J Otolaryngol Ophthalmol Shandong Univ ›› 2013, Vol. 27 ›› Issue (1): 48-50.doi: 10.6040/j.issn.1673-3770.0.2012.036

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Efficacy of endoscopic sinus surgery for necrotizing nasal polyps

HE Li-yong1, ZENG Shao-hua1, LIU Wen-tong1, YAO Min1, ZHEN  Ze-nian2   

  1. 1. Department of Otorhinolaryngology, Yong’an Municipal Hospital, Yong’an 366000, Fujian, China; 2. Department of Otolarynglogy Head and Neck Surgery, Fuzhou General Hospital of Chinese PLA, Nanjing Command, Fuzhou 351025, China
  • Received:2012-02-22 Published:2013-02-16

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Abstract:

 Objective   To evaluate the feasibility and efficacy of endoscopic surgery for nasal polyps and sinus necrotizing.  Methods   The clinical data of 23 cases of hemorrhage and necrosis of nasal and sinus polyp treated from January in 2002 to January in 2010 were retrospectively analyzed. They were all pathologically diagnosed, performed endoscopy sinus, CT and MRI before the surgery. Under general or local anesthesia, the nasal and paranasal sinuses lesions were completely and thoroughly removed.  Results   22 patients (95.7%)were cured and 1 patient (4.3%)were improved by endoscopic sinus surgery with less blood loss. 22 patients had no recurrence in a follow-up of 2 to 6 years, and 1 patient relapsed after 1 year and was re-operated through Ke-Lu endoscopic approach.  Conclusion   Endoscopic sinus surgery is a preferred treatment for nasal polyps and sinus necrotizing, which is simple, safe and effective.

Key words: Paranasal sinuses; , Endoscopic sinus surgery, Hemorrhagic and necrotic polyps, Nose

CLC Number: 

  • R765.2
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