![]() | Only 14 pages are availabe for public view |
Abstract The aim of this study was to record the subjective and objective success of the functional endoscopic sinus surgery in cases of diffuse sinonasal polyposis, and to assess the role of some factors on this outcome. Therefore, we assessed the recurrence rate of nasal polypi after functional endoscopic sinus surgery and evaluated the role of some factors including asthma, aspirin sensitivity, tissue eosinophilia, and some cytokines including IL-5 & IL-16 on that recurrence. Hundred patients with bilateral diffuse sinonasal polyposis not responding to medical treatment were included in the study. They were all scheduled for functional endoscopic sinus surgery and followed up for a period between 24-36 months. Preoperatively, history was taken properly with special interest on history of both asthma and aspirin sensitivity, endoscopic examination and questionnaire (VAS) were done. All patients had CT scans which were graded according to Lund-Mackay system. All patients underwent ESS under general anesthesia and all operations were done by the same surgeon with the same technique to exclude the role of any surgical variation on the outcome of FESS to weigh properly the impact of the aforementioned factors on the recurrence rate. Specimens from both nasal polypi and inferior. |