Grafting to denuded nasal cavity for prevention of recurrent nasal polyposis by endoscopic sinus surgery


  • Hany Amin Department of Otorhinolaryngology, Faculty of Medicine, Benha University, Egypt
  • Yasser Mohammed Hassan Mandour Department of Otorhinolaryngology, Faculty of Medicine, Benha University, Egypt
  • Ahmed Elrefai Department of Otorhinolaryngology, Faculty of Medicine, Benha University, Egypt



Grafting, Nasal mucosa, Endoscopy, Nasal polyposis


Background: The objective of the study was to avoid nasal polyposis occurrence after recurrent FEES.

Methods: 87 patients undergoing recurrent FESS due to recurrent nasal polyposis, after completing all steps of FESS the placement of normal nasal mucosa from inferior turbinate or nasal septum instead of the mucosa of the fovea ethmoidalis and lamina papyracea was done.  

Results: There were nasal obstruction improvement in 79 patients (90.8%), but there were 8 patients (9.2%) had recurrent nasal polypi causing nasal obstruction. There was smell improvement in 38 patients (71.7%) out of 15 patients (28.3%).

Conclusions: The nasal cavity grafting in FESS of recurrent nasal polyposis with nasal septal or inferior turbinate mucosa had promising results in prevention of nasal polyposis recurrence. These results made a recommendation of nasal cavity grafting during primary FESS of nasal polyposis.


Settipane RA, Peters AT, Chiu AG. Nasal polyps. Am J Rhino Allergy. 2013;27(1):20-5.

Benninger MS, Ferguson BJ, Hadley JA, Hamilos DL, Jacobs M, Kennedy DW, et al. Adult chronic rhinosinusitis: definitions, diagnosis, epidemiology, and pathophysiology. Otolaryngol Head Neck Surg. 2003;129(3):1–32.

Vancauwenberge P, Van Zele T, Bachert C. Chronic rhinosinusitis and nasal polyposis: the etiopathogenesis revealed? Verh K AcadGeneeskd Belg. 2008;70(5-6):305-22.

Rimmer J, Fokkens W, Chong LY, Hopkins C, Rimmer J, Fokkens W, et al. Surgical versus medical interventions for chronic rhinosinusitis with nasal polyps. Surgical Cochrane Database Syst Rev. 2014;12:CD006991.

Georgy MS, Peters AT. Chapter 8: Rhinosinusitis. Allergy Asthma Proc. 2012;33(1):24-7.

Brescia G, Marioni G, Franchella S, Ramacciotti G, Giacomelli L, Marino F, et al. A prospective investigation of predictive parameters for post-surgical recurrences in sinonasal polyposis. Eur Arch Otorhinolaryngol. 2016;273(3):655-60.

Olszewski J, Miłoński. Evaluation results of treatment polyps of nose and paranasal sinuses by endoscopic method. J Otolaryngol Pol. 2008;62(4):400-2.

Wynn R, Har-El G. Recurrence rates after endoscopic sinus surgery for massive sinus polyposis. Laryngoscope. 2004;114(5):811-3.

Hilka MB, Koch T, Laszig R. Late results of endonasal ethmoid bone operation with special reference to polypus sinusitis. HNO. 1992;40(5):165-9.

Anastasopoulos G, Grigoriadis G, Papoutsi S. Modified nasal dermoplasty technique for treatment of recurrent polyposis: preliminary results. J Laryngol Otol. 2013;127(6):595-8.

Anastasopoulos G, Machas T, Kegioglou S, Rapti D. Nasal dermoplasty for recurrent polyps in a patient with churg-strauss syndrome. Case Rep Otolaryngol. 2015;2015:192804.

Aslam S, Ali M, Ahmed A, Asghar A, Manzar MA. Efficacy Of Functional Endoscopic Sinus Surgery In Recurrent Nasal Polyposis. Pak Armed Forces Med J. 2014;64(1):66-70.

Rózańska-Kudelska M, Sieśkiewicz A, Rogowski M, Godlewska-Zoładkowska K. Assessment of olfactory disturbances in the patients with rhinosinusitis and polypi treated by endoscopic sinus surgery. Pol Merkur Lekarski. 2010;28(166):273-6.

Suzuki S, Yasunaga H, Matsui H, Fushimi K, Kondo K, Yamasoba T. Complication rates after functional endoscopic sinus surgery: analysis of 50,734 Japanese patients. Laryngoscope. 2015;125(8):1785-91.

Krings JG, Kallogjeri D, Wineland A, Nepple KG, Piccirillo JF, Getz AE. Complications of primary and revision functional endoscopic sinus surgery for chronic rhinosinusitis. Laryngoscope. 2014;124(4):838-45.






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