Management of nasal polypoidal masses at a tertiary care hospital

Abstract

A polyp presents in the nasal cavity with a grape-like appearance, having a “body” and a “stalk”. The surface is smooth and the colour is more yellow than the pink mucous membrane. The polyps protrude into the nasal cavity from the middle and superior meatus, resulting in nasal blockage and abolishing airflow to the olfactory region. The study was conducted on patients of all ages and of either sex presenting with nasal polypoidal masses. A detailed history was followed by a complete clinical examination. In this study, 45 (90%) cases were operated upon by doing functional endoscopic sinus surgery (FESS). The remaining 5 (10%) cases underwent polypectomy due to its limited extension. A regular follow up of 3 months was done to confirm a recurrence. It was observed that 7 cases (14%) in
the study group with a recurrence had a history of allergy. Recurrence is most commonly associated with a history of allergy and associated conditions like asthma