RECURRENT ETHMOIDAL POLYPI

SURGICAL MANAGEMENT

Abstract

The management of recurrent ethmoidal polypi is an important issue.
This study was carried out to compare the results of various surgical modalities which are used for recurrent ethmoidal
polypi. Design: Prospective study. Setting Department of ENT Allied Hospital Faisalabad. Period: From Jan 2001 to
Dec 2003. Material & Methods: Total 150 patients suffering from recurrent ethmoidal polypi 102 males (68%) and 48
females (32%) between 05 years to 90 years of age. The highest incidence was seen during fourth decade of life
(27%). The incidence of recurrent ethmoidal polypi was 50 cases per year. The majority of cases were admitted through
out patient department (67%). The highest incidence of patients was seen during the months of March and August
(12%). The majority of patients were belonging to poor class (62%). The most common presenting symptom was nasal
obstruction (95%). The most common associated disease in patients with recurrent ethmoidal polypi was deflected
nasal septum (52%). Nasal polypectomy was carried out in majority of patients (34%). The success rate was highest
with external ethmoidectomy (97%) and lowest with simple nasal polypectomy (75%). Many surgical modalities are
available for the treatment of recurrent ethmoidal polypi, every procedure has got its own success and complication
rate therefore it is suggested finally that when a surgical modality is adopted it should be based upon patient history,
investigations, extent and severity of disease, more over regular follow up of the disease is required to control the
disease.