Is minimally invasive surgery for nasal polyps painful?

Written by Li Mao Cai
Otolaryngology
Updated on September 03, 2024
00:00
00:00

We often talk about the minimally invasive surgery for nasal polyps, which is the most common procedure of endoscopic nasal polyp removal that we use today. This type of surgery does not only remove the nasal polyps, but also the root of the polyps and even opens up the sinuses. This is crucial for eliminating the cause of the nasal polyps and is very important for preventing their recurrence. Although it is a minimally invasive surgery, it can still be quite painful. After the surgery, both nostrils need to be packed. If the packing material is absorbable, such as Nasopore, the discomfort might be less because after the surgery, one just needs to wait for the packing to gradually dissolve into a mucus-like substance and get expelled. However, if expandable sponges or even gauze strips are used, these materials need to be removed after several days. Removing these materials can cause significant pain for the patient. During the period of packing, the patient can also experience a lot of discomforts such as headaches, dry throat, discomfort in the eyes, tearing, and even some might feel foggy in their ears and uncomfortable while eating and drinking, along with other painful symptoms. Additionally, after the minimally invasive surgery for nasal polyps, regular follow-up cleanings are necessary. The purpose of these follow-up cleanings is to timely clear out any blood clots or secretions from the nasal cavity and sinuses, aiding the recovery of the mucous membranes in these areas and also preventing the short-term recurrence of the nasal polyps, which is a very important part of ensuring the effectiveness of the surgery. Thus, these procedures can induce a certain amount of fear and pain for the patients, but before performing these surgeries and examinations, doctors generally engage in thorough discussions and provide comfort to the patients, advising them not to be too nervous. The actual discomfort is temporary and will pass after enduring it for just a few days post-surgery.

Other Voices

doctor image
home-news-image
Written by Yao Jun
Otolaryngology - Head and Neck Surgery
58sec home-news-image

Can nasal polyps sinusitis be cured completely?

Sinusitis refers to the inflammation of one or more groups of nasal sinuses, often accompanied by nasal polyps. Nasal polyps are lychee-like, semitransparent, grayish-white growths that are soft in texture and visible inside the nasal cavity. In such cases, it is advisable to consider functional endoscopic sinus surgery under general anesthesia and nasal endoscopy to remove the polyps and ethmoid sinuses. After the surgery, it is essential to perform regular cleaning, reduce inflammation, and provide antihistamine treatment, as sinusitis often leads to the recurrence of nasal polyps. Furthermore, allergens can also trigger the recurrence of nasal polyps. Therefore, after surgery, regular follow-ups, anti-inflammatory, and antihistamine treatments are necessary. Generally, with such management, nasal polyps and sinusitis can be effectively cured.

doctor image
home-news-image
Written by Xu Jian You
Otolaryngology
55sec home-news-image

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.

doctor image
home-news-image
Written by Deng Bang Yu
Otolaryngology
47sec home-news-image

Can nasal polyps be operated on in the outpatient clinic?

Nasal polyps are benign neoplasms in the nasal cavity. Pathologically, nasal polyps are benign tumors. Clinically, the primary treatment is the surgical removal of nasal polyps followed by regular outpatient follow-ups to prevent recurrence. Currently, the surgery for nasal polyps is generally performed under general anesthesia, involving the removal of nasal polyps and sinus opening procedures, which are functional surgeries. Such surgeries require hospitalization and are conducted under endoscopy, typically under general anesthesia. Although in some regions, the surgery may be performed under local anesthesia, hospitalization is still required for the procedure, and it is generally not conducted on an outpatient basis.

doctor image
home-news-image
Written by Li Rui
Otolaryngology
51sec home-news-image

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.

doctor image
home-news-image
Written by Li Rui
Otolaryngology
48sec home-news-image

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.