[The effectiveness of endoscopic sinus surgery in nasal polyposis].
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.
Saka
Cem
C
Department of Otolaryngology, Yildirim Beyazit Training and Research Hospital, Ankara, Turkey.
Kuran
Gökhan
G
Vuralkan
Erkan
E
Gökler
Ayhan
A
Akin
Istemihan
I
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
D000305:Adrenal Cortex Hormones