Abstract:

OBJECTIVE: This study aims to investigate the effects of allergy existence on prognosis of surgically treated nasal polyposis. METHODS: This prospective study included 29 patients (22 males, 7 females; mean age 45.9 years; range 21 to 72 years) admitted to our clinic with nasal polyposis between January 2006 and December 2008. Patients were divided into two groups. Group 1 consisted of 11 patients who had positive results in skin prick test or whose positivity of allergy was confirmed by serum-specific immunoglobulin E, as a skin prick test was contraindicated. Group 2 included 18 patients who had negative allergy test results. Endoscopic and radiological evaluations of the patients were done preoperatively. Bilateral endoscopic sinus surgery was applied to all patients. RESULTS: Statistical analysis of pre- and postoperative endoscopic and radiological evaluation findings in group 1 showed a non-significant improvement (p>0.05). Statistical analysis of pre- and postoperative endoscopic and radiological evaluation findings in group 2 demonstrated a significant improvement (p<0.001, p<0.005 respectively). CONCLUSION: Response to surgical treatment is more limited in nasal polyposis patients with a positive allergy test.

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