Synchronous Fronto-Choanal Polyp and Adenoid Hypertrophy in a Chronic Rhinosinusitis Case

Nasal polyps are benign lesions associated with mucosal inflammation of the nasal cavity and paranasal sinuses. Choanal polyps most commonly originate from the maxillary sinus. Fronto-choanal polyps are rare forms of choanal polyps, may occlude the choana and it should be kept in mind in the etiology of nasal obstruction. Treatment is total surgical excision. A 50-year-old patient presented to our outpatient clinic with symptoms of chronic rhinosinusitis that had persisted for 10 years. Endoscopic examination revealed that he had adenoid hypertrophy and a choanal polyp originating from frontal recess. The frontochoanal polyp was excised on endoscopic surgery and an adenoidectomy operation was performed simultaneously. Fronto-choanal polyps are very rare and there is lack of enough information in the literature. We aimed to contribute to the literature that in some cases operated on as antrochoanal polyp, the polyp may originate from regions other than the maxillary antrum. It can be recommended that isolated polyps extending to the choanae should be named according to their region of origin and the surgery should extend to this area.