title: Polypectomy compared with ethmoidectomy in the treatment of nasal polyposis.
abstract: OBJECTIVE
  To compare the 3-year results of 2 endoscopic surgical approaches in the management of nasal polyposis.
  
  
  METHODS
  Retrospective medical record review.
  
  
  METHODS
  Private or institutional practice.
  
  
  METHODS
  A total of 127 patients with nasal polyposis were operated on by the same surgeon between January 1, 2003, and September 31, 2005.
  
  
  METHODS
  The patients underwent radical ethmoidectomy (n = 77) and polypectomy (n = 50).
  
  
  METHODS
  Outcome measures were global functional score, calculated by summing the scores (0-3) of each symptom (congestion, rhinorrhea, anosmia, hyperreactivity, and pain); global anatomical score (GAS), calculated by summing the score of polyp development for each nasal cavity; computed tomography score; adherence to corticosteroid therapy; oral corticosteroid consumption; and complication and subsequent operation rate. Efficacy was evaluated by comparing these data preoperatively and postoperatively (at 3 months, 1 year, and 3 years).
  
  
  RESULTS
  The global functional score and GAS were significantly improved 3 years after these techniques were performed (global functional score changes from 8.65 to 3.11 for ethmoidectomy and from 8.15 to 4.2 for polypectomy; GAS, from 5.95 to 1.83 for ethmoidectomy and from 6.57 to 3.58 for polypectomy). Congestion, pain, and GAS were improved to a significantly greater extent in the ethmoidectomy group. The subsequent operation rate for symptomatic polyp recurrence was comparable (9.1% vs 8.0%), with fewer local complications in the polypectomy group.
  
  
  CONCLUSIONS
  Polypectomy seems to represent a valuable alternative in the armamentarium of first-hand surgical procedures for treating nasal polyposis.
authors.affiliation: Department of Otorhinolaryngology, Hôpital Intercommunal de Créteil, Créteil, France.
authors.forename: Marie
authors.initials: M
authors.lastname: Devars du Mayne
authors.forename: Virginie
authors.initials: V
authors.lastname: Prulière-Escabasse
authors.forename: Françoise
authors.initials: F
authors.lastname: Zerah-Lancner
authors.forename: André
authors.initials: A
authors.lastname: Coste
authors.forename: Jean-François
authors.initials: JF
authors.lastname: Papon
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D004724:Endoscopy; D005005:Ethmoid Sinus / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D055118:Medication Adherence; D008875:Middle Aged; D009092:Mucous Membrane / Q000601:surgery; D009298:Nasal Polyps / Q000601:surgery*; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods*; D010147:Pain Measurement; D012008:Recurrence; D012086:Reoperation / Q000706:statistics & numerical data; D012189:Retrospective Studies; D016896:Treatment Outcome
chemical_list: D000305:Adrenal Cortex Hormones