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ENT Operative Surgery c6d0ec23

What is the treatment of choice for ethmoidal polyps?

A
Functional Endoscopic sinus surgery with polypectomy
B
Intranasal ethmoidectomy
C
Extranasl ethmoidectomy
D
Transantral ethmoidectomy
High-Yield Explanation
Ans. is 'a' i.e., Functional Endoscopic sinus surgery with polypectomy Surgical treatment of ethmoidal polyps1) Functional endoscopic sinus surgery (FESS) : Surgery of choice when available.2) Polypectomy : When there are one or two pedunculated polyps.3) Intranasal ethmoidectomy : Indicated when polyps are multiple and sessile.4) Extranasal ethmoidectomy : This is indicated when polyps recur after intranasal procedures.5) Transantral ethmoidectomy : Indicated when infection and polypoidal changes are also seen in the maxillary antrum. In this case antrum is opened by caldwell-Luc approach and the ethmoidal air cells approached through the medial wall of the antrum.

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