Nasal Polyposis Pathogenesis, Medical and Surgical Treatment

Nasal rhinitis polyposis not only decreases the quality of life of affected patients, but the relationship between the upper and lower respiratory tract makes the treatment of this condition of critical importance. New research findings, as well as new te

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T. Metin Önerci Berrylin J. Ferguson (Eds.)

Nasal Polyposis Pathogenesis, Medical and Surgical Treatment

Prof. T. Metin Önerci Hacettepe University Faculty of Medicine Department of Otorhinolaryngology 06100 Ankara Sihhiya Turkey [email protected]

Prof. Berrylin J. Ferguson University of Pittsburgh School of Medicine Department of Otolaryngology 1400 Locust Street Pittsburgh PA 15219 Building B, Suite 11500 USA [email protected]

Associate Editors Harshita Pant, FRACS, PhD Department of Otolaryngology Head and Neck Surgery The University of Adelaide South Australia 5005 Australia [email protected] [email protected]

Bradley A. Otto, MD The Ohio State University Department of Otolaryngology Head and Neck Surgery Eye and Ear Institute 915 Olentangy River Road Columbus, Ohio 43212 USA [email protected]

ISBN: 978-3-642-11411-3     e-ISBN: 978-3-642-11412-0 DOI: 10.1007/978-3-642-11412-0 Springer Heidelberg Dordrecht London New York Additional material to this book can be downloaded from http://extras.springer.com. Library of Congress Control Number: 2010922316 © Springer-Verlag Berlin Heidelberg 2010 This work is subject to copyright. All rights are reserved, whether the whole or part of the material is ­concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilm or in any other way, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the German Copyright Law of September 9, 1965, in its current version, and permission for use must always be obtained from Springer. Violations are liable to prosecution under the German Copyright Law. The use of general descriptive names, registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant ­protective laws and regulations and therefore free for general use. Product liability: The publishers cannot guarantee the accuracy of any information about dosage and application contained in this book. In every individual case the user must check such information by consulting the relevant literature. Cover design: eStudio Calamar, Figueres/Berlin Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)

Foreword

Having been asked to write a foreword for a book entitled “Nasal Polyposis” the first question that comes up is: Is it really necessary to have a new book on nasal polyposis? The answer is of equal spontaneity: Yes. More than 30 years ago, Rhinologists became for the first time happier treating nasal polyposis as the topical steroids made the conservative treatment easier, and the new Hopkins rod lens system, with its great visualization facilities, aided new consolidated findings in regard to early diagnosis. In addition, when compared to the classic, radical procedures, which are more than 100 years old, surgical treatment could include many more functional considerations thus avoidi

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