Abstract
Nasal polyps are common, affecting up to four percent of the population. Their etiology remains unclear, but they are known to have associations with allergy, asthma, infection ,cystic fibrosis, and aspirin sensitivity. Computerized tomography allows evaluation of the extent of the disease and is essential when surgical treatment is to be considered. There is good evidence for the use of corticosteroids (systemic and topical) both as primary treatment and as postoperative prophylaxis against recurrence. Surgical treatment has been refined significantly over the past twenty years with the advent of endoscopic sinus surgery. Symptomatic improvement is more in Endoscopic sinus surgery (ESS) compared to conventional procedures (including polypectomy, Caldwel-luc and intranasal ethmoidectomy). Overall complications following ESS are relatively very few polyp reccurrence are also less (8%) for ESS compared with14% for coventional surgery. Keywords: Nasal polyposis, surgical procedures, FESSDOI: 10.3329/bjo.v14i2.3285 Bangladesh J of Otorhinolaryngology 2008; 14(2) : 71-74
Highlights
Nasal polyposis are benign lesions, round, soft, semitranslucent, pale or yellow glistening structures that originate from any part of the nasal mucosa or paranasal sinuses[1]
Advantages are claimed over conventional surgery: permitting a better view of the surgical field, a more precise and thorough clearance of the inflammatory change, fewer complications and lower recurrence rate[14]
We have identified large amounts of data on Functional endoscopic sinus surgery (FESS)
Summary
Nasal polyposis are benign lesions, round, soft, semitranslucent, pale or yellow glistening structures that originate from any part of the nasal mucosa or paranasal sinuses ( most commonly from the ethmoid or middle meatus regions)[1].Nasal Polyposis have uncertain eitiology and may be linked to chronic inflammation, allergy, autonomic nervous system dysfunction and genetic predisposition.[2]Functional endoscopic sinus surgery (FESS) is a minimally invasive technique that uses an endoscope to improve ventilation and drainage in addition to polyp removal[1,3].The extent of surgery varies according to the extent of disease and surgeon’s individual practice. Nasal Polyposis have uncertain eitiology and may be linked to chronic inflammation, allergy, autonomic nervous system dysfunction and genetic predisposition.[2]. Functional endoscopic sinus surgery (FESS) is a minimally invasive technique that uses an endoscope to improve ventilation and drainage in addition to polyp removal[1,3]. The extent of surgery varies according to the extent of disease and surgeon’s individual practice. This technique has been used for more than a decade in treating sino-nasal conditions. Advantages are claimed over conventional surgery: permitting a better view of the surgical field, a more precise and thorough clearance of the inflammatory change, fewer complications and lower recurrence rate[14]
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