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Original Articles
May 1958

Recurring Nasal Polyposis: A Rational Procedure for Its Prevention

Author Affiliations

Miami Beach, Fla.
Professor of Otolaryngology, Emeritus, University of Illinois College of Medicine; Clinical Professor of Otorhinolaryngology, University of Miami School of Medicine; Consulting Otolaryngologist, Variety Children's Hospital, Miami, Fla., and Mount Sinai Hospital and St. Francis Hospital.

AMA Arch Otolaryngol. 1958;67(5):515-520. doi:10.1001/archotol.1958.00730010529001

The problem of recurring nasal polyposis continues to plague the rhinologist. It also continues to harrass the patient whose relief of nasal obstruction following repeated operations is all too brief. Excision of polyps usually produces no cure, even though in some instances resort is had to radical surgical procedures on the nasal sinuses. The large number of patients subjected to repeated polypectomies rationalizes the urgent need for improved management. The sitution cannot be ascribed to the inadequacy of current surgical methods. The fault rests more on the fact that excision in itself fails to correct the factors favoring regrowth of hyperplastic tissue.

Efforts have been made in the past to classify nasal polyps according to their histologic contents. Such information is, of course, only of academic interest. Whether polyps are true neoplasms is still a matter of controversy. According to Ash,1 neoplastic proliferation of connective tissue is at times