Fast Five Quiz: Nasal Polyps Surgical Management and Polypectomy

Arlen D. Meyers, MD, MBA

Disclosures

December 09, 2020

There is a considerable lack of randomized controlled trials for the surgical treatment of nasal polyps, and the optimal extent of surgery in CRSwNP has not yet been established. Heterogeneity among patient characteristics, study designs, and disease severity makes the interpretation of study data regarding the surgical treatment of CRSwNP challenging. However, in cases involving severe, diffuse, or recurrent polypoid disease, some data suggest that better outcomes can be achieved by a more extensive surgical approach.

A prospective study showed a significantly higher polyp recurrence rate following endoscopic surgery in patients with eosinophilic chronic rhinosinusitis vs in those with noneosinophilic disease.

Endoscopic surgery for nasal polyposis has been shown to improve moderate to severe facial pain and headache in patients reporting those symptoms. In one study, endoscopic surgery for nasal polyposis improved moderate to severe facial pain and headache in approximately 60% of patients reporting these symptoms.

Effective preoperative counseling and patient education regarding the importance of long-term follow-up and medical treatment have been shown to minimize the chance of polyp recurrence.

Learn more about the outcome and prognosis of surgical intervention for nasal polyps.

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