ABSTRACT
I. Material and Methods 585
A. Patients 585
B. Indications for Surgery 585
C. Postoperative Care 585
II. Results 586
A. Complaints Before Surgery 586
B. Signs and Symptoms Before Surgery 586
C. Associated Procedures 586
D. Results of the Surgery 586
E. Long-Term Follow-Up 587
III. Discussion 588
References 590
Cystic fibrosis is the most common substantially lethal hereditary disease among
young Caucasians (1). That infectious and polypoid degeneration of the nasal
mucosa is part of this condition had not been recognized by the otolaryngologist
until 1959 (2). The frequency of nasal polyposis in children is extremely low,
about 0.1% (3). Schwachmann et al. (1962) (4) found nasal polyposis in 6.7%,
Cepero et al. (1987) (5) in 10%, Neely et al. (1972) (6) in 24% and Stern et al.
(1982) (7) in 26% of the patients with cystic fibrosis. Settipane (8) stated that
any child of 16 years or younger with nasal polyps should be evaluated for cystic
fibrosis. He found in cystic fibrosis the prevalence of nasal polyps to be 20%.
Later the prevalence was estimated to be 32% in children and 40-48% in
adults with cystic fibrosis (9), but at the same time these authors state that the
detection of nasal polyps may be limited by the ability of the young child to tol-
erate nasal examination.
