{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T11:49:28Z","timestamp":1768218568995,"version":"3.49.0"},"reference-count":45,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,9,13]],"date-time":"2025-09-13T00:00:00Z","timestamp":1757721600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,9,13]],"date-time":"2025-09-13T00:00:00Z","timestamp":1757721600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Antrochoanal polyps (ACPs) are cystic non\u2010neoplastic lesions that most commonly originate from the maxillary sinus and may extend posteriorly through the choana. Transnasal endoscopic removal is preferred for symptomatic ACPs. ACPs can recur after surgical removal, and while a 15% recurrence rate was published in a systematic review on pediatric ACPs, this has not been well\u2010established in adults. The purpose of this systematic review was to determine the recurrence rate of maxillary sinus ACPs following surgical resection in adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources<\/jats:title>\n                    <jats:p>A systematic review was conducted on ACP resection using Medline, Embase, and Web of Science databases from 1946 to July 2025.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Review Methods<\/jats:title>\n                    <jats:p>After excluding duplicate and non\u2010English articles, 395 abstracts were screened, and 63 articles were selected for full\u2010text review. Articles were included if they were original studies that reported recurrence rates after surgical resection of maxillary sinus ACPs in patients \u2265\u200916\u2009years old. Articles were excluded if study populations had minimum follow\u2010up of less than 6\u2009months or mean follow\u2010up of less than 12\u2009months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>After full\u2010text review, 16 studies met inclusion criteria with 439 patients being utilized for analyses. Mean age was 33.8\u2009years and 39.7% were female. Endoscopic middle meatal antrostomy with ACP removal was performed in 80.8% of cases. Following surgery, patients experienced an overall recurrence rate of 9% (95% CI: 6%\u201314%), with a mean follow\u2010up of 36.8\u2009months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>ACPs recurred in about 9% of adults following surgical resection. Further research is needed to determine whether certain patient factors and surgical techniques are associated with ACP recurrence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.70125","type":"journal-article","created":{"date-parts":[[2025,9,13]],"date-time":"2025-09-13T10:49:02Z","timestamp":1757760542000},"page":"557-563","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Maxillary Sinus Antrochoanal Polyp Recurrence Following Surgery in Adults: A Systematic Review"],"prefix":"10.1002","volume":"136","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4016-8663","authenticated-orcid":false,"given":"Kimberly A.","family":"Oslin","sequence":"first","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery Henry Ford Health  Detroit Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carl P.","family":"Wilson","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences Henry Ford Health  Detroit Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7377-4782","authenticated-orcid":false,"given":"John R.","family":"Craig","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery Henry Ford Health  Detroit Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,9,13]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(01)32583-7"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(01)89861-5"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1950.00700030562003"},{"issue":"1","key":"e_1_2_9_5_1","first-page":"42","article-title":"Choanal Polyps","volume":"61","author":"Sirola R.","year":"1966","journal-title":"Acta Oto\u2010Laryngologica"},{"issue":"4","key":"e_1_2_9_6_1","first-page":"168","article-title":"Antro\u2010Choanal Polyp: A 10\u2010Year Retrospective Study in the Pediatric Population With a Review of the Literature","volume":"18","author":"Chen J. 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