Nasal Polypectomy in Patients With Asthma and Sensitivity to Aspirin

Do patients with chronic rhinosinusitis with nasal polyps suffer with facial pain?

“…Seventy percent of the patients in the present study suffered with asthma, a higher incidence than that reported for asthma in patients with CRSwNP in previous studies, which ranged between 21-44% (23,(26)(27)(28) . This can be attributed to the nature of our practice in a tertiary referral centre where most patients suffer with disease that has been refractory to treatment offered by other centres.…”

The Role of Allergic Rhinitis in the Aetiology of Nasal Polyps

“…The most common mode of presentation was nasal obstruction (98%), this agrees with (Drake-Lee, 1997) 6 , while only (40%) complained of sneezing in spite that (67%) of patients gave past history of allergic symptoms including sneezing, this decrease in incidence of sneezing with progress of disease explained by the fact that the nasal obstruction leads to a reduction in the exposure of the nasal mucosa to the aero allergen that provoke sneezing & other allergic nasal symptoms The association of nasal polyps &asthma has long been accepted and has been reviewed by (Moloney 1997) 5 , who found that 95(21%) of 445 patient have co-existing asthma & the greater number of patients with this association were women. (Brown et al 1979) 8 found that 513 (31%) out of 1660 patient had asthma while (Settipone1996) 9 gave a lower incidence of (7%).This study shows that out of 84 patient 28 (33%) have coexisting asthma and this slightly higher incidence may be attributed to the high number of women included in the study. The incidence of aspirin hypersensitivity in our study is about (4%) which is slightly lower than that reported by other studies like (Moloy 1977) 5 who report 6% this result may be explained by the steady decrease in the use of aspirin in recent years due to it's known side effects and the presence of effective alternative drugs especially in places like Basrah where G6PD deficiency is prevalent.…”

Effects of Sinus Surgery on Asthma in Aspirin Triad Patients

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