Revision intranasal sphenoethmoidectomy in recurrent nasosinusal diseases especially polyposis
Bouton, V.
Annales d'Oto-Laryngologie et de Chirurgie Cervico Faciale Bulletin de la Societe d'Oto-Laryngologie des Hopitaux de Paris 109(5): 245-253
1992
ISSN/ISBN: 0003-438X PMID: 1292380 Document Number: 398470
A 16 case series of intranasal revision sphenoidecthmoidectomies is presented in this study concerning 10 patients with recurrent polyposis after 245 intranasal ethmoidectomies performed between 1986 and 1990 (6.5%). The modalities of surgical decision are precisely described, pointing out the correlation between clinic and endoscopic arguments. The CT-Scan is particularly appreciated for the details of recurrence sites and the anatomical dangers along these recurrences. Comparison is established with the most recent publications in this field and the discussion is open to express the rules of this surgery. 80% of good and excellent results are obtained in this series, justifying the procedure. The causes of bad results are evocated, especially allergy and the age of polyposis.