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  Vol. 132 No. 5, May 2006 TABLE OF CONTENTS
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  •  Online Features
  Clinical Problem Solving: Radiology
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Radiology Quiz Case: Diagnosis

Arch Otolaryngol Head Neck Surg. 2006;132:560.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Diagnosis: Antrochoanal polyp (ACP)

Although the origin and nature of the ACP remain points of controversy, there is a consensus that the ACP originates in the maxillary sinus and passes through the sinus ostium into the choana.1-3 The ACP can begin as an intramural cyst that obtains its polypoid shape as it protrudes through the maxillary ostium into the nasal cavity4 or it may be polypoid in origin.5 Min et al1 observed that the ACP originates from the maxillary posterior, inferior, lateral, and medial walls in order of decreasing frequency, although some authors have reported the lateral wall as the most frequent site of origin.

The ACP represents 3% to 6% of all nasal polyps3 and occurs more commonly in men and possibly children.3, 6 It is predominantly solitary.5 It is typically larger than the nasal polyp and has a dumbbell shape because of the anatomical restrictions of surrounding structures.7 Frequently, the maxillary ostium is . . . [Full Text of this Article]



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RELATED ARTICLE

Radiology Quiz Case
Jeanne Lee, Andy T. A. Chung, and Richard L. Scher
Arch Otolaryngol Head Neck Surg. 2006;132(5):559.
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