[The diagnosis and surgical treatment for bleeding polyp in paranasal sinus and nasal cavity (with 23 cases reported)].

OBJECTIVE

To study the diagnosis and the therapy for bleeding polyp in paranasal sinus and nasal cavity(BPPSNC), and to improve its diagnosis and treatment level.

METHOD: A retrospective analysis was performed on 23 cases with BPPSNC by the diagnosis and the therapy.

RESULT: Before operation, three cases were considered as malignant tumor, and five cases could not be diagnosed definitely. Cald well-Luc operation was performed on 20 cases, only one case was performed by lateral rhinotomy and two cases were performed by nasal approach. Following up for 0. 8 to 10 years, all cases were cured.

CONCLUSION

The primary definite diagnosis is difficult before operation. Puncture and irrigation of the maxillary sinus is very valuable for the diagnosis of BPPSNC. It is important for CT scanning to diagnose and design the operative method of BPPSNC. It is a good surgical approach that Cald well-Luc operation is performed for BPPSNC.