Because of the increasing scope of rhinologic surgery, the presence of allergy and infection has become more frequent, according to Kenneth H. Hinderer, MD, of Pittsburgh, Pa.
He told the American College of Allergists meeting in Bal Harbour, Fla, March 1-6 that "surgery of the nose, in addition to other trauma and infection, has a vital relationship to allergy in general and to nasal and bronchial allergies in particular. The presence of allergy or its provocation by any trauma can predispose the individual to a variety of responses which will affect his health, his powers of healing, and his resistance to infection."
These specific responses and states include the following:
Allergic rhinitis, in which a definite obstruction to both ventilation and drainage and polyposis may be present. "This type of patient requires the utmost control possible of the allergic process before any surgery is attempted," Hinderer said. Following surgery, however,