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[Nasal polyposis].

Pierre Bonfils1

  • 1Département d'ORL et de chirurgie cervico-faciale, faculté de médecine Paris-Descartes, université Paris-V ; Hôpital européen- Georges-Pompidou (HEGP), Paris, France.

La Revue Du Praticien
|April 16, 2019
PubMed
Summary
This summary is machine-generated.

Nasal polyposis, a chronic rhinosinusitis affecting 5% of the population, causes nasal obstruction and anosmia. Treatment involves corticosteroids, with surgery reserved for persistent symptoms.

Keywords:
nasal polyposisrhinosinusal pathology

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Area of Science:

  • Otolaryngology
  • Allergy and Immunology

Background:

  • Nasal polyposis is a chronic condition affecting approximately 5% of the general population.
  • It is characterized by nasal polyps, leading to symptoms like nasal obstruction, posterior rhinorrhea, and anosmia.
  • The Widal-Samster triad links nasal polyposis with asthma and intolerance to aspirin, sulfites, and NSAIDs.

Purpose of the Study:

  • To outline the characteristics and management of nasal polyposis.
  • To emphasize the role of medical treatment and indications for surgical intervention.

Main Methods:

  • The study describes the clinical presentation and diagnostic features of nasal polyposis.
  • It details the established medical treatment protocols, including local and systemic corticosteroid therapy.
  • Surgical intervention, specifically endonasal videosurgery, is discussed as a treatment option for refractory cases.

Main Results:

  • Medical management, primarily long-term local corticosteroid therapy, is the cornerstone of treatment.
  • Short courses of systemic corticosteroids are limited to a maximum of three per year.
  • Endonasal videosurgery is indicated for patients with persistent symptoms despite adequate medical treatment.

Conclusions:

  • Nasal polyposis requires a structured treatment approach focusing on medical management.
  • Surgical intervention is reserved for cases unresponsive to comprehensive medical therapy.
  • Effective management aims to alleviate symptoms and improve quality of life for patients with nasal polyposis.