There are three major factors of relapse: physical condition, surgery and follow-up, and medication.
Let’s first understand what are the factors that cause recurrence.
First, the patient’s constitution. 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 often have nasal polyps and bronchial asthma), these are risk factors for the 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 around the orbit above, below and inside, negligent operation not only damage to the orbit, but also may affect the eye and even the skull base below. Therefore, the surgeon must not only remove the lesion, but also protect the surrounding vital organs, which places strict requirements on the surgeon. Third, patient compliance. This means 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 and does not go to the hospital regularly for review and medication, there is a high risk of recurrence even if the patient is not prone to recurrence and the lesions are cleaned up during the operation. 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 surgery; (2) 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 – 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 time and keep the symptoms under control in time, it is equivalent to a cure. Experienced clinicians can increase the cure rate to 80-90%.