Surgical versus Medical Treatment of Nasal Polyps

Lildholdt, Torben; Fogstrup, J.; Gammelgaard, N; Kortholm, B; Ulsoe, Claus

doi:10.3109/00016488809119457

Cited by 112 publications

(66 citation statements)

References 2 publications

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“…It is a simple non-invasive method requiring minimal patient cooperation. AR has been used in the pre and postopera- tive evaluation of rhinoplasties 16 , turbinoplasties and/or turbinectomies 17 , polypectomies 18 , adenoidectomies 19 , in assessing snorers and patients with obstructive sleep apnea syndrome 20 , choanal atresia 21 , subglottic stenosis 22 , and in children with chronic rhinitis 23 . This study was made to obtain measurable data on FESS, due to the lack of objective evaluation data in literature on the result of nasal surgery.…”

Section: Discussionmentioning

confidence: 99%

Avaliação do volume da cavidade nasal por rinometria acústica, pré e pós-cirurgia endoscópica funcional dos seios paranasais

Santos

Habermann

Hofmann

et al. 2006

Rev. Bras. Otorrinolaringol.

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A rinometria acústica é um método objetivo de determinar a geometria da cavidade nasal, pela análise da reflexão de ondas sonoras. Determina a área de secção transversal da cavidade em função da distância da narina e seu volume. OBJETIVO: Analisar a alteração do volume da cavidade nasal causada pela cirurgia endoscópica funcional dos seios paranasais, em adultos com rinossinusite crônica, e correlacionar esta alteração com a melhora da obstrução nasal. MATERIAL E MÉTODO: Foram avaliados 40 pacientes de 18 a 73 anos, entre agosto e outubro de 1999, na Universidade de Graz - Áustria, com rinossinusite crônica, antes e depois de serem submetidos à CEFSP. FORMA DE ESTUDO: Clínico prospectivo. RESULTADOS: O volume total da cavidade nasal aumentou significativamente no pós-operatório. 88% dos pacientes referiram melhora da obstrução nasal, 20% de forma parcial e 68% total. Nenhum paciente piorou deste sintoma. Não houve relação linear entre o aumento do volume da cavidade nasal e melhora subjetiva da obstrução nasal. CONCLUSÃO: O volume total da cavidade nasal aumentou no pós-operatório, mas não houve relação entre aumento do volume e melhora da obstrução nasal. Não houve aumento do volume da cavidade nasal após o uso do vasoconstritor, seja no pré ou no pós-operatório.

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Section: Discussionmentioning

confidence: 99%

Avaliação do volume da cavidade nasal por rinometria acústica, pré e pós-cirurgia endoscópica funcional dos seios paranasais

Santos

Habermann

Hofmann

et al. 2006

Rev. Bras. Otorrinolaringol.

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“…Though, topical steroids fail in eliminating the polyp they reduce them in size. Systemic steroid therapy is equally effective as simple polypectomy and it may serve as "Medical Polypectomy" [4].…”

Section: Discussionmentioning

confidence: 99%

Catheter in Antrochoanal Polyp: Functions Intact

Hekare¹,

Jagade²,

Kale³

et al. 2017

IJOHNS

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The general rule to follow in nasal pathology is to intervene "as extensive as required and as limited as possible". There are various surgical methods described in the literature for the removal of Antrochoanal polyp that are refractory to medical treatment. However, these methods fail to restore and maintain the optimal physiology of the nose thus reducing the quality of life post operatively. Here in this article, we describe a relatively easy, safe and cost effective method of complete removal of the Antrochoanal polyp with the use of simple rubber catheters. It negates the need for sophisticated instruments and also helps in restoring the physiological function of the nose effectively as the nasal mucosa is left undisturbed.

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“…Many other researches have shown that medical and surgical treatments are equally effective in patient of CRS with polyposis. [15][16][17][18] In another study done by Ebba Heden Blomquist et al showed that medical treatment seems to be sufficient to treat most symptoms of nasal polyposis. 19 We saw that after 3 weeks patients on only medical treatment showed only 26.47% improvement in polyp size on nasal endoscopy but in subjective assessment (VAS), they showed 62.36% improvement.…”

Section: -12mentioning

confidence: 99%

Evaluation of the medical and surgical management of chronic rhinosinusitis with polyposis

Modgil

2016

Int J Otorhinolaryngol Head Neck Surg

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Background: Chronic rhinosinusitis (CRS) is a group of disorders characterized by inflammation of the mucosa of the nose and paranasal sinuses of at least 12 consecutive weeks duration. Surgical intervention may be required if severe symptoms of obstruction and infection prove medical treatment to be ineffective. Little is known about the outcomes of patients electing to continue medical management or the comparative effectiveness of continued medical therapy with FESS. Methods: The study was conducted on 126 adult patients in the age group of 18-55 who fulfilled the CRS criteria with nasal polyposis. All patients were medically treated for the CRS, and observed after 3 weeks. In case the treatment was not effective; they were scheduled for FESS intervention and further observed after another 6 weeks. The improvement of the patients was measured by Visual analogue score, nasal endoscopy score and saccharine test. Results: Males between 41-50 were the most common patients with CRS. There was a significant improvement in the VAS score, nasal endoscopy score after 3 weeks of medical treatment. In 88% of patients the saccharine score was normal showing that this was not an effective measure for assessing the improvement. Conclusions: Medical treatment was found to be sufficient to treat most symptoms of CRS with nasal polyposis (grade 1 and 2). Surgery should only be done in refractory cases. Selection of those patients who will benefit from surgery should be based on the patient's symptoms and not on the examiner's polyp score. Quality of life is not proportional to polyp size (Upto grade 2).

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Surgical versus Medical Treatment of Nasal Polyps

Cited by 112 publications

References 2 publications

Avaliação do volume da cavidade nasal por rinometria acústica, pré e pós-cirurgia endoscópica funcional dos seios paranasais

Avaliação do volume da cavidade nasal por rinometria acústica, pré e pós-cirurgia endoscópica funcional dos seios paranasais

Catheter in Antrochoanal Polyp: Functions Intact

Evaluation of the medical and surgical management of chronic rhinosinusitis with polyposis

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