Let’s first understand what are the factors that cause recurrence. First, the patient’s physical factors. Let’s say the patient has asthma, allergic rhinitis or aspirin intolerance (a highly sensitive state of the respiratory tract for unknown reasons, such patients are often accompanied by nasal polyps and bronchial asthma), these are risk factors for recurrence of sinusitis-nasal polyps, also known clinically as refractory sinusitis-nasal polyps, the proportion of recurrence after surgery in these patients is very high.
Second, surgical factors. We know that surgery must first remove the lesion, the recurrence rate after surgery will be reduced. At the same time, sinusitis-nasal polyp surgery requires delicate operation, because the surgical operation is mainly in the sinus area, and the sinuses are mainly wrapped above, below and inside the orbit (Figure 1), and negligent operation not only damages the orbit, but also may affect the eye and even the lower part of the skull base. Therefore, the surgeon must not only remove the lesion cleanly but also protect the surrounding vital organs, which places more stringent requirements on the surgeon. (Figure 1 Sinus distribution) Third, patient compliance. That is, whether the patient listens to the surgeon after the operation and reviews and takes medication on time. Nearly 60% of recurrences are related to poor patient compliance. If the patient does not follow the doctor’s advice, does not regularly go to the hospital for review and insist on medication, then there is a high risk of recurrence even if the patient is not prone to recurrence and the intraoperative lesions are cleaned up. This is because crusting, undesirable granulation, mucosal swelling and adhesions are produced in the nasal cavity during the recovery phase, and failure to clean them in a timely manner can pose a potential risk of recurrence.
In conclusion, what patients should do is ① go to a regular hospital to see a specialist to ensure the quality of the surgery; patients must follow the doctor’s advice and regularly review and medicate, especially for patients with refractory sinusitis – nasal polyps.
Experienced clinicians can increase the cure rate to 80-90% So many patients ask whether sinusitis and nasal polyps can be cured or not. It should be said that good control is also a cure, just like a cold, it is difficult to prevent it from occurring for the rest of your life, but if you treat it in a timely manner and get the symptoms under control in time, it is equivalent to a cure. Experienced clinicians can increase the cure rate to 80-90%.