Nasal polyposis and functional endoscopic sinus surgery

Abstract

Surgical therapy of nasal polyposis should be thought in a wide spectrum from a limited intranasal polypectomy to external frontoethmosphenoidectomy. In last years surgery of nasal polyposis had reached to a less invasive level with the developments in the era of diagnostic tools and endoscopic equipments. Although surgical therapy stili continues to play an important role in the management of this disorder, when it is combinated with medical treatment, very long remissions have been seen. Between 1996 and 1998, 36 patients were operated tor nasal polyposis in our clinic with endoscopic sinus surgery technique. In 36 nose, 69 cavity polyp existing areas and operations have been determined. Preoperative and postoperative symptoms have been evaluated. Primary sinus settlements were as follows; in uncinate proces-middle turbinate area %92, on bulla surface-hiatus semilunaris %75, in infundibulum %75, in frontal recess %36, in sinus turbinate % 55, inside of the bulla %58, in supra and retrobulber recess %48, in posterior etmoidal sinus %46, and on the middle turbinate %20. Fourteen cases (%39) had diffuse nasal polyposis. Most prominent symptoms in preoperative period were nasal obstruction (94), fullness- congestion (78), and headache (58); in postoperative period were nasal secretion (%44), fascial headache (%31), and fullness-congestion (27).