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

Hany Amin; Yasser Mohammed Hassan Mandour; Ahmed Elrefai

doi:10.18203/issn.2454-5929.ijohns20183689

Authors

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

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20183689

Keywords:

Grafting, Nasal mucosa, Endoscopy, Nasal polyposis

Abstract

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.

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