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Revision Sinus Surgery pp 143–152Cite as

Evaluation and Treatment of Recurrent Nasal Polyposis

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Abstract

• Nasal polyposis is the defining feature of a more severe subset of chronic rhinosinusitis.

• Patients with primary or recurrent disease should be evaluated for associated disorders such as asthma, allergic fungal rhinosinusitis, aspirin sensitivity, cystic fibrosis, immunoglobulin subclass deficiency, and primary ciliary dyskinesia.

• Oral and intranasal corticosteroids are the cornerstone of medical therapy for patients with chronic rhinosinusitis with nasal polyposis.

• Patients with medically refractory chronic rhinosinusitis with nasal polyposis or allergic fungal rhinosinusitis are surgical candidates.

• Intensive perioperative medical management and selective use of powered instrumentation facilitate safe and effective surgery.

• Close surveillance, early detection of recurrent polyposis, and tailored medical therapy are required to decrease the need for revision surgery and increase the interval between surgeries in refractory cases.

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  1. Department of Otolaryngology – Head and Neck Surgery, University of California, San Francisco, CA 94143, San Francisco, CA, USA

    Frederick C. Roediger & Andrew N. Goldberg

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Roediger, F., Goldberg, A. (2008). Evaluation and Treatment of Recurrent Nasal Polyposis. In: Revision Sinus Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-78931-4_17

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  • DOI: https://doi.org/10.1007/978-3-540-78931-4_17

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-78930-7

  • Online ISBN: 978-3-540-78931-4

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