gms | German Medical Science

With this study we evaluated the degree of inflammation with eosinophils and the association of allergy (tested with skin prick test) with the remission of the nasal polyps after FESS.

We had 15 patients (9 men and 6 women) with nasal polyps evaluated before and after FESS. Pre-operative the patients underwent a fiber endoscopy, computer tomography, skin prick test and evaluation of the IgE. Post-operative all the patients were under anti-allergic treatment, specific immunotherapy and a follow-up with endoscopy 3, 6 months and twice yearly afterwards.

9 patients out of 15 were found allergic to more than one allergen, whereas 6 were sensible to only one allergen. They all underwent immunotherapy. 3 months after surgery all of the patients were found in the endoscopy free of nasal polyps. 1 year later by 3 patients the nasal polyps re-emerged and they were removed under local anesthesia. On the 3-year follow-up only one patient had nasal polyps, which were also removed under local anesthesia.

The specific immunotherapy could help towards the prevention of the remission of nasal polyps

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