[Surgical treatment of patients suffering from allergic chronic sinusitis with nasal polyps].
BACKGROUND
Chronic sinusitis with nasal polyps is very often associated with allergy. The results of surgical treatment (Functional Endoscopic Sinus Surgery--FESS) in this group of patients are different and rather poor, especially in long term observations.


OBJECTIVE
of our study was to evaluate the results of surgical treatment (FESS) in patients suffering from chronic sinusitis with nasal polyps associated with allergy.


METHODS
We study the group of 33 patients with allergy-related polypoid lesions in the nasal cavity and paranasal sinuses. The patients with allergy-related disorder were previously under the control of allergologists and pulmonologists. All the patients underwent functional endoscopic sinus surgery. The patients were evaluated in postoperative period 4-6 years after the surgical treatment. The effectiveness of FESS was assessed on the basis of the nasal cavity endoscopic state and amelioration of symptoms.


RESULTS
The most frequent symptoms were postnasal drip and breathing disturbance through the nose. In 37.5% of patients the recurrence of symptoms was observed in the 4-6 years follow-up period. When we assessed aspirin intolerance syndrome patients this ratio increased to 64.7%.


CONCLUSIONS
In the allergy-related patients high rate of recurrence after the FESS treatment is stated in the long term observations.
Katedra i Oddział Kliniczny Laryngologii Sl. AM w Zabrzu.
Lucyna
L
Turecka
Wojciech
W
Scierski
Grzegorz
G
Namysłowski
Maciej
M
Misiołek
Grazyna
G
Lisowska
Eugeniusz
E
Czecior
Aleksandra
A
Polok
Bogusława
B
Orecka
Hanna
H
Misiołek
D002908:Chronic Disease; D005260:Female; D006801:Humans; D006967:Hypersensitivity; D008297:Male; D009298:Nasal Polyps / Q000150:complications / Q000601:surgery*; D012008:Recurrence; D012852:Sinusitis / Q000150:complications / Q000601:surgery*; D016896:Treatment Outcome