Document Detail


Diffuse nasal polyposis: postoperative long-term results after endoscopic sinus surgery and frontal irrigation.
MedLine Citation:
PMID:  9339796     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Diffuse nasal polyposis remains a challenge despite recent improvements in endonasal surgery. The purpose of this study is to evaluate the results after a radical complete sphenoethmoidectomy with peroperative and postoperative frontal irrigation in cases of diffuse nasal polyposis. In this prospective study, we include 50 consecutive patients with diffuse nasal polyposis suffering from nasal obstruction, anosmia, and other symptoms of chronic sinusitis. All patients were refractory to medical therapy. In each patient an endoscopic complete sphenoethmoidectomy including total excision of all diseased ethmoid mucosa was performed. Preoperative and postoperative frontal irrigation was performed systematically. The patients were followed closely with serial endoscopic examination, and CT scanning was performed between 2 and 3 years after surgery. There were no complications. Thirty-nine of the 50 patients regained satisfactory olfaction. Partial nasal obstruction persisted in four of the 50 patients. Endoscopically, polyp recurrence was noted in 3% of posterior ethmoids, 23% of anterior ethmoids, and 50% of frontal recesses. We conclude that in cases of refractory and extensive nasal polyposis, a total sphenoethmoidectomy with perioperative frontal irrigation followed by long-term postoperative topical steroid therapy provides excellent improvement or cure with safety and reliability.
Authors:
J M Klossek; L Peloquin; W H Friedman; J C Ferrier; J P Fontanel
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery     Volume:  117     ISSN:  0194-5998     ISO Abbreviation:  Otolaryngol Head Neck Surg     Publication Date:  1997 Oct 
Date Detail:
Created Date:  1997-10-28     Completed Date:  1997-10-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8508176     Medline TA:  Otolaryngol Head Neck Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  355-61     Citation Subset:  IM    
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, CHU de la Miletrie, Hôpital Jean Bernard, Université de Poitiers, France.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Endoscopy
Female
Follow-Up Studies
Humans
Irrigation
Male
Middle Aged
Nasal Polyps / physiopathology,  surgery*
Otorhinolaryngologic Surgical Procedures
Paranasal Sinuses / surgery*
Prospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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