Meeting abstract

Nasalisation - overdo or necessity. A retrospective study

Darko Manestar ; KBC Rijeka, Rijeka, Hrvatska
Ema Ahel Ledić orcid.org/0009-0009-4404-0454 ; KBC Rijeka, Rijeka, Hrvatska

Abstract

Surgical treatment of nasal polyposis has been successfully treated with functional endoscopic sinus surgery
(FESS) or nasalisation – a more radical approach involving removal of the bony lamellae and mucosa of the
ethmoid labyrinth, sphenoidotomy, frontotomy, middle turbinectomy and an antrostomy. This study observed
the results of 794 surgeries performed by a single surgeon in the period from January 2012 to December 2022
and compared the success of those two methods. The study observed 594 FESS patients and 130 nasalisation
patients. In the nasalisation group, 40 patients had unilateral nasalisation, while the remaining 90 had bilateral
nasalisation. The patients in both groups were controlled preoperatively as well as 1, 3 and 6 months after
surgery. The patients where nasalisation was performed on average had a worse starting point (more intense
congestion symptoms). The surgeon discussed their subjective opinion on nasal breathing improvement before
and after the treatment as well as endoscopic findings and compared it at each timepoint. The results show that
the patients undergoing nasalisation procedure had better results when compared to FESS group. This study
indicates that when a more radical tissue removal is performed (nasalisation), the nasal function is improved
compared to the more conservative treatment method (FESS).

Keywords

nasalisation; FESS; surgery

Hrčak ID:

308082

URI

https://hrcak.srce.hr/308082

Publication date:

19.9.2023.

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