Abstract
OBJECTIVE: To evaluate the factors related with recurrence of nasal polyps in patients operated
by traditional sinus surgery (nasal polypectomy, ethmoidectomy).
METHODS: A prospective study was executed comprising of 150 patients who undergone nasal polypectomy from 2004 to 2009. The median follow-up period was 25 months (range 12
months to 65 months). The variables considered with polyp recurrence namely; age, gender, history of purulent nasal discharge, facial pain, anosmia, post nasal dripping (PND), headache, nasal
allergy, asthma and computed tomography (C.T) staging. Analysis of recurrences was accomplished using independent sample t-test, chi-square and Fishers exact test. A p value of p < 0.05
was considered as the level of significance.
RESULTS: During the study period, recurrences developed in 50 patients, with a rate of 33%.
No association of recurrence with age, gender, purulent nasal discharge, facial pain, anosmia,
post nasal dripping, headache, nasal allergy, and asthma were observed. The C.T staging was
significantly higher among the group with recurrence as compared to the group without recurrence. ( p < 0.001)
CONCLUSION: Patients presenting with extensive disease suggested by C.T scan staging are at
higher risk for the development of recurrences after endonasal surgery for nasal polyps.
Muhammed Shujah Farrukh, Muhammad Rafique. (2013) Recurrent Nasal Polyps: An Experience at Liaquat University Hospital Hyderabad and Civil Hospital Karachi , Journal of Liaquat University of Medical and Health Sciences, Volume-12, Issue-3.
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