Sivrice, Mehmet Emre
    The aim of this study is to describe the management of three different complications associated with rhinosinusitis which developed simultaneously in the same patient. A 27-year-old man visited the emergency department with complaints of headache and swelling of the left eye. He had sustained a blunt head injury 1 month earlier. He was diagnosed with preseptal cellulitis, subdural abscess, and Pott’s puffy tumor which was shown to be a result of rhinosinusitis after physical examination and imaging. After surgical and medical treatment, he was followed up without further complications. Complications of acute rhinosinusitis are very uncommon in the antibiotic era. Patients may suffer life-threatening outcomes if complications develop. A prompt multidisciplinary approach must be immediately established by otorhinolaryngologists, ophthalmologists and other specialists of relevance in order to diagnose and treat life-threatening complications.