What is included in long-term monitoring of pediatric nasal polyps?

Updated: Oct 25, 2019
  • Author: John E McClay, MD; Chief Editor: Ravindhra G Elluru, MD, PhD  more...
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Answer

Children with benign multiple nasal polyps, whatever the cause, should be monitored closely because recurrence is likely, regardless of whether the polyps were treated medically or surgically. Postoperative follow-up should occur three or four times in the first month to monitor healing of the sinus cavities; frequency depends on the patient's own geographic location and symptoms.

A patient with CF can be monitored symptomatically because surgery is not performed until these patients are symptomatic, even if nasal polyposis is seen on CT or nasal endoscopy. Certainly, each patient is treated on an individual basis.

For polyps associated with AFS, close follow-up by an otolaryngologist is recommended until the patient is deemed free of disease, which may be several years or more.

Any accumulation of fungus may accelerate the antigenic process, which causes symptoms and disease to recur. Recurrence is especially common for polyps, which may be controlled more simply and effectively if recognized early.

Small nasal polyps are recognized early on a routine follow-up in patients with benign multiple nasal polyps.

Other diseases may be treated medically or with smaller surgical procedures. For diseases resulting in nasal polyps other than benign multiple nasal polyps, the need for inpatient or outpatient care is determined by the extent of disease, symptoms and situation of the patient, and associated medical conditions.


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