In chronic rhinosinusitis, whether or not the patient has nasal polyps shapes the treatment path. When nasal polyps are present and an initial medical course does not deliver adequate polyp reduction or symptom control, a defined next step exists.
Chronic rhinosinusitis with nasal polyps in the nasal cavity. The phenotypic distinction of polyp presence is clinically significant and directly guides the treatment approach taken at each stage.
A short course of oral prednisone was used to reduce nasal polyp size and produce rapid symptomatic relief, including recovery of sense of smell. The required goals — reduction in polyp size and adequate symptomatic relief — were not achieved, triggering escalation to the next treatment line.
When standard medical therapy has not been beneficial, an endoscopic surgical intervention targeting the sinuses is the established next step. The complete structured regimen is available via the link below.
DOI: 10.1503/cmaj.241101
The phenotypic distinction of whether or not the patient has polyps can guide treatment.
Endoscopic sinus surgery is known to be an effective and safe treatment for patients with chronic rhinosinusitis for whom standard medical therapy has not been beneficial.
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