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None of the patients in the reported series had a history of aspirin idiosyncrasy. This history is rarely elicited by us in pediatric patients, probably because few pediatric patients have ever been exposed to aspirin. None of the patients in the series had nasal polyps, defined as mucosa prolapsed through the middle meatus into the nasal cavity. Polyposis by this definition is something we commonly see with cystic fibrosis and allergic fungal sinusitis but relatively rarely in asthmatic patients. In contrast, they all had some degree of polypoid generation of the middle turbinate head and uncinate process mucosa. At surgery, all had some degree of hypertrophic mucosa within the anterior and middle ethmoid air cells.
None of the patients had perioperative surgical complications such as cerebrospinal fluid leak, periorbital ecchymosis, or excessive bleeding requiring a return trip to the operating room. A few patients experienced wheezing in the immediate postoperative
Manning SC, Wasserman RL, Silver R, Phillips DL. Endoscopic Sinus-Reply. Arch Otolaryngol Head Neck Surg. 1995;121(7):814–815. doi:10.1001/archotol.1995.01890070100026
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