Atlas of Nose and Paranasal Surgeries

ATLAS OF NOSE AND PARANASAL SURGERIES 8 Authors: J. Brunworth, P.J. Wormald. Title: Surgery for Nasal Polyposis Book: Practical Medical and Surgical Management of Chronic Rhinosinusitis DOI: 10.1007/978-3-319-16724-4_28 © Springer International Publishing Switzerland 2015 Surgery for Nasal Polyposis Nasal polyposis is a common disease that has a prevalence of 1–4 % of the population. Surgery for nasal polyposis is perhaps one of the most challenging yet rewarding procedures performed by the otolaryngologist. Surgical difficulty is amplified by the increased rate of bleeding encountered during surgery, the thinning of the lamina papyracea due to expansion from the polyps, the obstructed view of the frontal recess during its dissection, and the propensity for polyps to distort anatomy near vital neurological and vascular structures. a. Left nasal cavity showing polyp filling the middle meatus. In this revision case, residual uncinate is seen lateral to the polyp and must be addressed. (continued)... wall, the polyps are removed to reveal the underlying anatomy. is used to remove all the polypoid tissue from the middle turbinate of the turbinat itself. In previ usly unoperated patients, polyps meatus are debrided to expose the underlying uncinate and bulla l cavity the is al al to the dressed a