Frequency of polyp recurrence after endoscopic sinus surgery with nasal polyposis.

Abstract

Objective: To determine the frequency of polyp recurrence after ESS in patients with chronic rhinosinusitis with nasal polyps. Study Design: Descriptive study. Setting: Department of ENT, Hayatabad Medical Complex, Peshawar. Period: May 14, 2023, to May 14, 2024. Methods: A total of 179 patients aged 18–60 years with bilateral nasal polyps were enrolled using purposive non-probability sampling. Exclusion criteria included antrochoanal polyps, cystic fibrosis, and prior surgery within three months. Data were analyzed using SPSS, with frequencies, percentages, and chi-square tests for stratified comparisons. Results: Of the participants, 63.7% were aged 20–40 years, and 36.3% were aged 41–60 years. Males constituted 62.6%, and females 37.4%. Postoperative pain was reported in 27.9%, while 31.8% experienced polyp recurrence. Recurrence rates were not significantly associated with age (P = 0.217) or gender (P = 0.658). Conclusion: ESS remains an essential treatment for chronic rhinosinusitis with nasal polyps. However, recurrence continues to be a clinical challenge, with a recurrence rate of 31.8% observed. Improved adherence to postoperative care and anti-inflammatory therapies may help mitigate recurrence.