eMedicine Specialties > Otolaryngology and Facial Plastic Surgery > Nasal & Sinus Diseases

Nasal Polyps, Surgical Treatment: Follow-up

Author: Andrew Cheng, MD, Clinical Assistant Professor, Department of Otolaryngology-Head & Neck Surgery, New York Medical College
Contributor Information and Disclosures

Updated: Mar 6, 2008

Outcome and Prognosis

With proper patient selection for surgical treatment, sinus surgery offers a good outcome and long-term relief for patients.

Proper preoperative counseling and education for patients regarding the importance of long-term follow-up and medical treatment will minimize the chance of polyp recurrence.

Future and Controversies

Improvement is needed in the treatment of chronic allergic rhinitis and associated nasal conditions. Good initial results have been noted with medical treatment combined with nasal steroid plus nasal cromolyn treatment to decrease the size and formation of nasal polyps.

Chemical mediators, antifungal substances, leukotriene, and interleukin inhibitors are being investigated and may have a role in future treatment for nasal polyposis.

Continual advances in medical and surgical technology with support from a computerized guidance imaging system during sinus surgery will continue to improve the outcome and safety of surgical sinus treatment.

However, technological advancement should never replace good and sound judgment for surgical treatment recommendation by experienced and qualified ENT specialists.

 


More on Nasal Polyps, Surgical Treatment

Overview: Nasal Polyps, Surgical Treatment
Workup: Nasal Polyps, Surgical Treatment
Treatment: Nasal Polyps, Surgical Treatment
Follow-up: Nasal Polyps, Surgical Treatment
References
[ CLOSE WINDOW ]

References

  1. Deal RT, Kountakis SE. Significance of nasal polyps in chronic rhinosinusitis: symptoms and surgical outcomes. Laryngoscope. Nov 2004;114(11):1932-5. [Medline].

  2. Fokkens W, Lund V, Mullol J. European position paper on rhinosinusitis and nasal polyps 2007. Rhinol Suppl. 2007;(20):1-136. [Medline].

  3. Kingdom TT, Orlandi RR. Image-guided surgery of the sinuses: current technology and applications. Otolaryngol Clin North Am. Apr 2004;37(2):381-400. [Medline].

  4. Bhattacharyya N. Progress in surgical management of chronic rhinosinusitis and nasal polyposis. Curr Allergy Asthma Rep. June 2007;3:216-20. [Medline].

  5. Garrel R, Gardiner Q, Khudjadze M, Demoly P, Vergnes C, Makeieff M. Endoscopic surgical treatment of sinonasal polyposis-medium term outcomes (mean follow-up of 5 years). Rhinology. Jun 2003;41(2):91-6. [Medline].

  6. Gosepath J, Mann WJ. Current concepts in therapy of chronic rhinosinusitis and nasal polyposis. ORL J Otorhinolaryngol Relat Spec. 2005;67(3):125-36. [Medline].

  7. Mostafa BE, Abdel Hay H, Mohammed HE, Yamani M. Role of leukotriene inhibitors in the postoperative management of nasal polyps. ORL J Otorhinolaryngol Relat Spec. 2005;67(3):148-53. [Medline].

[ CLOSE WINDOW ]

Further Reading

[ CLOSE WINDOW ]

Keywords

surgical treatment of nasal polyps, nasal polyps, polyposis, chronic allergic rhinitis, chronic sinusitis, cystic fibrosis, nasal obstruction, persistent nasal discharge, rhinorrhea, sinus infection, anosmia, nasal polyposis, chronic rhinosinusitis

[ CLOSE WINDOW ]

Contributor Information and Disclosures

Author

Andrew Cheng, MD, Clinical Assistant Professor, Department of Otolaryngology-Head & Neck Surgery, New York Medical College
Andrew Cheng, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, and Medical Society of the State of New York
Disclosure: Nothing to disclose.

Medical Editor

Eric Moore, MD, Residency Director, Assistant Professor, Department of Otorhinolaryngology/Head and Neck Surgery, Mayo Graduate School of Medicine
Eric Moore, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American Cleft Palate/Craniofacial Association, and American Rhinologic Society
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Nader Sadeghi, MD, FRCS(C), Associate Professor of Surgery, Director of Head and Neck Surgery, Department of Surgery, Division of Otolaryngology, George Washington University
Nader Sadeghi, MD, FRCS(C) is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American Head and Neck Society, Federation of Medical Specialists in Quebec, and Royal College of Physicians and Surgeons of Canada
Disclosure: Nothing to disclose.

CME Editor

Christopher L Slack, MD, Otolaryngology-Facial Plastic Surgery, Private Practice, Associated Coastal ENT; Medical Director, Treasure Coast Sleep Disorders
Christopher L Slack, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Medical Association
Disclosure: Nothing to disclose.

Chief Editor

Arlen D Meyers, MD, MBA, Professor, Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine
Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Head and Neck Society
Disclosure: Advanced Headache Intervention Consulting fee Consulting; Covidien Corp Consulting fee Consulting

 
 
HONcode

We subscribe to the
HONcode principles of the
Health On the Net Foundation

All material on this website is protected by copyright, Copyright© 1994- by Medscape.
This website also contains material copyrighted by 3rd parties.

DISCLAIMER: The content of this Website is not influenced by sponsors. The site is designed primarily for use by qualified physicians and other medical professionals. The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. The information provided here is for educational and informational purposes only. In no way should it be considered as offering medical advice. Please check with a physician if you suspect you are ill.