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Nasal Polyposis Pathogenesis, Medical and Surgical Treatment

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 indings  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 avoiding mutilating side effects and late complications, such as mucoceles. Our generation did not like the classic procedures as we knew that most of  these patients will come back. Due  to the improved clinical diagnostics in particular, a tremendous progress in imaging the indication for surgery was made, aiding a clear diagnosis.
Due to these factors the therapeutic results improved dramatically and Rhinology became a rising star in Otorhinolaryngology.
On the other hand, the only achievement of our therapy is a symptomatic improvement in the patient with polyposis disease as the therapy shrinks polyps and improves the drainage of the sinuses, opening a better way for medicinal treatment. So far an effective causal therapy for nasal polyposis has not been established.
The knowledge about epidemiology, etiology, pathogenesis, and pathophysiology of nasal polyposis has increased in many aspects but a comprehensive summary of the present status has been missing.
Everything about why polyps develop and how to treat them can be found in this book. Another  great  advantage  of  this  book  is  that  controversial  issues  such  as fungal-induced inlfammation and Staphylococcus aureus-derived Superantigens in nasal polyp disease or functional endoscopic sinus surgery and nasalization are also discussed.
Of specific importance is the last chapter dealing with the evaluation of surgical treatments  leading  us  further  to  solid  evidence-based  judgment  of  what  we  are doing.

About the Author
T. Metin Önerci is full Professor of Otorhinolaryngology at the Hacettepe University, Faculty of Medicine, Ankara, Turkey. He serves as General Secretary of the International Rhinologic Society and is the immediate Past President of the Otorhinolaryngology-Head and Neck Society in Turkey. He recently also served as President of the International Society of Otorhinolaryngologic Allergy and Immunology, as President of the European Rhinology Society and as President of the ISIAN (International Symposium on Infection and Allergy of the Nose).

Book Details
  • Editor: T. Metin Önerci, Berrylin J. Ferguson
  • Hardcover: 311 pages
  • Publisher: Springer; 1st Edition. edition (November 1, 2010)
  • Language: English
  • ISBN-10: 3642114113
  • ISBN-13: 978-3642114113
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