Hostname: page-component-cd9895bd7-jkksz Total loading time: 0 Render date: 2024-12-23T23:09:00.489Z Has data issue: false hasContentIssue false

Nasal polpectomy: should antral washout be a routine?

Published online by Cambridge University Press:  29 June 2007

Marque Dowell
Affiliation:
ENT Department, Dudley Road Hospital, Dudley Road, Birmingham.
Ahmes L. Pahor*
Affiliation:
ENT Department, Dudley Road Hospital, Dudley Road, Birmingham.
*
Ahmes L. Pahor, Consultant ENT Surgeon, Dudley Road Hospital, Dudley Road, Birmingham B18 7QH.

Abstract

Seventy patients with nasal polyps were studied. Forty-seven of these had pre-operative sinusradiographs and all seventy patients had antral washouts at the time of nasal polypectomy. One hundred and seventeen antral aspirates were sent for culture and microscopy. The naked eyeappearance of aspirates were turbid in 34 patients. Bacteria were cultured from 15 of the specimens in 10 patients.

It was concluded that antral washout should be recommended in all patients who have nasal polypectomy and that there is no need for sinus radiographs in those patients who have uncomplicated nasal polyps.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1992

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Axelson, A., Grebelius, N., Chidekel, N. (1970) The correlation between the radiological examination and the investigation findings in maxillary sinusitis. Acta Otolaryngologica, 69: 302306.CrossRefGoogle Scholar
Brown, G. A. (1969). Nasal polyposis. Postgraduate Medical Journal, 45: 680683.CrossRefGoogle ScholarPubMed
Croft, C. B., Whittet, H. B., Fisher, E. W., Lloyd, G. A. S., Wright, A. (1991) Polytomographic radiology in the diagnosis and management of maxillary antral disease as determined by antroscopy. Clinical Otolaryngology, 16: 6269.CrossRefGoogle ScholarPubMed
Darrough, L. E. (1947). Nasal allergy associated with sinus disease. Texas State Journal of Medicine, 43: 285287.Google ScholarPubMed
Dawes, P., Bates, G., Watson, D., Lewis, D., Lowe, D., Drake Lee, A. B. (1989) The role of bacterial infection of the maxillary sinus in nasal polyps. Clinical Otolaryngology, 14: 447450.CrossRefGoogle ScholarPubMed
Fox, S. L. (1956) Nasal polyps in relation to nasal sinusitis. Ear, Nose and Throat Monthly, 35: 492496.Google ScholarPubMed
Majumdar, B., Bull, P. D. (1982) The incidence and bacteriology of maxillary sinusitis in nasal polyposis. Journal of Laryngology and Otology, 96: 931941.CrossRefGoogle ScholarPubMed
Maloney, J. R. (1977) Nasal polyps, nasal polypectomy, asthma and aspirin sensitivity; their association in 445 cases in nasal polyps. Journal of Laryngology and Otology, 91: 837846.CrossRefGoogle Scholar
Martin, J. A. M. (1967) Disease of the ear, nose and throat in tropical Africa; A Uganda Survey. Journal of Laryngology and Otology, 81: 10791098.CrossRefGoogle Scholar
Melen, I., Lindahl, L., Andreasson, L., Rundcrantz, H. (1986) Chronic Maxillary Sinusitis: Definition, Diagnosis and Relation to Dental Infections and Nasal Polyposis. Acta Otolaryngologica (Stockholm), 101: 320327.CrossRefGoogle ScholarPubMed
Pahor, A. L. (1978) Antral lavage in children. Ear, Nose and Throat Journal, 57: 451454.Google ScholarPubMed
Patterson, N. (1944) Chronic sinusitis with polypi; a radical external operation. Lancet, 1: 558560.CrossRefGoogle Scholar
Ritter, F. N. (1977) A clinical and anatomical study of the various techniques of irrigation of the maxillary sinus. Laryngoscope, 87: 215223.CrossRefGoogle ScholarPubMed
Sanders, S. H. (1972) Management of total nasal blockage by polyps of allergic and infectious origin. Annals of Otology, Rhinology and Laryngology, 81: 566577.CrossRefGoogle ScholarPubMed
Schenck, N. L. (1974) Nasal polypectomy in the aspirin-sensitive asthmatic. Transactions of the American Academy of Ophthalmology and Otolaryngology, 78: 109119.Google ScholarPubMed
Slavin, R. G. (1988) Sinusitis in adults and its relation to allergic rhinitis, asthma and nasal polyps. Journal of Allergy and Clinical Immunology, 82: 950956.CrossRefGoogle ScholarPubMed
Vourinen, P., Kaupilla, A., Pilkkinen, E. K. (1962) Comparison of results of röentgen examination and puncture irrigation of the maxillary sinuses. Journal of Laryngology and Otology, 76: 359363.CrossRefGoogle Scholar
Watt Boulsen, S., Karle, A. (1977) The clinical use of radiological examination of the maxillary sinuses. Clinical Otolaryngology, 2: 41–13.CrossRefGoogle Scholar