Medical versus surgical treatment for early ethmoidal nasal polyps

treated medically and 24 were treated surgically. Sixty patients of grade I and II ethmoidal nasal At the end of treatment, in Group A, reduction in polyps were selected through non-probability polyp size to grade 0 was seen in 66% of the convenience sampling technique. They were patients while it was seen in 90% of the patients in divided in two groups; A and B with 30 patients in group B. There was significant reduction in nasal each group. In group A, p atients were given obstruction, post nasal drip and snoring with medical treatment i.e. tablet prednisolone surgical treatment however sense of smell 0.5mg/kg/day for fourteen days in tapering doses showed significant improvement with medical along with two puffs of intranasal fluticasone in treatment. both nasal cavities equivalent to 50mcg/spray for Conclusion three months while in group B, p atients were Intranasal polypectomy with intranasal treated surgically i.e. intranasal polypectomy with ethmoidectomy was better than oral plus intranasal ethmoidectomy. The outcome in both intranasal steroids in regard to reduction in size of groups was compared by evaluating reduction in polyps, nasal obstruction, post nasal drip and size of polyps, nasal obstruction, sense of smell, snoring. However, loss of smell is better controlled postnasal drip and snoring. with medical treatment. (Rawal Med J Results 2012;37:309-312). Mean age of the patients was 34.11±9.48 years. Key words Male to female ratio was 1.7:1. Out of tot al 60 Nasal polyps, prednisone, ethmoidectomy, patients, 23 patients had grade I polyps while 37 fluticasone.