Muhammed Shujah Farrukh, Muhammad Rafique.
Recurrent Nasal Polyps: An Experience at Liaquat University Hospital Hyderabad and Civil Hospital Karachi.
J Liaquat Uni Med Health Sci Jan ;12(03):195-7.

OBJECTIVE: To evaluate the factors related with recurrence of nasal polyps in patients operated by traditional sinus surgery (nasal polypectomy, ethmoidectomy). METHODS: A prospective study was executed comprising of 150 patients who undergone nasal polypectomy from 2004 to 2009. The median follow-up period was 25 months (range 12 months to 65 months). The variables considered with polyp recurrence namely; age, gender, history of purulent nasal discharge, facial pain, anosmia, post nasal dripping (PND), headache, nasal allergy, asthma and computed tomography (C.T) staging. Analysis of recurrences was accomplished using independent sample t-test, chi-square and Fishers exact test. A p value of p < 0.05 was considered as the level of significance. RESULTS: During the study period, recurrences developed in 50 patients, with a rate of 33%. No association of recurrence with age, gender, purulent nasal discharge, facial pain, anosmia, post nasal dripping, headache, nasal allergy, and asthma were observed. The C.T staging was significantly higher among the group with recurrence as compared to the group without recurrence. ( p < 0.001) CONCLUSION: Patients presenting with extensive disease suggested by C.T scan staging are at higher risk for the development of recurrences after endonasal surgery for nasal polyps.

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