What is the prognosis of nasal polyp following surgery?

Updated: Jan 31, 2019
  • Author: Andrew T Cheng, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
  • Print
Answer

With proper patient selection for surgical treatment, sinus surgery offers a good outcome and long-term relief for patients.

Proper preoperative counseling and education for patients regarding the importance of long-term follow-up and medical treatment will minimize the chance of polyp recurrence. [12, 13]

A study by Nguyen et al found that endoscopic surgery for nasal polyposis improved moderate to severe facial pain/headache in approximately 60% of patients reporting these symptoms. The study included 107 patients with nasal polyposis, 52.33% of whom were suffering moderate to severe facial pain/headache prior to surgery. Six weeks postoperatively, 20.56% of the 107 patients were still experiencing this level of pain, necessitating neurologic counseling to determine whether it had a non-sinonasal cause. [14]

A case-control study by Kilty et al indicated that in appropriate patients with chronic rhinosinusitis with nasal polyps (CRSwNP), disease-specific improvement in quality of life from endoscopic polypectomy in clinic (EPIC) is similar to that associated with traditional endoscopic sinus surgery. The investigators found no statistical difference between the two groups with regard to posttreatment sinonasal outcome test (SNOT-22) scores and the proportion of individuals in whom a minimal clinically important difference was attained. [15]

A prospective study by Brescia et al indicated that in patients who undergo endoscopic surgery for CRSwNP, the polyps are more likely to recur in cases of eosinophilic-type CRSwNP. The study, which included 143 patients, also found that nasal polyps recurred more quickly in eosinophilic-type CRSwNP than in the non-eosinophilic type. [16]


Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!