Objectives: Although nasal polypi frequently arise
from the middle meatus, they may occasionally originate
from the olfactory cleft. Removal of these
polypi may be difficult because of obscure location
and concomitant occurrence of septal deviation.
This work describes surgical management of olfactory
cleft nasal polypi with a combined approach
involving septoplasty and endoscopic sinus surgery.
Patients and Methods: The study included 12
patients (4 females, 8 males; mean age 30.4; range
17 to 58 years) who were treated for nasal polypi
arising from the olfactory cleft. Polypi were unilateral
in four patients and bilateral in eight patients.
Endoscopic removal of the nasal polypi required an
initial septoplasty to allow visualization of the olfactory
cleft and to straighten the nasal septum. The follow-
up period ranged from three to six months.
Results: Visualization of the olfactory cleft was
accomplished without complications. This allowed
radical removal of nasal polypi in all the patients with
relief of initial symptoms. Total relief of nasal
obstruction was achieved in eight patients. Four
patients who had sagging nasal mucosa and bilateral
nasal polyposis had moderate relief.
Conclusions: Nasal polyposis arising from the
olfactory cleft can be effectively removed by nasal
endoscopy following an initial septoplasty to widen
the narrow area at the olfactory cleft for better visualization
FREE FULL TEXTAnahtar Kelimeler: Endoskopi; nasal polip/cerrahi; nazalseptum/cerrahi; bilgisayarlı tomografi.