Nasal Polyposis: Aggressive Sinus Marsupialization Including the Endoscopic Modified Lothrop Procedure

  • Erik Kent Weitzel
  • Harshita Pant
  • May Thwin
  • Peter-John Wormald


Symptomatic polypoid chronic rhinosinusitis (CRS) that fails an adequate medical trial responds well to endoscopic sinus surgery (ESS). More aggressive (extensive) ESS leads to better clinical outcomes with polypoid CRS. Successful surgical management of the frontal sinus is the most challenging aspect of the management of nasal polyposis. In patients who develop recurrent polyps after surgery, the modified endoscopic Lothrop procedure, Draf III or frontal drillout produces better outcomes, and in some cases a cure, than standard revision ESS.


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Copyright information

© Springer-Verlag Berlin Heidelberg 2010

Authors and Affiliations

  • Erik Kent Weitzel
    • 1
  • Harshita Pant
    • 2
  • May Thwin
    • 2
  • Peter-John Wormald
    • 2
  1. 1.Department of OtoHNSLackland AFBUSA
  2. 2.Department of Otolaryngology Head and Neck SurgeryUniversity of Adelaide, Queen Elizabeth HospitalWoodville SouthAustralia

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