Frequency of recurrence of nasal polyps post endoscopic polypectomy

Abstract

Background :

Enoscopic polypectomy in those patients with chronic rhinosinusitis and nasal polyps  have many objects. These are :

Opening diseased sinus ostia to help restoration of mucociliary clearence ,removing the diseased tissue to alleviate symptoms of nasal blockage, help in delivery and distribution of topical nasal therapy to the diseased mucosa in the nose and paranasal sinuses, especially to the frontal and sphenoid sinuses and also to open the olfactory cleft area to improve the sense of smell.

Objectives  : To discover the frequency of recurrence of sinonasal polyp post surgical removal by means of endoscopic polypectomy (EP) also the associated risk factors that  predispose to that recurrence.

Design : prospective study.

Patient and method : Thirty two patients presented to the  (E.N.T.) department in ALdiwaniyah general  Hospital suffering from sign and symptom of nasal polyp resisting  to medical polypectomy, with different ages and sex were studied from period of April 2018 to March 2019 ,and they were submitted for full history, clinical, endoscopic examination, radiological evaluation ,then the patients submit to of Endoscopic polypectomy, later on follow-up was done for period of 12 month that included:  frequent  endoscopic nasal examination.

Results : In this study we evaluate the frequency of the recurrence of nasal polypos post endoscopic polypectomy was 25%.

Conclusion: The overall recurrence rate was 25%, the highest frequency of recurrence was  during the period of first six months post  surgery and especially after the forth month.

Aim of the study :

To evaluate  frequency of the recurrence of sinonasal polyp post endoscopic polypectomy (EP) . also the associated risk factors that  predispose to that recurrence.