Aetiology and Findings of Recurrent Chronic Rhino Sinusitis with Nasal Polyposis after Functional Endoscopic Sinus Surgery
Keywords:nasal polyp recurrence, functional endoscopic sinus surgery, nasal polyp associated with asthma, aspirin sensitivity and allergic fungal rhino sinusitis.
Background: Nasal polyps are the edematous sinonasal mucosa prolapsing into the nasal cavity. Allergy,
asthma, aspirin intolerance and fungal rhinosinusitis have been implicated in various studies. Recurrence
of nasal polyposis after functional endoscopic sinus surgery is prevalent but there are no specific causes for
recurrence. Intensity of relapse varies depending on multiple factors that implicated in showing characters
and findings of the recurrence.
Objective: To evaluate causes of nasal polyposis recurrence after FESS.
Patients and method: 30 adult patients age between 18 and 60 years (with recurrent nasal polyposis after
FESS) were studied in the period between March 2017 and September 2018. Assessment done for all
patients by taking Medical history, documented data from the primary surgery, rhinoscopy with CT-scan
Results: In this study, most of nasal polyp recurrence occur in 1-3 years after primary surgery, patients using
post-operative steroid showed delay in recurrence, post-operative antibiotic showed no effect on time of
recurrence,patients with (asthma, allergy, aspirin sensitivity and allergic fungal rhinosinusitis) showed high
lund-kennedy and lund-mackay scores and some patients had anatomical findings mainly (40% incomplete
Conclusions: Recurrence of nasal polyposis could occur at any age mainly in middle age group and male
gender showed higher prevalence. Asthma, aspirin sensitivity (Samter’s tried) and allergic fungal sinusitis
were the most important associated diseases. CT-scan showed some anatomical variations like incomplete
anterior and posterior ethmoidectomy which occupying the highest percentages. Post-operative steroid
showed delay in time of recurrence.
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