{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T01:28:44Z","timestamp":1789694924659,"version":"4.0.1"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,4,19]],"date-time":"2025-04-19T00:00:00Z","timestamp":1745020800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance:<\/jats:title>\n                    <jats:p>Antrochoanal polyps are rare benign lesions arising from the maxillary sinus and extending into the nasopharynx. In exceptional cases, they extend into the oropharynx, causing symptoms such as dysphagia and voice changes. Recognizing this atypical presentation is crucial for timely diagnosis and management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case report:<\/jats:title>\n                    <jats:p>A 7-year-old boy presented with a 10-month history of left nasal obstruction, foreign body sensation in the throat, and chronic rhinorrhea. Recently, he developed dysphagia and voice changes. Examination revealed a soft, translucent mass behind the soft palate, displacing it anteriorly. Nasal endoscopy and computed tomography (CT) confirmed a left antrochoanal polyp extending into the oropharynx. The patient underwent functional endoscopic sinus surgery (FESS) with complete excision. Histopathologic analysis confirmed the diagnosis. Postoperatively, symptoms fully resolved, with no recurrence over 3 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>Antrochoanal polyps typically present with nasal obstruction and rhinorrhea but rarely extend into the oropharynx. Such cases may lead to dysphagia, voice alterations, and potential airway compromise. CT imaging is essential for assessing the extent of the lesion. FESS remains the gold standard for treatment, ensuring complete removal and reducing recurrence risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This case highlights an unusual presentation of an antrochoanal polyp extending into the oropharynx. Clinicians should consider this diagnosis in pediatric patients with persistent nasal obstruction and upper airway symptoms. Early intervention with endoscopic surgery provides excellent outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2025.111340","type":"journal-article","created":{"date-parts":[[2025,4,19]],"date-time":"2025-04-19T11:53:39Z","timestamp":1745063619000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Unusual presentation of antrochoanal polyp: A case report of oropharyngeal involvement in a child"],"prefix":"10.1097","volume":"131","author":[{"given":"Houas","family":"Jihene","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monia","family":"Ghammam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeweher","family":"Kechiche","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eya","family":"Laabidi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wassim","family":"Kermani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdelkefi","family":"Mohamed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"2","key":"R1-26-20260304","first-page":"670","article-title":"Diagnostic challenges of antrochoanal polyps: a review of sixty-one cases","volume":"43","author":"Choudhury","year":"2018","journal-title":"Clin. Otolaryngol. Off. J. ENT-UK Off. J. Neth. Soc. Oto-Rhino-Laryngol. Cervico-Facial Surg"},{"issue":"5","key":"R2-26-20260304","doi-asserted-by":"crossref","first-page":"1779","DOI":"10.1097\/SCS.0000000000000901","article-title":"Antrochoanal polyp: clinical presentation and retrospective comparison of endoscopic sinus surgery and endoscopic sinus surgery plus mini-Caldwell surgical procedures","volume":"25","author":"Kelles","year":"2014","journal-title":"J. Craniofac. Surg"},{"key":"R3-26-20260304","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/j.ijporl.2018.08.033","article-title":"Clinical features and management of antrochoanal polyps in children: cues from a clinical series of 58 patients","volume":"114","author":"Pagella","year":"2018","journal-title":"Int. J. Pediatr. 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Otorhinolaryngol"},{"issue":"Suppl. 3","key":"R8-26-20260304","doi-asserted-by":"crossref","first-page":"1800","DOI":"10.1007\/s12070-017-1160-z","article-title":"Role of computed tomography findings in the quest of understanding origin of antrochoanal polyp","volume":"71","author":"Bidkar","year":"2019","journal-title":"Indian J. Otolaryngol. Head Neck Surg. Off. Publ. Assoc. Otolaryngol. India"},{"issue":"7","key":"R9-26-20260304","doi-asserted-by":"crossref","first-page":"627","DOI":"10.1017\/S0022215119000938","article-title":"Combined approach for paediatric recurrent antrochoanal polyp: a single-centre case series of 27 children","volume":"133","author":"Mantilla","year":"2019","journal-title":"J. Laryngol. Otol"},{"key":"R10-26-20260304","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1016\/j.ijporl.2017.12.035","article-title":"Recurrences of surgery for antrochoanal polyps in children: a systematic review","volume":"106","author":"Galluzzi","year":"2018","journal-title":"Int. J. Pediatr. Otorhinolaryngol"},{"issue":"5","key":"R11-26-20260304","doi-asserted-by":"crossref","first-page":"688","DOI":"10.1016\/j.otohns.2006.02.035","article-title":"Endoscopic sinus surgery for antrochoanal polyps in children","volume":"135","author":"Lee","year":"2006","journal-title":"Otolaryngol.\u2014Head Neck Surg. Off. J. Am. Acad. 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