What should I do if nasal polyps are removed but grow back?

Written by Deng Bang Yu
Otolaryngology
Updated on September 09, 2024
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Nasal polyps are a common condition in otolaryngology and are benign neoplasms in the nasal cavity. After nasal polyp surgery, there is a possibility of recurrence, and the likelihood of recurrence is relatively high compared to other diseases. Currently, we surgically remove nasal polyps through functional endoscopic surgery, followed by regular post-operative outpatient follow-ups to clean the nasal cavity. Since then, the recurrence rate after this surgery has been relatively low. However, if the nasal polyps recur, we must perform surgery again to remove them, as enlarged nasal polyps can block the nasal cavity and damage the surrounding tissue structures, necessitating another surgical intervention, with no other special methods available.

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Written by Li Rui
Otolaryngology
1min 19sec home-news-image

Can nasal polyps be cured?

Nasal polyps are a relatively common disease and are benign neoplasms in the nasal cavity. Overall, the treatment results are quite good. In terms of treatment, there are mainly two categories: surgical treatment and conservative medical treatment. Surgical treatment is mainly suitable for cases where nasal polyps are extensive and widespread, and where conservative treatment has been ineffective. In such cases, surgery to remove the polyps is generally recommended. Currently, endoscopic sinus surgery is commonly performed to remove nasal polyps, and if accompanied by sinusitis, concomitant sinusotomy can also be performed. Overall, the surgical outcomes are quite definitive, and the procedure involves minimal trauma and offers a faster recovery. If the extent of nasal polyps is small and localized, without significant clinical symptoms, most cases can consider a combination of medical treatment and nasal irrigation. However, both medical and surgical treatments may have ineffective results or the possibility of disease recurrence. Therefore, after treatment, long-term regular check-ups are necessary to monitor for recurrence, and further treatment will be needed promptly if recurrence occurs.

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Written by Xu Jian You
Otolaryngology
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How to completely treat nasal polyps?

The radical treatment method for nasal polyps is surgical removal, which is the main treatment method for nasal polyps. The traditional nasal polyp surgery is performed under frontal mirror illumination, using a snare or polyp forceps to remove the polyps. It cannot be completely obscured, may damage normal structures, is not easy to remove cleanly, and is prone to recurrence. Over the past 30 years, with the popularization of endoscopy, nasal polyp surgery has greatly improved. Now, under the nasal endoscope, the base of the nasal polyps can be clearly identified and cleanly removed. Most nasal polyps are associated with sinusitis or originate from the sinuses, so it is also necessary to perform simultaneous sinus opening surgery under the endoscope to thoroughly remove the diseased tissue, greatly reducing the recurrence rate of nasal polyps.

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Written by Li Rui
Otolaryngology
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Will nasal polyps grow back after they are removed?

Nasal polyps are a relatively common ENT disorder, requiring surgical removal if they are numerous. Even after surgery, there is a possibility of recurrence, so regular follow-up is advised post-surgery. Initially, follow-ups should be conducted weekly, and if recovery is satisfactory, the interval can be extended to once every one to three months. If signs of recurrence of nasal polyps are observed, timely medical treatment should be administered. In cases where the recurrence is severe and the polyps are numerous, another surgery might be necessary. Generally, nasal polyps that recur multiple times are comparatively more difficult to completely cure.

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Written by Li Mao Cai
Otolaryngology
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Nasal polyps generally grow where?

Nasal polyps definitely develop in the nasal cavity or sinuses. Due to the complex anatomical structure of the nasal cavity and sinuses, and the variation in the causes and timing of the condition among individuals, the location of polyps is not fixed and each patient has unique characteristics. Some polyps originate in the maxillary sinus and grow at the opening of this sinus, extending to the back end. This commonly occurs as posterior nasal polyps of the maxillary sinus, often seen in teenagers or children, and are more common in males than females. Generally, polyps can grow in the middle nasal meatus or olfactory fissure, and in some severe and long-standing cases, polyps can grow throughout the nasal cavity and sinuses.

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Written by Li Rui
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Can people with nasal polyps drink alcohol?

Nasal polyps are a relatively common otolaryngological disease. It is advised that patients with nasal polyps should avoid drinking alcohol as it can be highly irritating. Alcohol has a direct stimulative effect on the nasal mucosa, which might exacerbate the condition of nasal polyps, potentially leading to nosebleeds or elevated blood pressure. These factors may harm overall health. Patients with nasal polyps should seek prompt medical attention from an otolaryngologist after the onset of symptoms. Examinations such as nasendoscopy and sinus CT scans can be conducted to assess the severity of the condition. Some patients might opt for conservative medical treatment, while others, for whom medication is ineffective, may need to consider surgical intervention.