How prevalent is nasal polyp recurrence up to 18 months after endoscopic sinus surgery (ESS) with congruent continuing medical management for chronic rhinosinusitis with nasal polyposis (CRSwNP)?
Bottom line
Although current medical and/or surgical interventions for CRSwNP achieve significant improvement in patient-reported outcome measures, polyp recurrence is still common after ESS, with control of polyps up to 18 months found in approximately 60% to 70% of patients.
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March 2017Background: Modern CRSwNP treatments to reduce the burden of symptoms and future interventions for patients commonly require multimodality therapy, including ESS followed by continued appropriate medical therapy. Controlling polypoid sinus disease is, in part, measured by endoscopic analysis to guide continued medical therapy and monitor disease progression. Despite standard use of endoscopy exams, inadequate data exist for endoscopic findings of recurrent polyposis following ESS.
Study design: Prospective, multicenter cohort of 363 adult patients undergoing ESS for medically recalcitrant CRSwNP between August 2004 and February 2015. (Postoperative endoscopy examination scores were available for 244 participants, who were followed for an average six months overall; 197 returned for a six-month endoscopy, and 125 and 129 participants returned for 12- and 18-month endoscopy, respectively.)