How to check for nasal polyps

Written by Deng Bang Yu
Otolaryngology
Updated on September 09, 2024
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Nasal polyps are benign space-occupying lesions that occur in the nasal cavity and sinus cavities. There are several aspects to the examination of nasal polyps: Firstly, an anterior rhinoscopy examination can be performed. If the nasal polyps are large, or even protruding outside the nasal cavity, they can be directly seen. Anterior rhinoscopy enlarges the nasal cavity, allowing visualization of the middle nasal meatus and other tissues inside the nasal cavity. Secondly, a nasal endoscopy can be utilized. Nasal endoscopy is particularly effective for viewing polyps located deeper within, or at the back of the nasal passages, providing very clear visibility. Other examinations, such as electronic rhinoendoscopy, follow the same procedure. The third examination involves a sinus CT scan, which is helpful for identifying the origin of the nasal polyps, as well as the location, range, and extent of obstruction caused by the polyps. Another examination is the pathological examination after nasal polyp surgery, which aids in determining the origin and risk associated with the nasal polyps, as well as assisting in subsequent treatments.

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Written by Li Rui
Otolaryngology
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Can erythromycin be used for nasal polyps?

Nasal polyps are a relatively common otolaryngological (ENT) disease. In terms of medication, if it's just simple nasal polyps, it is not advisable to use erythromycin. This is because erythromycin is a common type of antibiotic, primarily used for treating bacterial infections. However, if the nasal polyps are accompanied by sinusitis, then the use of erythromycin could be considered. For patients with nasal polyps, it is necessary to visit an ENT specialist after the onset of the condition. By conducting examinations such as nasal endoscopy, sinus CT scans, and routine blood tests, the severity of the condition can be assessed, thereby facilitating targeted treatment. During the treatment process, regular follow-ups are needed to observe the specific effects of the treatment.

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Written by Li Rui
Otolaryngology
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What should I do if nasal polyps cause nosebleeds?

Patients with nasal polyps who experience nosebleeds should visit an ENT (Ear, Nose, and Throat) department to identify the specific cause of the bleeding. Some patients have bleeding caused by nasal polyps, while others may bleed due to erosion of the nasal mucosa or rupture of small blood vessels. A small number of patients might have bleeding due to tumorous lesions. Therefore, after seeing an ENT specialist, it is necessary to undergo a nasal endoscopy, complete blood count, and coagulation function tests to clarify the specific cause of the condition. Some patients might choose conservative medical treatment, some may require nasal packing to stop the bleeding, and others, if conservative treatment is ineffective, may need to consider surgical treatment.

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Written by Deng Bang Yu
Otolaryngology
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Is it safe to have a second surgery for nasal polyps?

The surgery for nasal polyps is primarily performed under general anesthesia, involving the removal of the nasal polyps and functional endoscopic sinus surgery. All surgeries carry certain risks, thus secondary surgeries for nasal polyps also entail risks. Moreover, since the initial surgery alters the normal anatomical structure of the nasal polyps and their surroundings, the difficulty of the surgery increases, thereby slightly raising the risk of a secondary procedure. The third point is that the surgery is now performed under direct endoscopic vision. Although this type of surgery carries risks—and indeed, all surgeries do—the likelihood of these risks is relatively small, so there is no need for excessive worry.

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Written by Deng Bang Yu
Otolaryngology
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What medicine is good for nasal polyps to heal quickly?

Nasal polyps are benign neoplasms in the nasal cavity, sometimes originating from the sinuses, characterized as translucent, colorless, lychee-like neoplasms without blood vessels or nerve distribution. Clinically, nasal polyps are primarily diagnosed and removed during nasal endoscopic surgery. Certain medications can be used early in the development of nasal polyps, including corticosteroid drugs such as nasal sprays, nasal corticosteroids, and oral corticosteroids. These can control, and in some very small cases, even eliminate nasal polyps. However, this possibility is extremely rare in clinical practice because by the time patients seek treatment for nasal polyps at a hospital, the polyps are usually relatively large, and these medications are no longer effective for fundamental treatment. Therefore, nasal polyps are generally treated surgically. (The use of medications should be under the guidance of a doctor.)

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Written by Li Rui
Otolaryngology
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The causes of nasal polyps formation

Nasal polyps are a relatively common ENT (Ear, Nose, and Throat) disorder, with various causes. Common causes include genetic factors and may also be due to chronic allergic rhinitis or sinusitis. Some patients develop nasal polyps because of frequent exposure to dust or other chemical substances. There are significant individual differences in the specific causes of the disease. After the onset of the disease, it is necessary to visit an ENT specialist. Procedures like a nasal endoscopy or a sinus CT scan can be performed to assess the severity of the condition, which will assist in determining targeted treatments. During the treatment process, regular check-ups are needed to observe the recovery progress of the condition.