Role of endoscopic surgery in management of nasal polyps

Abstract

Aims: The aims of the present study were to identify the type and origin of the nasal polyps, to accomplish complete removal of the nasal polyps and to establish natural drainage of the sinuses. Methods and Material: A prospective study on 44 fresh cases of nasal polyp was done. The cases were diagnosed based upon the clinical examination and investigations. The study included patients presenting with clinical features of nasal polyps of all age groups, both sexes, including recurrence cases. Results: Most cases (45.45%) were diagnosed with Antrochoanal polyp followed by Ethmoidal polyp (34.10%) and the rest (20.45%) were suffering from polyp arising from other sites. The complication rate was less (9.09%) of which 2 cases were of bleeding during the surgery and the rest 2 cases where post-operative complications presenting with synechiae formation. In follow up, 95.45% cases were symptom free at the end of 6th month post-operatively. The recurrence rate of nasal polyposis was 4.55% (one each of antrochoanal and ethmoidal polyps). Conclusions: Thus this study substantiates that endoscopic management of nasal polyp is the best available modality of treatment of nasal polyps.

Keywords

• Endoscopic Management
• Ethmoidal
• Antrochoanal
• Site of Polyp