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supplement to previous question concerning choanal polyps in a child

Question
I am sorry, that I write in a such interrupted way, but I am still searching, doing tests and completing information...
I performed in my 10-year-old-son x-ray of the sinuses and it revealed, that the right sinus is shadowed. For the fourth time the polyp is diagnosed, probably a choanal one. Laryngologist decided that polypectomy and sinus puncture should be performed in a local anaesthesia.
Wouldn't it be better to perform such procedure in general anaethesia? Is it safe, when done in a local anaesthesia? Is sinus puncture the only treatment option?
Would you please clarify me, if these polyps are caused by untreated sinus or vice versa?
My son is allergic to some extent to mould and feathers, he is not treated, because there is no such need.
Is it normal, that such a little child is so seriously ill?
I have to add, that polyps run in my husband's family, as a child he was treated with lamps because of problems with his maxillary sinuses, he never underwent sinus puncture.
Answer
Dear Questioner,
Laryngologist has already extensively answered your previous question concerning choanal polyp in the aspect of CF, since this website is devoted to problems of the patient suffering from CF.
If you have any further questions concerning specialist treatment of your son, you should visit laryngologist again, who will carefully examine your son, recommend proper treatment and also clarify all your doubts.
One option for prophylaxis of relapses after the surgery could be a therapy with corticosteroids as a nasal spray.
Best regards, Natalia Kobelska-Dubiel, MD, PhD
08.02.2010