Is minimally invasive surgery for nasal polyps painful?

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

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Written by Zhang Jun
Otolaryngology
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Can nasal polyps cause headaches?

Nasal polyps can cause headaches. The exact cause of nasal polyps is unknown, but they are generally due to prolonged chronic inflammation that leads to congestion, swelling, proliferation, and prolapse of the nasal turbinates' mucous membrane, resulting in the appearance of polyps. They are also often secondary to allergic rhinitis. Nasal polyps cause persistent nasal congestion, which progressively worsens, leading to persistent hypoxia in patients. This can cause symptoms such as headaches, dizziness, nausea, vomiting, and coughing. During examination, congested and swollen nasal mucosa can be found, and in the middle or general nasal passage, pale, abnormal, soft, painless neoplasms may be detected. In terms of treatment, nasal polyps require endoscopic nasal polypectomy and sinusotomy. After surgery, physical exercise and avoiding colds are necessary to prevent recurrence.

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Written by Li Rui
Otolaryngology
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Does massaging nasal polyps have any effect?

Nasal polyps cannot be effectively treated through massage, as they grow inside the nasal cavity, mainly around the middle nasal meatus, and may also be found in the olfactory area or the general nasal passages. In severe cases, they can spread throughout the entire nasal cavity and even into the sinuses. In terms of treatment, massage does not play a significant role, as it does not directly affect the nasal polyps themselves. Treatment primarily involves medication and surgical procedures. For cases where the nasal polyps are particularly numerous and symptoms are pronounced, surgery is generally recommended. For smaller polyps with less noticeable symptoms, nasal spray medications may be considered, but regular follow-up examinations are necessary to monitor changes.

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Written by Deng Bang Yu
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Nasal polyps CT manifestations

Nasal polyps are benign neoplasms of the nasal area. On a CT scan, they primarily appear as increased density shadows in the nasal cavity and sinus cavity. These shadows have a definite shape, which is why we see nasal polyps as oval-shaped. Secondly, the density of the nasal polyps can be distinctively differentiated from the surrounding densities; the density of the surrounding bone is very high, while the density of the nasal polyps is relatively direct, appearing as a gray density shadow. Thirdly, we observe accompanying inflammatory changes in the nasal cavity and sinus cavity on the nasal polyps, such as thickened sinus cavity mucosa and, in some cases, the presence of purulent secretions due to inflammatory infections, as seen on the CT scan.

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Written by Li Rui
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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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Can nasal polyps be treated without surgery?

A portion of patients with nasal polyps may not require surgery. The decision to operate on nasal polyps primarily depends on the severity of the condition and the overall health of the patient. If the nasal polyps are particularly localized and the patient does not exhibit significant symptoms such as nasal congestion, purulent nasal discharge, reduced sense of smell, headaches, or dizziness, conservative treatment or regular check-ups may be considered. Conservative treatment involves the use of nasal sprays and regular examinations with a nasopharyngoscope to monitor the growth of the polyps. However, if the nasal polyps are extensive and accompanied by clinical symptoms, and conservative treatment proves ineffective, surgery may need to be considered. Currently, endoscopic surgery is commonly performed and is generally very effective with minimal trauma.