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Volume: 41 - Issue: 4

First page: 211 - Last page: 219

R. Jankowski - C. Bodino

DOI: 10.4193/Rhin

Purpose: The effects on the symptoms of nasal polyposis (NPS) of 1) a 7-day systemic
steroid treatment and 2) radical ethmoidectomy (nasalisation) were compared.
Patients and Methods: Twenty-four patients with NPS whose symptoms failed to respond to
medical treatment were included in the study. Symptoms were recorded on Visual Analog
Scales (VAS) before (Q1) and the day (Q2) after a 7-day treatment of oral prednisolone
(60mg/day), and a few weeks later the day before surgery (Q3). All patients were operated on
bilaterally according to the nasalisation principles, i.e. endoscopic radical ethmoidectomy
without mucosal preservation, with middle turbinate resection, antrostomy, sphenoidotomy
and frontal ostium exposure, and a depot injection of triamcinolone 80mg the day after surgery.
The fourth questionnaire (Q4) was fulfilled one month after surgery, the day of the first
postop visit. The following questionnaires were returned by mail at 3 months (Q5), 6 months
(Q6), 9 months (Q7), and 12 months (Q8) post-operatively. Patients stayed on topical steroids
throughout the study.
Results: Nasal obstruction was a major complaint at entry in the study. Following the shortsystemic
steroid course the obstruction score improved significantly. However, at 2 months
after the oral steroid treatment the obstruction score had deteriorated again. Following surgery,
obstruction scores ameliorated again and remained stable over the full year of follow-up.
Similar results were observed for anterior and posterior rhinorrhea, sneezing and itching.
None of the patients reported any intake of systemic steroids during follow-up.
Conclusion: These data show that ‘nasalisation’ i.e. radical ethmoidectomy with middle
turbinate resection and mucosa removal is effective functional surgery for patients with nasal
polyposis if medical treatment fails.
The subjective effects on the sense of smell are reported in a separate paper published in this
issue.

Rhinology 41-4: 211-219, 2003