Question:medium
The most appropriate management of antrochoanal polyp in children is
The most appropriate management of antrochoanal polyp in children is
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In children, endoscopic intranasal removal avoids the facial growth risks of the Caldwell-Luc approach.
Updated On: Jul 8, 2026
- Caldwell Luc operation
- Intranasal polypectomy
- Corticosteroids
- Wait and watch
Show Solution
The Correct Option is B
Solution and Explanation
Step 1: Picture the polyp.
An antrochoanal polyp begins inside the maxillary sinus and sends a long stalk out through the sinus opening, across the nose, sometimes down to the throat opening.
Step 2: Note the trap in treating it.
If a surgeon removes only the part seen inside the nose and leaves the base sitting in the sinus, the polyp regrows quickly. Full removal, base and all, is what stops recurrence.
Step 3: Pick the route that suits a child's face.
Going in through the cheek bone, as in the Caldwell-Luc operation, risks the tooth buds and growth centres of a child's skull. Going in through the nostril with an endoscope avoids all of that while still reaching the sinus base of the polyp.
Step 4: Dismiss the weaker options.
Steroids shrink swelling but cannot remove this fleshy, stalked mass for good. Simply watching lets the polyp keep growing and block the airway further. The Caldwell-Luc route works but is not the preferred first step in a child.
Step 5: State the answer.
$\text{Intranasal polypectomy}$, done endoscopically with removal of the antral base, is the right choice in children.
\[ \boxed{\text{Intranasal polypectomy}} \]
An antrochoanal polyp begins inside the maxillary sinus and sends a long stalk out through the sinus opening, across the nose, sometimes down to the throat opening.
Step 2: Note the trap in treating it.
If a surgeon removes only the part seen inside the nose and leaves the base sitting in the sinus, the polyp regrows quickly. Full removal, base and all, is what stops recurrence.
Step 3: Pick the route that suits a child's face.
Going in through the cheek bone, as in the Caldwell-Luc operation, risks the tooth buds and growth centres of a child's skull. Going in through the nostril with an endoscope avoids all of that while still reaching the sinus base of the polyp.
Step 4: Dismiss the weaker options.
Steroids shrink swelling but cannot remove this fleshy, stalked mass for good. Simply watching lets the polyp keep growing and block the airway further. The Caldwell-Luc route works but is not the preferred first step in a child.
Step 5: State the answer.
$\text{Intranasal polypectomy}$, done endoscopically with removal of the antral base, is the right choice in children.
\[ \boxed{\text{Intranasal polypectomy}} \]
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