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What is the latest treatment for recurrent nasal polyps?
Question
I am suffering with chronic sinusitis and polyps. I am not able to breathe freely due to the polyps. The sinusitis causes the bacterial or fungal discharge. I got operated for polyp removal once but I was relieved from the blockage for only 2-3 months. I use Ortrivin (Xylometazoline) 0.1% daily 4-5 times, even then I face problem in breathing. I have lost my sense of smell. When the infection is high I resort to Itraconazole 100mg and Ciprofloxacin 500mg with Tenidazole 600mg along with Xylometazoline. I tried all other conventinal methods like ayurveda, homeopathy and others but none was able to relieved me. I even have slight DNS. What can be done to atleast breath uninterruptedly?
Expert Answer
A
Dr Ajit Man SinghMay 21, 2005
Senior Consultant ENT & Head and Neck Surgery,
Max Healthcare,
New Delhi
Max Healthcare,
New Delhi
If you have recurrent polyps causing obstruction, you do need revision surgery. Nowadays one uses the Endoscope, and by Functional Endoscopic Sinus Surgery, using a microdebrider (a shaving system), we can get rid of the polyps much better. However a 25% chance of them coming back in the future still remains. Please do not use oxy or xylo metazoling on a regular basis. Never for more than 8-10 days, as otherwise the nose will get habituated, and the lining will be damaged.
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