The current treatment of choice for a large Antro- choanal polyp in a 30 year old man is -
Ans. is 'c' i.e., Endoscopic sinus surgery Current t/t of choice for antero choanal polypThese days, endoscopic sinus surgery has superseded other modes of polyp removal.(Caldwell-luc operation is avoided these days).T/T of Antrochoanal polypAn Antrochoanal polyp is easily removed by avulsion either through the nasal or oral route.In case of recurrence Caldwell luc operation is requiredAlso know,The t/t of Ethmoidal polyp* One or two pedunculated polyps- Polypectomy* Multiple and sessile polyp- Intranasal ethmoidectomy* Recurrence of polyp after- Extranasalintranasal proceduresethmoidectomy* Infection and Polypoidal changes- Transantralalso seen in maxillary antrumethmoidectomyThese days ethmoidal polyps are also removed by endoscopic sinus surgery more popularly called FESS.
Intranasal polypectomy
Caldwell Luc operation
E.S.S. (Endoscopic sinus surgery)
Lateral Rhinotomy and excision
Polyp