State of the art treatment of nasal polyposis.

Background: Nasal polyposis represents the end point of multiple inflammatory pathways and controversy continues as to the exact roles of medical and surgical approaches in the management of nasal polyposis. Methods: A combination of both is often required to manage polyps adequately with surgery and intranasal steroids remaining the mainstay of therapy. Results: Fortunately, new technological advances are making surgery safer and more efficient. In the postoperative period, debridement is effective in reducing the formation of adhesions, and topical medications may play a beneficial role in preventing polyp reformation. Conclusion: Additional investigations into the optimal perioperative medical management is needed to ensure optimal surgical outcomes. (Am J Rhinol Allergy 25, 291-298, 2011; doi:10.2500/ajra.2011.25.3681)