What medication to spray for nasal polyps

Written by Deng Bang Yu
Otolaryngology
Updated on September 17, 2024
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Nasal polyps refer to benign space-occupying lesions in our nasal cavities. Clinically, nasal polyps are mainly associated with allergies or increased vascular and tissue permeability. Other factors, such as abnormalities in the structure of the middle nasal meatus, are also related to their formation. Therefore, in terms of treatment, clinically, we mainly use some steroids, mainly spraying corticosteroid hormones, such as mometasone furoate, budesonide nasal spray, fluticasone propionate nasal spray, etc. Additionally, if there is a significant amount of pus in the nasal discharge, we can also use saline nasal spray to clean the nasal cavity.

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Written by Li Rui
Otolaryngology
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How is anesthesia administered for nasal polyps?

Nasal polyps are a relatively common ENT disorder, and if there are numerous polyps with clear clinical symptoms and conservative drug treatment is ineffective, surgery should be considered. Currently, the primary procedure is endoscopic nasal polyp removal, which is a commonly used minimally invasive surgery. Generally, the level of pain experienced by patients is not particularly significant. Therefore, in terms of anesthesia, it may be suitable to consider either general anesthesia or local anesthesia. If the nasal polyps are not particularly severe and the patient has a good tolerance, local anesthesia can be considered. However, if the condition is more severe and symptoms are clearly pronounced, it is generally advised that general anesthesia might be a better option.

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Written by Li Rui
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What will happen if nasal polyps worsen?

If nasal polyps deteriorate, it might lead to associated clinical symptoms, commonly including nasal congestion, runny nose, bloody nasal discharge, headaches, dizziness, and a reduced sense of smell. A small portion of patients may also experience malignant transformation. The specific clinical symptoms vary from individual to individual. After the onset of the condition, it is necessary to promptly visit an otolaryngology department. Undergoing a sinus CT and endoscopic examination can help assess the severity and extent of the condition. Regarding treatment, some patients may consider conservative medication treatment, but others with more severe conditions where the medication is ineffective might need to consider surgical treatment.

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Written by Deng Bang Yu
Otolaryngology
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Will nasal polyps grow back after being removed?

Nasal polyps are a common and frequently occurring clinical condition, representing benign neoplasms of the nasal cavity. Currently, the primary treatment for nasal polyps is their removal via endoscopic surgery, generally accompanied by surgery to open the sinus cavities. After nasal polyp surgery, there is a certain rate of recurrence, so measures must be taken to reduce this recurrence, such as regular post-operative clinic visits to clean the nasal and sinus cavities. Additionally, aggressive medication treatments are required after surgery, such as the use of budesonide nasal spray, along with other supportive medications. During surgery, it is crucial to remove the roots of the nasal polyps as thoroughly as possible and also to remove the diseased mucosal tissues as much as feasible. (Medication should be used under the guidance of a clinical doctor, based on the specific circumstances.)

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Written by Li Rui
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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 Deng Bang Yu
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Is surgery necessary for nasal polyps?

Nasal polyps are benign neoplasms that occupy the spaces of the nasal cavity and sinuses. Clinically, once nasal polyps appear, they are generally removed through surgery. Currently, the main clinical approach is functional endoscopic sinus surgery. For some early-stage small nasal polyps, medications such as corticosteroids, methylprednisolone, and prednisone can be used for treatment, which can cause the gradual disappearance of very small polyps, a process known as chemical resection. In clinical practice, when nasal polyps are detected, they are usually relatively large, so once polyps are discovered during a hospital visit, treatment is typically conducted through surgery.