Modified nasal dermoplasty technique for treatment of recurrent polyposis: preliminary results

Anastasopoulos, George; Grigoriadis, Georgios; Papoutsi, Sylvana

doi:10.1017/s0022215113000868

Cited by 9 publications

(9 citation statements)

References 15 publications

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“…This technique would be promising in prevention of recurrent nasal polyposis while it needed more time and researches to proven its efficacy. 10 The idea of skin replacement instead of the diseased mcosa would not be a new idea, it would be safe and effective technique, it would give birth to the dermoplasty technique for recurrent nasal polyposis. 10 In this study the placement of normal nasal mucosa from inferior turbinate or nasal septum instead of the mucosa of the fovea ethmoidalis and lamina papyracea would be a new idea.…”

Section: Resultsmentioning

confidence: 99%

“…The dermoplasty would have 2 disadvantages,the first would be longer time needed(about one hour )than the usual sinuscope,the second would be a delay in the previous activities of the patients due to the leg wound. 10 Anastasopoulos et al stated that in a female case had Churg-Strauss syndrome with recurrant nasal polyposis. Patient would be undergone modified nasal dermoplasty (NDRP) that was an excellent in management of recurrent nasal polyposis, even with established tendency to nasal polyposis formation.…”

Section: Resultsmentioning

confidence: 99%

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Grafting to denuded nasal cavity for prevention of recurrent nasal polyposis by endoscopic sinus surgery

Amin

Mandour

Elrefai

2018

Int J Otorhinolaryngol Head Neck Surg

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Background: The objective of the study was to avoid nasal polyposis occurrence after recurrent FEES.Methods: 87 patients undergoing recurrent FESS due to recurrent nasal polyposis, after completing all steps of FESS the placement of normal nasal mucosa from inferior turbinate or nasal septum instead of the mucosa of the fovea ethmoidalis and lamina papyracea was done. Results: There were nasal obstruction improvement in 79 patients (90.8%), but there were 8 patients (9.2%) had recurrent nasal polypi causing nasal obstruction. There was smell improvement in 38 patients (71.7%) out of 15 patients (28.3%).Conclusions: The nasal cavity grafting in FESS of recurrent nasal polyposis with nasal septal or inferior turbinate mucosa had promising results in prevention of nasal polyposis recurrence. These results made a recommendation of nasal cavity grafting during primary FESS of nasal polyposis.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Grafting to denuded nasal cavity for prevention of recurrent nasal polyposis by endoscopic sinus surgery

Amin

Mandour

Elrefai

2018

Int J Otorhinolaryngol Head Neck Surg

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“…In this setting of uncertainty, the advent of the der-moplasty technique may provide a crude perhaps and non elegant solution, but effective nonetheless 6 . The removal of the part of the nasal mucosa responsible for the eruption of polyps renders this surgical technique radical enough, sparing at the same time most of the normal nasal tissues.…”

Section: Introductionmentioning

confidence: 99%

The technique of dermoplasty to treat recurrent nasal polyps: preoperative evaluation, surgical details, postoperative endoscopic appearance and histopathologic analysis

Anastasopoulos

Vicheva

Tsiompanou

et al. 2016

Romanian Journal of Rhinology

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BACKGROUND. The tendency of the nasal polyps for recurrence is well established and recognized. A potentially effective measure to reduce this tendency seems to be the replacement of the mucosa responsible for polyp growth. MATERIAL AND METHODS. Since February 2012, we have used this method in fifteen patients with intractable polyposis. After a short course of preoperative medication, we performed a detailed computed scan analysis to study the anatomy of the ethmoidal complex and calculate the area and contour of the graft. Under general anaesthesia, we removed the mucosa of the nasal roof and replaced it with a split-thickness skin graft. For maintenance, only a short course of nasal drops every three months seems to suffice. RESULTS. Excluding the first two cases due to a poor surgical technique, the rest of the cases may be considered successful. All patients experience a functional nose with restored nasal breathing and occasionally olfactory function with only a minimal pharmaceutical aid. Polyps still grow, but they show a much more benign course and are readily responsive to medical treatment. Interestingly, polyps present squamous metaplasia postoperatively. This feature needs further investigation. CONCLUSION. The method of dermoplasty presents a high potential for control of polyp growth. With only an hour prolongation of surgical time, a minor increase in complication rate and a small increase in morbidity rate, the technique deserves further attention from the rhinological society.

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“…On April 2013, we first published our modified nasal dermoplasty technique for the treatment of recurrent polyposis (NDRP) [ 1 ]. The rationale for the technique is the replacement of the mucosa of the ethmoidal vault, responsible for the generation of polyps, by a split-thickness skin graft.…”

Section: Introductionmentioning

confidence: 99%

Nasal Dermoplasty for Recurrent Polyps in a Patient with Churg-Strauss Syndrome

Anastasopoulos

Machas

Kegioglou

et al. 2015

Case Reports in Otolaryngology

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Nasal dermoplasty for recurrent polyps (NDRP) is a new technique for the surgical treatment of this condition. Churg-Strauss syndrome is characterized by the presence of nasal polyps with a great tendency for relapse after surgical or pharmaceutical treatment. It is the first time that we use NDRP to treat nasal polyps in a patient with Churg-Strauss syndrome. The patient was a 33-year-old female suffering from Churg-Strauss syndrome having had multiple operations in the past for recurrent polyps. NDRP was performed on the left nostril only. The mucosa of the left nasal vault was replaced by a split-thickness skin graft (modified dermoplasty). On the right nostril, polyps were removed and the ostia of the paranasal sinuses were enlarged as in typical endoscopic sinus surgery. The skin graft had a successful take and eight months after the operation no polyps are detected on the left side while polyps have recurred on the right nasal cavity. Applying the technique to a single nostril has several advantages, namely, the reduction of the operational time and therefore the risks for the patient from a prolonged general anaesthetic and the ability to judge the efficacy of the technique on the same patient.

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Modified nasal dermoplasty technique for treatment of recurrent polyposis: preliminary results

Cited by 9 publications

References 15 publications

Grafting to denuded nasal cavity for prevention of recurrent nasal polyposis by endoscopic sinus surgery

Grafting to denuded nasal cavity for prevention of recurrent nasal polyposis by endoscopic sinus surgery

The technique of dermoplasty to treat recurrent nasal polyps: preoperative evaluation, surgical details, postoperative endoscopic appearance and histopathologic analysis

Nasal Dermoplasty for Recurrent Polyps in a Patient with Churg-Strauss Syndrome

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