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 caused by 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 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 important organs, which imposes more stringent requirements on the surgeon.
Third, the patient’s compliance. It means whether the patient listens to the doctor 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 go to the hospital regularly 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 can develop 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 short, patients should ① go to a regular hospital to see a specialist to ensure the quality of surgery; ② patients must follow the doctor’s advice, regular review and medication, especially for patients with refractory sinusitis, nasal polyps is particularly important.