Loading....
Coupon Accepted Successfully!

ENT

Open Flashcards

Granulomatous Disease of the Nose

Question
24 out of 35
 

Patient with ethmoidal polyp undergoes polypectomy. Presents 6 months later with ethmoidal polyp. Correct Rx: (DNB June 2012)



A Foreign body

B Intranasal ethmoidectomy

C Extranasal ethmoidectomy

D Caldwell Luc procedure

E Polypectomy

Ans. B Extranasal ethmoidectomy Ref. Dhingra 5th/ed p 186, 6th/ed p 173

Treatment of ethmoidal polyp

a. Simple polypectomy: When there are one or two pedunculated polyps.

b. Intranasal ethmoidectomy: Indicated when polyps are multiple and sessile.

c. Extranasal ethmoidectomy: This is indicated when polyps recur after intranasal procedures.

d. Transantral ethmoidectomy: Indicated when infection and polypoidal changes are also seen in the maxillary antrum. In this case antrum is opened by Caldwell-Luc approach and the ethmoidal air cells approached through the medial wall of the antrum.

These days, ethmoidal polypi are removed by endoscopic sinus surgery (FESS) which is the TOC.

Granulomatous Disease of the Nose Flashcard List

35 flashcards
1)
2)
3)
4)
5)
6)
7)
8)
9)
10)
11)
12)
13)
14)
15)
16)
17)
18)
19)
20)
21)
22)
23)
24)
25)
26)
27)
28)
29)
30)
31)
32)
33)
34)
35)