Surgical treatment of nasal polyposis

Kevin C. Welch, David W. Kennedy*

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

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 languageEnglish (US)
Title of host publicationNasal Polyposis
Subtitle of host publicationPathogenesis, Medical and Surgical Treatment
PublisherSpringer Berlin Heidelberg
Pages253-264
Number of pages12
ISBN (Print)9783642114113
DOIs
StatePublished - Dec 1 2010

ASJC Scopus subject areas

  • Medicine(all)

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    Welch, K. C., & Kennedy, D. W. (2010). Surgical treatment of nasal polyposis. In Nasal Polyposis: Pathogenesis, Medical and Surgical Treatment (pp. 253-264). Springer Berlin Heidelberg. https://doi.org/10.1007/978-3-642-11412-0_29