AI Article Synopsis
- The study aimed to compare two surgical techniques—functional endoscopic sinus surgery (FESS) and simple polypectomy with balloon catheter dilatation (BCD)—for treating nasal polyposis in ten patients.
- Patients received both treatments on different sides of their sinuses, and outcomes were evaluated through endoscopic and CT scans before and after the surgeries.
- Results showed no significant difference between the two methods after 12 months, indicating that polypectomy plus BCD could be as effective as FESS, though further long-term studies are needed to confirm this finding.
Article Abstract
Background: The aim of this study was to compare the outcomes of functional endoscopic sinus surgery (FESS) and simple polypectomy plus balloon catheter dilatation (BCD) in nasal polyposis.
Methods: Ten patients (six male and four female subjects) with nasal polyposis who underwent surgical treatment were included in this research. BCD was performed on one side of each patient's paranasal sinuses (after nasal polypectomy by microdebrider) while standard FESS was performed on the other side. Preoperatively, all patients were treated with oral methylprednisolone, 1 mg/kg per day, for 5 days, which was reduced and stopped on the 14th day. Pre- and postoperative endoscopic and radiological findings were compared. Endonasal endoscopic examination results were classified according to MacKay classification. Paranasal sinus computed tomography findings were evaluated according to Lund-MacKay classification.
Results: Pre- and postmedical treatment results of the patients were not significantly different according to MacKay classification. There was no significant difference between the results of FESS and BCD during 12-month follow-up period according to Lund-MacKay and MacKay classifications. There was significant improvement in the results obtained 1 and 12 months after FESS and BCD, respectively. The improvement was also radiologically evident.
Conclusion: At 1 year postsurgery, polypectomy plus BCD is as effective as FESS. Longer-term studies are necessary to validate this technique.
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| http://dx.doi.org/10.2500/ajra.2011.25.3608 | DOI Listing |
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