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Nasal Polyposis pp 253–264Cite as

Surgical Treatment of Nasal Polyposis

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Abstract

Nasal polyposis represents the end point of multiple inflammatory pathways. Radiological findings for polyposis demonstrate benign-appearing expansile lesions with soft tissue attenuation, occasional evidence of bony rarefaction, and rare evidence of bony erosion. When appropriately directed medical management, including topical and oral corticosteroids, culture-directed antibiotics, and specific treatments (e.g., immunotherapy), either fails or is contraindicated, surgery is warranted in the symptomatic patient with nasal polyps. Meticulous dissection with mucosa-sparing techniques during functional endoscopic sinus surgery can successfully eliminate polypoid disease; however, in the absence of postoperative care and medical management, recurrence is highly likely within a variable period of time. Further investigation into the optimal perioperative medical management is needed in order to ensure optimal surgical results.

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Author information

Authors and Affiliations

  1. Department of Otolaryngology – Head and Neck Surgery, Loyola University School of Medicine, 2160 South First Avenue, Maywood, IL, 60153, USA

    Kevin C. Welch

  2. Department of Otorhinolaryngology – Head and Neck Surgery, University of Pennsylvania Health System, 3400 Spruce Street, 5 Ravdin, Philadelphia, PA, 19104, USA

    David W. Kennedy

Authors
  1. Kevin C. Welch
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  2. David W. Kennedy
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Correspondence to David W. Kennedy .

Editor information

Editors and Affiliations

  1. Faculty of Medicine, Dept. of Otorhinolaryngology, Hacettepe University, Ankara, 06100, Turkey

    T. Metin Önerci

  2. School of Medicine, Dept. Otolaryngology, University of Pittsburgh, Locust Street 1400, Pittsburgh, 15219, USA

    Berrylin J. Ferguson

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© 2010 Springer-Verlag Berlin Heidelberg

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Welch, K.C., Kennedy, D.W. (2010). Surgical Treatment of Nasal Polyposis. In: Önerci, T., Ferguson, B. (eds) Nasal Polyposis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-11412-0_29

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  • DOI: https://doi.org/10.1007/978-3-642-11412-0_29

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-11411-3

  • Online ISBN: 978-3-642-11412-0

  • eBook Packages: MedicineMedicine (R0)

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