How is nasal polyp surgery performed?

Written by Deng Bang Yu
Otolaryngology
Updated on September 17, 2024
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Nasal polyps are benign neoplasms in our nasal cavities. Nasal polyps do not have a distribution of nerves and blood vessels. Once nasal polyps occur, the main treatment is surgical removal. The surgery is performed under general anesthesia. We expose the nasal polyps using an endoscope, and then remove the nasal polyps using forceps or an electric suction cutter. The surgical operation is relatively simple. However, it is important to protect the surrounding structures such as the eyes and brain during the surgery to avoid damaging these tissues. After surgery, it is common to pack the nasal cavity, and the entire procedure generally requires a hospital stay of about one week.

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Written by Li Mao Cai
Otolaryngology
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How to treat nasal polyps?

The treatment of nasal polyps mainly centers on surgical intervention as part of a comprehensive treatment strategy, due to the variety of causes and factors leading to the condition. Moreover, some nasal polyps are prone to recurrence. The first choice is surgical treatment, which involves thoroughly clearing the nasal polyps and then addressing any anatomical and inflammatory factors that may cause them. For example, correcting a deviated nasal septum, opening the sinuses, and relieving chronic sinus inflammation. Postoperatively, it is crucial to actively provide hormonal treatment, including nasal and oral steroids, tailored to the individual's needs. Concurrently, it is important to maintain nasal irrigation and regular follow-up cleanings. Postoperative pathological results help assess the likelihood of recurrence, and for types prone to recurrence, intensified follow-up measures are necessary.

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Written by Deng Bang Yu
Otolaryngology
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What should I do if nasal polyps recur for the second time?

Nasal polyps are a common and frequently occurring clinical disease, consisting of benign neoplasms in the nasal cavity and paranasal sinuses. Clinically, nasal polyps are primarily treated through surgery, specifically functional endoscopic sinus surgery for the removal of polyps under nasal endoscopy. Nasal polyps have a certain probability of recurrence. After a second recurrence, a second surgery is required. Following surgery, it is necessary to regularly follow up with cleaning of the nasal and sinus cavities, and to actively use certain medications, such as corticosteroids and some macrolide anti-inflammatory drugs. Additionally, during nasal polyp surgery, some tissues should be removed for biopsy to avoid confusion between nasal polyps and papillomas.

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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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Can nasal polyps be felt by touch?

Nasal polyps are benign neoplasms that occur in our nasal cavity. Clinically, nasal polyps in their early stages are primarily located in the middle nasal passage. As the nasal polyps enlarge, they can also be found in the middle nasal passage, and severe ones might even protrude from our anterior nostrils onto our face. Thus, for larger nasal polyps, we can physically feel them; they feel very soft and not very elastic. However, they are somewhat resilient and can move significantly because most nasal polyps are pedunculated within our nasal cavity. Additionally, there is often a lot of nasal mucus.

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Written by Xu Qing Tian
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Nasal polyps minimally invasive surgery how long

Minimally invasive surgery for nasal polyps usually refers to functional endoscopic sinus surgery. In patients with nasal polyps obstructing the nasal passages, the polyps are removed under visualization using a nasal endoscope. For patients with bilateral nasal polyps, the surgery generally lasts about one to one and a half hours. Patients with nasal polyps typically experience significant symptoms such as nasal congestion, runny nose, and headaches. These polyps block the sinus openings, affecting sinus drainage, thus surgery is usually necessary. After undergoing functional endoscopic sinus surgery, patients should avoid hot baths, foot baths, and vigorous exercise to prevent post-operative bleeding due to increased blood circulation.