No - these patients have an inflammatory condition which benefits from the better topical access achieved postoperatively to ongoing medical care by wide access endoscopic sinus surgery -the stratus does not open the sinuses to topical therapy, but transiently deliver steroids locally,minnthe same way course of systemic steroids will improve disease control.
No, I prefer using every day topical steroid treatment. I published some years ago such results in the Acta. You can see in :
Evaluation of the combined medical and surgical treatment in nasal polyposis. I: functional results.
Bonfils P. Acta Otolaryngol. 2007 Apr;127(4):436-46.
CONCLUSION:
This prospective study is the first in the literature to present long-term results of a combined medical and surgical treatment in patients with nasal polyposis (NP) including strict inclusion criteria, analysis of the results in terms of clinical amelioration, polyp size reduction, and steroid consumption. The results of the present study show that combined surgery and corticosteroid therapy is effective in the treatment of NP.
OBJECTIVE:
Most publications on outcome after functional endoscopic sinus surgery (FESS) include patients with various pathologies. The aim of this study was to provide reference information for FESS in patients with NP with strict inclusion and exclusion criteria.
MATERIALS AND METHODS:
This was a prospective study involving 194 consecutive patients. Clinical symptoms, polyp size, and steroid consumption were evaluated before and after FESS (mean follow-up, 74 months). An actuarial analysis using the Kaplan Meier life table method was performed with regard to the 3- and 5-year symptoms control rates.
RESULTS:
All symptoms were improved after FESS. The 5-year actuarial nasal obstruction control rate was 65.8%. The 5-year actuarial severe posterior rhinorrhea control rate was 82.9%. The 5-year actuarial smell loss and anosmia control rates were 17.7% and 65.8%, respectively. Polyp volume and steroid consumption decreased significantly after FESS.
No
I prefer topical steroids applied intranassally after nasal saline irrigation. Also short course systemic steroid in the early postoperative period helps in improving the outcome
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