title: [The effectiveness of endoscopic sinus surgery in nasal polyposis].
abstract: OBJECTIVE
  We evaluated the effectiveness and outcomes of functional endoscopic sinus surgery in the treatment of nasal polyposis.
  
  
  METHODS
  The study included 407 patients (262 males, 145 females; mean age 42+/-12 years; range 20 to 76 years) with nasal polyposis. Of these, 102 patients (25%) had asthma, 25 patients (6.1%) had asthma and aspirin sensitivity, and 142 patients (34.8%) had anatomic variations. The patients were operated on using the Messerklinger and Wigand techniques. Functional endoscopic sinus surgery was performed bilaterally. Evaluations were made preoperatively and at six months by endoscopic examination and paranasal sinus computed tomography (Lund-Mackay score). Postoperatively, the patients were treated with nasal irrigation and topical steroid spray.
  
  
  RESULTS
  Following surgery, the mean computed tomography score decreased from preoperative 17.0+/-4.3 to 8.5+/-4.7. Major complication occurred in one patient. Nasal mucosal adhesion was the most frequent minor complication (5.4%). Nasal polyposis recurred in 78 patients (19.1%), of whom 57 patients underwent revision surgery.
  
  
  CONCLUSIONS
  Our data show that functional endoscopic sinus surgery combined with corticosteroid administration is effective in the treatment of nasal polyposis.
authors.affiliation: Department of Otolaryngology, Yildirim Beyazit Training and Research Hospital, Ankara, Turkey.
authors.forename: Cem
authors.initials: C
authors.lastname: Saka
authors.forename: Gökhan
authors.initials: G
authors.lastname: Kuran
authors.forename: Erkan
authors.initials: E
authors.lastname: Vuralkan
authors.forename: Ayhan
authors.initials: A
authors.lastname: Gökler
authors.forename: Istemihan
authors.initials: I
authors.lastname: Akin
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000328:Adult; D000368:Aged; D004724:Endoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009298:Nasal Polyps / Q000000981:diagnostic imaging / Q000601:surgery*; D010256:Paranasal Sinuses / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D000305:Adrenal Cortex Hormones