Antrochoanal Polyp causing Stridor and Dysphagia: A Case Report of a Rare Presentation
Deepika Pratap, Suprita S Savadatti, Manasa K Nagaraj, Abhishek N Parbat, Mohammed F Patel
Antrochoanal, Case report, Dysphagia, Epiglottis, Polyp, Stridor
Citation Information :
Pratap D, Savadatti SS, Nagaraj MK, Parbat AN, Patel MF. Antrochoanal Polyp causing Stridor and Dysphagia: A Case Report of a Rare Presentation. Int J Head Neck Surg 2023; 14 (4):63-65.
Background: Antrochoanal polyp (ACP), also known as Killian polyp, is a benign lesion of maxillary sinus origin with infective etiology. ACPs most often present with nasal obstruction and rhinorrhea, but may rarely prolapse causing acute respiratory distress. We herein report a rare case of ACP-causing stridor.
Case description: Large ACPs may extend into the nasopharynx and reach almost up to the epiglottis. A 19-year-old girl presented with nasal obstruction, dysphagia, and stridor. She was diagnosed with left ACP reaching the suprahyoid epiglottis. The patient underwent functional endoscopic sinus surgery (FESS). The postoperative period was uneventful.
Conclusion: Though the ACP is a common lesion, it has various presentations and may extend into the hypopharynx. ACP is managed surgically with complete excision to reduce the risk for recurrence and with less morbidity.
Clinical significance: It is important to keep in mind that ACP when untreated can lead to stridor.