Paediatric traffic accident and obstructive sleep apnoea by antrochoanal polyps: case report and literature review

Weder, S; Landis, B N; Banz, Y; Caversaccio, M; Dubach, P (2011). Paediatric traffic accident and obstructive sleep apnoea by antrochoanal polyps: case report and literature review. International journal of pediatric otorhinolaryngology, 75(11), pp. 1359-63. Amsterdam: Elsevier 10.1016/j.ijporl.2011.07.028

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Antrochoanal polyps are hyperplasias of the nasal mucosa, which have their origin in the maxillary sinus and extend through the nasal cavity and the choanae into the naso- and oropharynx. In children antrochoanal polyps represent one of the more frequent manifestations of paediatric nasal polyposis. Most studies on antrochoanal polyps in children report only on nasal obstruction, hyponasal speech and snoring, which are also encountered in the most common cause of obstructive sleep apnoea syndrome; i.e. adenoid or tonsillar hyperplasia. Only very few studies report on additional health hazards by antrochoanal polyps ranging from obstructive sleep apnoea syndrome to swallowing disorders and cachexia. We present the case of an 8 year old girl with a bicycle accident caused by excessive daytime sleepiness and obstructive sleep apnoea syndrome due to an extensive antrochoanal polyp. After a transnasal polypectomy and meatotomy type II the obstructive sleep apnoea and day time sleepiness resolved completely. Awareness of this additional health hazard is important and correct evaluation and timely diagnosis of a potential antrochoanal polyp is mandatory because minimally invasive rhinosurgery is highly curative in preventing further impending problems.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Ear, Nose and Throat Disorders (ENT)
04 Faculty of Medicine > Service Sector > Institute of Pathology > Clinical Pathology

UniBE Contributor:

Landis, Basile Nicolas; Banz Wälti, Yara; Caversaccio, Marco and Dubach, Patrick

ISSN:

0165-5876

Publisher:

Elsevier

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:18

Last Modified:

06 Dec 2013 13:25

Publisher DOI:

10.1016/j.ijporl.2011.07.028

PubMed ID:

21872347

Web of Science ID:

000296684800002

URI:

https://boris.unibe.ch/id/eprint/5474 (FactScience: 210221)

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