Is nasal polyp surgery painful?

Written by Deng Bang Yu
Otolaryngology
Updated on September 29, 2024
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Nasal polyps are space-occupying lesions that occur in the nasal cavity and sinus cavity. After the discovery of nasal polyps, they are usually removed surgically. Currently, the surgery for nasal polyps is performed under general anesthesia using functional endoscopic sinus surgery, which involves removing the nasal polyps and opening the sinus ostia. There is no significant pain during the surgery, as it is conducted under general anesthesia. After the surgery, the nasal cavity is packed with some hemostatic materials. There is discomfort when this nasal packing material is removed on the second day after the surgery, but this discomfort is only significant during the removal and subsides afterward. Therefore, there is some pain associated with nasal polyp surgery, but the pain is not very severe.

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Written by Li Rui
Otolaryngology
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How is nasal polyp treated?

Nasal polyps are a relatively common otolaryngological condition. In terms of treatment, it is first necessary to assess the severity of the condition. It is advisable to undergo a nasal endoscopy and a sinus CT scan. For cases where the nasal polyps are few and the clinical symptoms are mild, conservative medical treatment may be considered, typically involving the use of nasal spray medications, along with saline nasal irrigation. If the nasal polyps are numerous and the clinical symptoms are severe, and if conservative medical treatment is ineffective, nasal endoscopic polypectomy surgery may be considered. This is a minimally invasive surgery that generally yields good results, with less damage and a quicker recovery.

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How come there is bleeding from nasal polyps?

Patients with nasal polyps experiencing nosebleeds can have many causes. It might be due to hemorrhagic polyps, erosion of the nasal mucosa, dry nasal cavities, or rupture of small blood vessels. Some patients may have sinusitis accompanying their nasal polyps, with significant inflammatory responses that could also lead to nosebleeds. However, it's necessary to check for other conditions, such as nasopharyngeal angiofibroma, malignant tumors in the nasal cavity or sinuses, nasopharyngeal carcinoma, or blood disorders like coagulation dysfunction and thrombocytopenia. It is advisable to visit an ENT specialist and undergo nasopharyngoscopy, sinus CT scans, blood tests, and coagulation function tests to make an accurate diagnosis.

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Written by Li Rui
Otolaryngology
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Can nasal polyps be eliminated by taking medicine?

Nasal polyps are a relatively common otolaryngologic condition, presenting with a variety of clinical symptoms. The more common symptoms include nasal congestion, runny nose, reduced sense of smell, headache, and dizziness. In terms of treatment, the usual approaches are conservative treatment and surgical treatment. If there are few nasal polyps and the clinical symptoms are not particularly severe, medication treatment can be considered. Some patients may see a gradual reduction in their nasal polyps after medication treatment. However, in cases where there are many polyps and the clinical symptoms are significant, and standardized medication treatment is ineffective, surgical removal may be necessary. Currently, the more common procedure is endoscopic sinus surgery for the removal of nasal polyps.

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Written by Xu Qing Tian
Otolaryngology
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symptoms of malignant nasal polyps

The symptoms caused by the malignant transformation of nasal polyps mainly involve significant destruction and invasion of the surrounding bone, leading to the destruction of the skull base and orbital tissues. Patients may experience eye pain, decreased vision, headaches, and bleeding. For patients with malignant transformation of nasal polyps, diagnosis is primarily made through an electronic nasopharyngoscopy biopsy, taking a portion of the pathological tissue for confirmation. Typically, after confirming malignancy, functional endoscopic sinus surgery should be performed promptly to remove the malignant nasal polyp tissue and extend the resection to the invaded bone. This is usually complemented by radiation therapy or chemotherapy to prevent recurrence of the malignant nasal polyps.

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Written by Li Rui
Otolaryngology
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Are nasal polyps serious?

Nasal polyps are a relatively common otolaryngologic disease, and for the most part, most patients are not too serious; only a small number of patients have more severe nasal polyps with more obvious symptoms. In terms of treatment, if the nasal polyps are few and the clinical symptoms are not particularly pronounced, conservative medical treatment can be considered. Commonly used are corticosteroid nasal sprays, and physiological saline can be used to rinse the nasal cavity to help improve clinical symptoms; if there are many nasal polyps and the clinical symptoms are very pronounced, and standard medication treatment is ineffective, surgery may be considered. A common procedure is endoscopic nasal polyp removal. (Medication should be used under the guidance of a doctor according to specific circumstances.)