Anaesthetic Management of a Large Atypical Antrochoanal Polyp for FESS

Antrochoanal polyps usually present with nasal obstruction in children and young adults. This is a case of a large antrochoanal polyp causing nasal obstruction, change in voice and dysphagia in an adult female. Change in voice and dysphagia are uncommon symptoms of antrochoanal polyp suggesting oropharyngeal and hypo pharyngeal extension. It presented an anesthetic challenge due to difficult airway. Functional endoscopic sinus surgery was done under general anesthesia and polyp was excised in Toto.