Treatment Results Of Sinusitis And Post-Surgical Reactions Of Nasal Polyps

Abstract

Background. Despite the fact that nasal polyps were described in Egyptian medical literature more than 4,000 years ago, cases of their occurrence are not rare, and the pathogenesis of their origin is not clear. Despite the most successful medical manipulations and operations on the paranasal sinuses, physicians and sinusitis specialists often encounter patients with re-occurring nasal polyps or with postoperative early recurrence.
The study object. Analysis of the effects of sinusitis and recurrent nasal polyps in the long term (24 months).
Participants. We studied 92 patients with sinusitis with recurrent nasal polyps. The examination and therapy were carried out at the National Otorhinolaryngological Hospital, Hanoi, Vietnam.
Results. We evaluated the long-term outcome of the polyposis rhinosinusitis treatment. A positive dynamic was observed after 12 months after surgery. The number of patients with a loss of smell had decreased from 38% to 25.3%. However, after one year many patients with a runny nose of 17.2% and nasal congestion of 10.2% appeared. It is a predictor of polyp formation in the future. It was confirmed in the long term. Recurrence of polyposis formation was observed in 1/10th of the operated patients.
Conclusions. Despite few complaints, 82.8% of patients had a favourable outcome after surgery, whereas an unfavourable outcome was registered in only 9.2% of patients.