Polypectomy compared with ethmoidectomy in the treatment of XXXX .

@entity1 @entity384 @entity5254 @entity6587 @entity158 @entity4838 @entity1412
OBJECTIVE: To compare the 3-year results of 2 endoscopic surgical approaches in the management of @entity1412 . DESIGN: Retrospective medical record review. SETTING: Private or institutional practice. @entity1 : A total of 127 @entity1 with @entity1412 were operated on by the same surgeon between January 1, 2003, and September 31, 2005. INTERVENTION: The @entity1 underwent radical ethmoidectomy (n = 77) and polypectomy (n = 50). MAIN OUTCOME MEASURES: Outcome measures were global functional score, calculated by summing the scores (0-3) of each symptom ( @entity384 , @entity5254 , @entity4838 , @entity6587 , and @entity158 ); global anatomical score (GAS), calculated by summing the score of polyp development for each nasal cavity; computed tomography score; adherence to corticosteroid therapy; oral corticosteroid consumption; and complication and subsequent operation rate. Efficacy was evaluated by comparing these data preoperatively and postoperatively (at 3 months, 1 year, and 3 years). RESULTS: The global functional score and GAS were significantly improved 3 years after these techniques were performed (global functional score changes from 8.65 to 3.11 for ethmoidectomy and from 8.15 to 4.2 for polypectomy; GAS, from 5.95 to 1.83 for ethmoidectomy and from 6.57 to 3.58 for polypectomy). Congestion, @entity158 , and GAS were improved to a significantly greater extent in the ethmoidectomy group. The subsequent operation rate for symptomatic polyp recurrence was comparable (9.1% vs 8.0%), with fewer local complications in the polypectomy group. CONCLUSION: Polypectomy seems to represent a valuable alternative in the armamentarium of first-hand surgical procedures for treating @entity1412 .
