Shahbaz Mujtaba, Bakht Aziz, Mohibullah Mushwani, Azhar Hameed.
Conventional Sinus Surgery for Nasal Polyp: Intra Nasal Polypectomy Vs Trans Antral Ethmoidectomy.
Pak J Med Health Sci Jan ;7(1):158-61.

Aims: To compare trans-antral ethmoidectomy is a preferable surgical procedure for removal of nasal polyp, regarding morbidity, complication and recurrence as compared to intranasal ethmoidectomy. Transantral ethmoidectomy is a preferable surgical procedure for removal of nasal polyps, regarding morbidity, complications and recurrence as compared to intra nasal polypectomy. A total of 100 patients presenting with nasal polyp were studied prospectively at ENT department of Mayo Hospital, Lahore. Patient input is from throughout Punjab and even other provinces. Surgery was performed in the operation theater under General Anesthesia on all 100 patients. A standard questionnaire was prepared and the history, examination, laboratory data and treatment were recorded on it for each patient. Male to female ratio was in the range of 1.5:1, which is slightly lower than the international statistics of 2:1. We found a higher incidence of nasal polyp in rural dwellers (73%) compared to urban population (27%). Patients of lower socio economic class were (40%), middle class (35%) and high socioeconomic class were (25%). Nasal blockage (100%) and post nasal drip (90%) were the commonest symptoms. The recurrence rate after trans-antral ethmoidectomy was (4%) and intra nasal polypectomy (18%).

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