Background: The prevalence of chronic rhinosinusitis with nasal polyps (CRSwNP) is estimated at around 4% in general population. The population-based studies using rhinoendoscopy have demonstrated the prevalence of nasal polyposis, with values ranging from 0.5 to 2.7%. If the symptoms and reduction in the quality of life persists despite adequate conservative therapy, then such patients are indicated for surgical treatment. This review aims to summarize existing literature and discuss the issue of the extent of the surgery in polyp disease.
Methods and Results: Forty-fi ve relevant articles were identifi ed using a multi-step search of the web-based PubMed database from the National Library of Medicine. These included articles published between January 1985 and December 2016 and separated into three categories according to surgical intervention: simple polypectomy, complete ESS vs. targeted procedures and extended procedures. The last category was further subdivided into 5 subgroups and discussed separately; namely: middle turbinate resection, radical ethmoidectomy (nasalisation), extended endonasal maxillary antrostomy, approaches through anterior wall of maxillary sinus and Draf 3 frontal sinusotomy.
Conclusion: Due to the considerable lack of randomised controlled trials for the surgical treatment, the optimal extent of surgery in CRSwNP has not been established yet. Although there are a number of studies dealing with surgical treatment of CRSwNP, and some data suggests that in cases of severe, diffuse or recurrent polypoid disease, better outcomes can be achieved by more extensive surgical approaches, unfortunately a great heterogeneity still exists amongst patients‘ characteristics, design of studies and disease severity thus making collection of high level of evidence still challenging.
Keywords:
Published on: Oct 14, 2017 Pages: 109-114
Full Text PDF
Full Text HTML
DOI: 10.17352/2455-1759.000060
CrossMark
Publons
Harvard Library HOLLIS
Search IT
Semantic Scholar
Get Citation
Base Search
Scilit
OAI-PMH
ResearchGate
Academic Microsoft
GrowKudos
Universite de Paris
UW Libraries
SJSU King Library
SJSU King Library
NUS Library
McGill
DET KGL BIBLiOTEK
JCU Discovery
Universidad De Lima
WorldCat
VU on WorldCat
PTZ: We're glad you're here. Please click "create a new query" if you are a new visitor to our website and need further information from us.
If you are already a member of our network and need to keep track of any developments regarding a question you have already submitted, click "take me to my Query."