Reviewing the Effect of Maximum Medical Treatment Helps in Determining Prognosis

After a trial of maximum medical treatment, you should be able to predict how reversible the patient's mucosal disease is and offer more accurate information about their prognosis after surgery. The extent of any response to maximal medical treatment, and how long it lasts, will indicate the extent and likelihood that postoperative medical treatment will be needed (Fig. 8.3a, b). A short-lived improvement in the nasal airway with only a minimum and transient improvement in the sense of smell after a course of oral steroids will lead the surgeon to give a more guarded prognosis about the benefits of surgery. A short-lived response to maximal medical treatment would also indicate that long-term medical treatment after surgery may be required.

Whole Blood Facs Plot
in the patient who fails to respond symptomatically and whose polyps remain large after steroids and antibiotics.

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