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Meticulous endoscopic sinus surgery to prevent recurrence of massive nasal polyposis

Published online by Cambridge University Press:  29 June 2012

S M S Hoseini ,
B Saedi  and
K Aghazadeh
S M S Hoseini
Affiliation:
Otolaryngology Department, Tehran University of Medical Sciences, Iran
B Saedi*
Affiliation:
Otolaryngology Department, Tehran University of Medical Sciences, Iran
K Aghazadeh
Affiliation:
Otolaryngology Department, Tehran University of Medical Sciences, Iran
*
Address for correspondence: Professor B Saedi, Otolaryngology Research Center, Imam Khomeini Medical Center, Bagherkhan Street, Chamran Highway, Tehran, Iran141973141 Fax: 982166581628, E-mail: saedi@tums.ac.ir
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Abstract

Objective:

To evaluate the effect of meticulous endoscopic surgery, including opening of all involved sinus cells, on the subsequent symptoms and endoscopic findings of patients with massive nasal polyposis.

Study design and method:

One hundred patients with massive nasal polyposis resistant to medical treatment were selected. We documented each patient's demographic data, associated diseases, endoscopic findings, Lund–Mackay score and Sino-Nasal Outcome Test 22 (SNOT22) symptom score. All patients were followed up for at least two years to evaluate any recurrence.

Results:

Of the 100 patients, 20 per cent had a history of asthma and 27 per cent had undergone previous surgery. All underwent endoscopic sinus surgery. After two years of follow up, 8 per cent had recurrence requiring surgery. Recurrence was significantly associated with a history of asthma (p < 0.001) and the histopathological presence of eosinophilia (p = 0.014).

Conclusion:

Meticulous endoscopic opening of all involved sinus cells can be a safe and effective means of controlling massive nasal polyposis, with an acceptable recurrence rate.

Keywords

Nasal PolypsSinusitisAsthmaEndoscopic SurgeryPrognosis
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 8 , August 2012 , pp. 789 - 794
Copyright
Copyright © JLO (1984) Limited 2012

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