About Video

This video demonstrates the removal of an antrochoanal polyp. After performing a middle meatal antrostomy, the polyp is initially debulked till its stalk is visible. It is vital to remove the stalk to prevent a recurrence. Occasionally, the stalk may have to be approached from the inferior meatus due to its location. The use of an endoscope has revolutionized the treatment of antrochoanal polyps. While they are seemingly simple to remove, one needs to tackle the site of origin to prevent a recurrence. In the pre-endoscopic days, one would need to use a Caldwell Luc approach to tackle these stalks, but with the endoscope, this procedure has become more physiological, easier and with a higher success rate. Powered instruments have made this task only easier, as the simultaneous debridement and aspiration provides the surgeon with an extra hand to manage nasal masses more effectively.