Department of Otolaryngology-Head and Neck Surgery, University of California, Davis School of Medicine, Sacramento, USA.
Am J Rhinol Allergy. 2011 Sep-Oct;25(5):291-8. doi: 10.2500/ajra.2011.25.3681.
Nasal polyposis represents the end point of multiple inflammatory pathways and controversy continues as to the exact roles of medical and surgical approaches in the management of nasal polyposis.
A combination of both is often required to manage polyps adequately with surgery and intranasal steroids remaining the mainstay of therapy.
Fortunately, new technological advances are making surgery safer and more efficient. In the postoperative period, debridement is effective in reducing the formation of adhesions, and topical medications may play a beneficial role in preventing polyp reformation.
Additional investigations into the optimal perioperative medical management is needed to ensure optimal surgical outcomes.
鼻息肉代表了多种炎症途径的终点,关于医学和手术方法在鼻息肉治疗中的确切作用,争议仍在继续。
通常需要综合运用手术和鼻内类固醇来充分治疗息肉,而手术和鼻内类固醇仍然是主要的治疗方法。
幸运的是,新技术的进步使手术更加安全和高效。在术后期间,清创术可有效减少粘连的形成,局部药物可能在预防息肉再形成方面发挥有益作用。
需要进一步研究围手术期的最佳药物治疗,以确保最佳的手术效果。