Antrokoanalni polip

master's thesis

• Title (english): Antrochoanal polyp
• Author: Juraj Skelin
• Mentor: Gorazd Poje (mentor)
• Committee member: Mario Bilić (predsjednik povjerenstva)
• Committee member: Mihael Ries (član povjerenstva)
• Committee member: Gorazd Poje (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Othorhinolaryngology and Head and Neck Surgery); Zagreb
• Defense date and country: 2023-07-13, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Otorhinolaryngology

Abstract

Antrokoanalni polip benigna je lezija koja potječe iz sluznice maksilarnog sinusa. Kad svojim rastom ispuni sinus, kroz fontanelu se širi u nosnu šupljinu i dalje do koane i/ili nazofarinksa. Radi se o unilateralnom, solitarnom polipu koji je u pravilu češći u muškaraca nego u žena te u djece i mladih. Točna patogeneza polipa nije poznata. Prezentira se najčešće s unilateralnom nosnom opstrukcijom. Dijagnosticira se endoskopijom nosa i CT-om sinusa, a definitivna dijagnoza se postavlja patohistološki. Liječenje antrokoanalnog polipa je isključivo kirurško te se danas operira gotovo isključivo endoskopski (functional endoscopic sinus surgery, FESS), kirurškom tehnikom kojom se polip uklanja bez vanjskih rezova, ožiljaka i šavova. Za operacije je vrlo važno u cijelosti ukloniti njegovu intramaksilarnu komponentu uključujući i zahvaćenu sluznicu kako bi se spriječio ponovni rast polipa. Postoperativno praćenje se treba provoditi najmanje 2 godine.

Abstract (english)

Antrochoanal polyp is a benign lesion originating from the mucous membrane of the maxillary sinus. When it grows and fills the sinus, it extends through the fontanelle into the nasal cavity and further into the choana and/or nasopharynx. It is typically a unilateral, solitary polyp that is more common in males than females, as well as in children and young individuals. The exact pathogenesis of the polyp is unknown. It commonly presents with unilateral nasal obstruction. Diagnosis is made through nasal endoscopy and sinus CT scan, and the definitive diagnosis is established histopathologically. Treatment of antrochoanal polyps is exclusively surgical, and nowadays it is predominantly performed endoscopically (functional endoscopic sinus surgery, FESS), by a surgical technique that removes the polyp without external incisions, scars, or sutures. It is crucial during surgery to completely remove its intramaxillary component, including the affected mucosa, in order to prevent polyp recurrence. Postoperative monitoring should be conducted for at least 2 years.

• Keywords: antrokoanalni polip; maksilarni sinus; nosna endoskopija; funkcionalna endoskopska kirurgija sinusa (FESS)
• Keywords (english): antrochoanal polyp; maxillary sinus; nasal endoscopy; functional endoscopic sinus surgery (FESS)
• Language: croatian
• URN:NBN: urn:nbn:hr:105:226519
• Study programme: Title: Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2023-10-31 09:17:45