TY - JOUR T1 - Sphenochoanal polyps in children — a systematic review (1995‒2021) JO - Brazilian Journal of Otorhinolaryngology (English Edition) T2 - AU - Tywoniuk,Krystian AU - Haber,Karolina AU - Mierzwiński,Józef SN - 18088694 M3 - 10.1016/j.bjorl.2022.02.006 DO - 10.1016/j.bjorl.2022.02.006 UR - http://www.bjorl.org/en-sphenochoanal-polyps-in-children--articulo-S1808869422000374 AB - ObjectivesNasal polyps that originate from the sphenoid sinus and reach the nasopharynx are called sphenochoanal polyps. Reports on sphenochoanal polyps in children have thus far been limited only to case reports. This review aims to describe and summarize clinical presentation, diagnosis, management, surgical approaches to the sphenochoanal polyps with recurrence rate after surgery in pediatric patients reported in the literature. MethodsA systematic literature review was performed using PubMed, MEDLINE and Cochrane Library Databases for articles published prior to December 2021 to identify all studies reporting on pediatric patients with sphenochoanal polyps. Clinical presentation, management options, surgical approaches and outcomes of applied management were extracted from included studies. Results9 articles provided data on 11 eligible patients with an age range 3 years and 8 months–16 years. The commonest symptoms included: nasal obstruction, nasal discharge, and headache respectively. All patients were subjected to surgical treatment. No recurrences after the endoscopic sphenoidotomy were reported. ConclusionSphenochoanal polyps should be kept in mind in the differential diagnosis of unilateral nasal cavity or paranasal sinuses masses. Misdiagnosis can result in recurrences in patients with sphenochoanal polyp, who can be mistakenly diagnosed with antrochoanal polyp and underwent inadequate treatment not involving sphenoidotomy and exact identification of the site of implantation. The symptoms of sphenochoanal polyps are nonspecific. ER -