Do you need to be hospitalized for nasal polyp surgery?

Written by Li Mao Cai
Otolaryngology
Updated on March 01, 2025
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The surgery for nasal polyps is performed under general anesthesia using endoscopic techniques to excise the polyps. The procedure places high demands on the patient's overall health, but typically yields good results. As such, hospitalization is required for nasal polyp surgery, as it often involves additional procedures such as sinus opening and correction of a deviated nasal septum. Nasal polyps are generally caused by sinusitis, rhinitis, or chronic inflammation over a long period of time. Simply removing the nasal polyps may lead to recurrence. In order to thoroughly treat nasal polyps, and address chronic inflammation, sinus issues, and anatomical abnormalities such as a deviated nasal septum, specific treatments are required during surgery. This not only effectively eradicates the nasal polyps but also helps prevent their recurrence. Therefore, hospitalization is required for this type of surgery.

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Written by Zhang Jun
Otolaryngology
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What are the symptoms of nasal polyps?

Nasal polyps are benign tumors that occur inside the nasal cavity. Generally, the appearance of nasal polyps is associated with chronic inflammatory stimulation, repeated irritation of the turbinate mucosa leading to congestion, edema, prolapse, and hyperplasia of the turbinate mucosa, which causes nasal polyps. They are also often secondary to allergic rhinitis. Nasal polyps can cause bilateral nasal congestion in patients, which tends to persist and worsen, while mucous secretions may also flow from the nasal cavity. In severe cases, patients may experience facial swelling, pain, headaches, and other related symptoms. During examination, pale white lychee-like, soft new growths that are usually painless can be found inside the nasal cavity. In terms of treatment, nasal polyps require endoscopic nasal polypectomy. The surgery requires hospitalization, general anesthesia, and postoperative antibiotics to prevent local infection. Patients can usually recover and be discharged about a week after the surgery. (The use of medications should be under the guidance of a professional doctor.)

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Written by Deng Bang Yu
Otolaryngology
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Postoperative precautions for nasal polyps

Nasal polyps are a common disease in otolaryngology, head, and neck surgery. The primary treatment for nasal polyps is functional endoscopic surgery to remove them. After the surgery, it is important to keep the following in mind: First, it is important to keep the nasal cavity clean. Clean the nasal cavity daily with saline solution and use some medications for treatment. Second, regularly visit the hospital to have the nasal cavity cleaned by the surgeon who performed the operation. Typically, the surgeon will instruct when to return for a follow-up visit, or schedule an appointment. Third, for nasal polyps, surgery is not the end of the treatment. It is generally necessary to continue daily medicinal treatment of the nasal cavity. Immediately after the surgery, it may also be necessary to take anti-inflammatory medications, such as roxithromycin or clarithromycin, for treatment. In summary, treatment and nasal cavity cleaning must continue even after surgery for nasal polyps. (Note: Please use medications under the guidance of a clinical doctor.)

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Written by Xu Qing Tian
Otolaryngology
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What causes nasal polyps?

Nasal polyps are a common otolaryngological condition, primarily formed due to chronic inflammation of the nasal cavity in patients, or stimulation from smoking, drinking, and physicochemical factors of air pollution, leading to the proliferation of tissues in the nasal cavity and sinuses. The main symptoms caused by nasal polyps include nasal congestion, runny nose, headaches, and nasal bleeding. The most effective treatment for nasal polyps is functional endoscopic sinus surgery, which involves the removal of the proliferative polyp tissues, thereby restoring normal ventilation and physiological functions to the nasal cavity and improving the patient's symptoms.

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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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What should I do if nasal polyps keep recurring?

Nasal polyps are a relatively common ENT disorder, and some patients may experience recurrent episodes. This situation is mainly seen in patients with nasal polyps who have an increase in eosinophils or those with accompanying allergic rhinitis. The likelihood of recurrence varies individually. After a recurrence, it is necessary to visit an otolaryngologist. A nasal endoscopy or a sinus CT scan can be done to assess the severity of the recurrence. Some patients may opt for conservative medical treatment, commonly using nasal spray medications. Additionally, rinsing the nasal cavity with saline solution can be helpful. If the nasal polyps recur severely and conservative treatment is ineffective, surgical removal may be necessary. (Please use medication under the guidance of a physician.)