What is the treatment of choice for ethmoidal polyps?
Functional Endoscopic sinus surgery with polypectomy
Intranasal ethmoidectomy
Extranasl ethmoidectomy
Transantral ethmoidectomy
Ans. is 'a' i.e., Functional Endoscopic sinus surgery with polypectomy Surgical treatment of ethmoidal polyps1) Functional endoscopic sinus surgery (FESS) : Surgery of choice when available.2) Polypectomy : When there are one or two pedunculated polyps.3) Intranasal ethmoidectomy : Indicated when polyps are multiple and sessile.4) Extranasal ethmoidectomy : This is indicated when polyps recur after intranasal procedures.5) Transantral ethmoidectomy : Indicated when infection and polypoidal changes are also seen in the maxillary antrum. In this case antrum is opened by caldwell-Luc approach and the ethmoidal air cells approached through the medial wall of the antrum.
Operative Surgery