Outcome of endoscopic sinus surgery for nasal polyposis

ABSTRACT

Nasal polyposis is the most common mass lesions in the nose. It has been shown that it reduces quality of life. It has characteristically frequent recurrences. The objective of this study is to evaluate the outcome of nasal polyposis with medium term follow up [mean of 42 months]. This s M y included 216 adult patients with nasal polyps treated with endoscopic sinus surgery in the period from June 1997 to June 2003. All operations were done at Otori7inoiaryngoiogy Department, Mansoura University Hospital. Patients were grouped into polyposis, polyposis with asthmas, and polyposis with aspirin intolerance. Outcome measures include symptomatic improvement, residual and recurrent diseases, CT score, endoscopic score and complications. Patients symptom score and CT scores improved significantly after surgery. Recurrence rate was 19.9% [16%, 34%, and 38%] for the three groups, respectively]. Better control of asthma with less dependency on medication was not achieved in patients with asthma as well as patients with aspirin intolerance In conclusion; endoscopic sinus surgery is effective in treating patients with nasal polyposis. Patients with asthma and aspirin intolerance have worse outcome than patients with polyps with no asthma