Nasal polyposis represents the end point of multiple inflammatory pathways. Radiological findings for polyposis demonstrate benign-appearing expansile lesions with soft tissue attenuation, occasional evidence of bony rarefaction, and rare evidence of bony erosion. When appropriately directed medical management, including topical and oral corticosteroids, culture-directed antibiotics, and specific treatments (e.g., immunotherapy), either fails or is contraindicated, surgery is warranted in the symptomatic patient with nasal polyps. Meticulous dissection with mucosa-sparing techniques during functional endoscopic sinus surgery can successfully eliminate polypoid disease; however, in the absence of postoperative care and medical management, recurrence is highly likely within a variable period of time. Further investigation into the optimal perioperative medical management is needed in order to ensure optimal surgical results.
|Original language||English (US)|
|Title of host publication||Nasal Polyposis|
|Subtitle of host publication||Pathogenesis, Medical and Surgical Treatment|
|Publisher||Springer Berlin Heidelberg|
|Number of pages||12|
|State||Published - Dec 1 2010|
ASJC Scopus subject areas