Hostname: page-component-cd9895bd7-gbm5v Total loading time: 0 Render date: 2024-12-27T06:47:04.045Z Has data issue: false hasContentIssue false

Modified nasal dermoplasty technique for treatment of recurrent polyposis: preliminary results

Published online by Cambridge University Press:  26 April 2013

G Anastasopoulos*
Affiliation:
Department of Otorhinolaryngology, Neo Athinaion Hospital, Athens, Greece
G Grigoriadis
Affiliation:
Department of Otorhinolaryngology, Neo Athinaion Hospital, Athens, Greece
S Papoutsi
Affiliation:
Department of Otorhinolaryngology, Neo Athinaion Hospital, Athens, Greece
*
Address for correspondence: Dr George Anastasopoulos, 71 Kifisias Ave, 115 23 Athens, Greece Fax: +30 2106998620 E-mail: [email protected]

Abstract

Objective:

To present and evaluate the use of nasal dermoplasty for control of recurrent nasal polyps.

Study design:

Prospective case series.

Method:

The mucosa of the fovea ethmoidalis and the lamina papyracea was replaced by a split-thickness skin graft. The follow-up period ranged from 2 to 12 months.

Results:

Five patients underwent nasal dermoplasty for recurrent nasal polyposis. In three cases, the graft uptake was successful. Post-operatively, four patients reported they were in better condition than at the same interval after their previous operation. Recurrence of polyps was noted in all patients but not in the grafted areas.

Conclusion:

In this study, there was a high prevalence of successful graft uptake following nasal dermoplasty. This technique may have potential for the control of recurrent nasal polyps. Although it is demanding and time-consuming, it may reduce the need for multiple operations. Further research is justified to establish its efficacy.

Type
Short Communications
Copyright
Copyright © JLO (1984) Limited 2013 

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

1Larsen, K, Tos, M. Clinical course of patients with primary nasal polyps. Acta Otolaryngol 1994;114:556–9CrossRefGoogle ScholarPubMed
2Wynn, R, Har-El, G. Recurrence rates after endoscopic sinus surgery for massive sinus polyposis. Laryngoscope 2004;114:811–13CrossRefGoogle ScholarPubMed
3Mendelsohn, D, Jeremic, G, Wright, ED, Rotenberg, BW. Revision rates after endoscopic sinus surgery: a recurrence analysis. Ann Otol Rhinol Laryngol 2011;120:162–6CrossRefGoogle ScholarPubMed
4Lesnik, GT, Ross, DA, Henderson, KJ, Joe, JK, Leder, SB, White, RI Jr.Septectomy and septal dermoplasty for the treatment of severe transfusion-dependent epistaxis in patients with hereditary hemorrhagic telangiectasia and septal perforation. Am J Rhinol 2007;21:312–15CrossRefGoogle ScholarPubMed
5Ichimura, K, Tanaka, H, Yamamoto, Y, Nakamura, K. Nasal dermoplasty for Japanese hereditary hemorrhagic telangiectasia. Auris Nasus Larynx 2006;33:423–8CrossRefGoogle ScholarPubMed
6Hitchings, AE, Lennox, PA, Lund, VJ, Howard, DJ. The effect of treatment for epistaxis secondary to hereditary hemorrhagic telangiectasia. Am J Rhinol 2005;19:75–8CrossRefGoogle ScholarPubMed
7Bridger, GP. Hereditary hemorrhagic telangiectasia. A new dermoplasty technique. Arch Otolaryngol Head Neck Surg 1992;118:992–3CrossRefGoogle ScholarPubMed
8Musy, PY, Kountakis, SE. Anatomic findings in patients undergoing revision endoscopic sinus surgery. Am J Otolaryngol 2004;25:418–22CrossRefGoogle ScholarPubMed
9Masterson, L, Tanweer, F, Bueser, T, Leong, P. Extensive endoscopic sinus surgery: does this reduce the revision rate for nasal polyposis? Eur Arch Otorhinolaryngol 2010;267:1557–61CrossRefGoogle ScholarPubMed
10Aouad, RK, Chiu, AG. State of the art treatment of nasal polyposis. Am J Rhinol Allergy 2011;25:291–8CrossRefGoogle ScholarPubMed
11Videler, WJ, Wreesmann, VB, van der Meulen, FW, Knegt, PP, Fokkens, WJ. Repetitive endoscopic sinus surgery failure: a role for radical surgery? Otolaryngol Head Neck Surg 2006;134:586–91CrossRefGoogle ScholarPubMed
12Devars du Mayne, M, Prulière-Escabasse, V, Zerah-Lancner, F, Coste, A, Papon, JF. Polypectomy compared with ethmoidectomy in the treatment of nasal polyposis. Arch Otolaryngol Head Neck Surg 2011;137:111–17CrossRefGoogle ScholarPubMed
13Hopkins, C, Slack, R, Lund, V, Brown, P, Copley, L, Browne, J. Long-term outcomes from the English national comparative audit of surgery for nasal polyposis and chronic rhinosinusitis. Laryngoscope 2009;119:2459–65CrossRefGoogle ScholarPubMed
14Fiorella, ML, Ross, D, Henderson, KJ, White, RI Jr.Outcome of septal dermoplasty in patients with hereditary hemorrhagic telangiectasia. Laryngoscope 2005;115:301–5CrossRefGoogle ScholarPubMed
15Tran, LE, Berry, GJ, Fee, WE Jr.Split-thickness skin graft attachment to bone lacking periosteum. Arch Otolaryngol Head Neck Surg 2005;131:124–8CrossRefGoogle ScholarPubMed