Nasal polyposis: aggressive sinus marsupialization including the endoscopic modified lothrop procedure

Date

2010

Authors

Weitzel, E.K.
Pant, H.
Thwin, M.
Wormald, P.J.

Editors

Önerci, T.M.
Ferguson, B.J.

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Book chapter

Citation

Nasal polyposis: pathogenesis, medical and surgical treatment, 2010 / Önerci, T.M., Ferguson, B.J. (ed./s), Ch.32, pp.289-296

Statement of Responsibility

Erik Kent Weitzel, Harshita Pant, May Thwin, and Peter-John Wormald

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Abstract

Symptomatic polypoid chronic rhinosinusitis (CRS) that fails an adequate medical trial responds well to endoscopic sinus surgery (ESS). More aggressive (extensive) ESS leads to better clinical outcomes with polypoid CRS. Successful surgical management of the frontal sinus is the most challenging aspect of the management of nasal polyposis. In patients who develop recurrent polyps after surgery, the modified endoscopic Lothrop procedure, Draf III or frontal drillout produces better outcomes, and in some cases a cure, than standard revision ESS. © 2010 Springer-Verlag Berlin Heidelberg.

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© Springer-Verlag Berlin Heidelberg 2010

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