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March 1980

Solitary Nasal Polyp

Author Affiliations

Springfield, Ohio

Arch Otolaryngol. 1980;106(3):187. doi:10.1001/archotol.1980.00790270051012

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To the Editor.—Unilateral polyp at the anterior part of the middle nasal turbinate is different from the usual nasal polyposis and requires separate analysis for successful treatment. This is a solitary polyp, occurring on one side only, and therefore not of general allergic causes.

Smears show only pus with none of the signs of allergy present.

Cortisone acetate sprays have a good effect on allergic conditions and polyp groups because they contact the pathologic condition from the nostrils.

But with the cause of the solitary polyp being buried in the ethmoid cells at the turbinate tip, the spray does not have much chance to do good. The only way to reach the pathologic condition is through the displacement method using warm physiologic saline solution.

This polyp obstructs the antral ostium, the frontal duct, and the remainder of the 18 middle ethmoid cells behind it. Its removal without curing the

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