Conclusions
This retrospective review suggests that recurrence rates of IPs may be
higher in cases operated on initially by a non-specialist surgeon. We
therefore recommend that all IP cases should be referred to a
fellowship-trained rhinologist using the suggested management
gold-standard flow chart (figure 2). Our study further demonstrates that
endoscopic approaches remain a beneficial technique in managing IPs
(2,5) by reducing morbidity, decreasing post-operative complications,
and inpatient stays. (4,6)
Word count – 1433/1500
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