Advances in Medical Management

It is said that to be a good surgeon you also have to be a good physician. Surgical maneuvers cannot cure the majority of patients with noninfective nasal polyps, any more than they can cure allergic rhinitis. Advances in instrumentation, computer-aided surgery, and optics may refine surgical techniques, but it seems likely that the main advances will come through research into the etiology and pathological mechanisms of allergic and idiopathic rhinitis and nasal polyposis, and the development of new medical therapies.

At present, medical management has focused on the treatment of allergy and infection. What is not well understood is the reason for the inflammatory changes that are found in the absence of an infectious agent or allergy—as they are conventionally understood.

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