Is the surgery to remove nasal polyps painful?

Written by Li Mao Cai
Otolaryngology
Updated on June 17, 2025
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The surgery to remove nasal polyps does involve some pain, but there is no pain during the surgery itself, because it is performed under general anesthesia using an endoscope. This type of anesthesia puts the patient entirely to sleep, in a state similar to sleeping, so there's essentially no pain felt during the process. The removal of nasal polyps via endoscopy is a minimally invasive technique; there's no external incision as the polyps are thoroughly excised from within the nasal cavity using the endoscope. Although the surgery doesn't appear to cause significant external damage, postoperative nasal packing is required. If the packing material used is absorbable or dissolvable, like Nasopore cotton, the discomfort is relatively minor. However, if non-absorbable materials like sponges or other types of gauzes are used, which need to be pulled out later, the procedure can cause more pain. The main discomforts include headaches, nasal congestion, dry throat, and in some cases, ear stuffiness. These symptoms usually diminish as the nasal packing is removed over time.

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Can nasal polyps cause breathing difficulties?

Nasal polyps can cause breathing difficulties in patients. They primarily lead to persistent nasal congestion, which in turn causes breathing difficulties. Nasal polyps are benign tumors in the nasal cavity. They are directly related to prolonged chronic inflammation, recurrent episodes of allergic rhinitis, and are manifestations of congested, edematous, and proliferative nasal turbinates mucosa that eventually prolapse. This condition causes persistent bilateral nasal congestion in patients, who may also experience facial swelling, pain, and headaches. If a local infection and rupture occur, it could lead to nasal bleeding, necessitating a detailed examination at a hospital. Diagnoses can be confirmed through an endoscopic nasal examination and sinus CT scans. For treatment, nasal polyps require surgical removal, which can be curative. Additionally, regular follow-up examinations are necessary after surgery to prevent recurrence.

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Can nasal polyps be treated with laser?

Nasal polyps are benign neoplasms of the nasal cavity or sinus cavity. The current treatments for nasal polyps include medication and endoscopic surgical removal. Clinically, lasers like the CO2 laser are primarily suited for precise operations. Nasal polyps are generally quite large, so lasers are typically not used for their treatment. Clinically, a suction cutter is mainly used to remove nasal polyps. Previously, when less advanced and without suction cutters, lasers might have been attempted, but now lasers are basically no longer used for treatment because their indications do not align with those for nasal polyps.

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Symptoms of enlarged nasal polyps

Nasal polyps are a relatively common otolaryngology disease with various clinical symptoms and certain individual differences. If the nasal polyps are few, there might not be obvious clinical manifestations. They could be discovered during physical examinations or nasal endoscopy. If there are many nasal polyps, it could lead to reduced sense of smell, headaches, dizziness, nasal congestion, and runny nose. Overall, different patients exhibit different symptoms. In terms of treatment, it is first necessary to assess the specific severity of the condition, which can be evaluated comprehensively using nasopharyngoscopy and sinus CT scans. Most patients can consider medical conservative treatment, while a small number of patients with numerous polyps might need to consider surgical treatment. (The use of medications should be guided by a professional doctor.)

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Can nasal polyps become cancerous?

Nasal polyps are growths in the nasal cavity mucosa that form due to inflammation, edema, and the effects of gravity, resembling lychee-like neoplasms. They are relatively soft and do not bleed easily upon formation. Their stalk mainly originates from the middle nasal meatus, making nasal polyps a benign tissue lesion that will not become cancerous. However, prolonged growth of polyps may lead to deformation of the nasal cavity, obstructing ventilation and drainage, which can cause sinusitis, nasal congestion, headaches, and more. Therefore, early-stage nasal polyps can be conservatively treated with internal medicine. If there is nasal obstruction, aggressive growth, or purulent nasal discharge, surgical treatment is generally recommended to prevent recurrence.

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What are the symptoms of nasal polyps?

Nasal polyps are a fairly common otolaryngological condition with a relatively high incidence clinically. There is significant individual variation in clinical symptoms. Some patients have few nasal polyps and might not show obvious clinical symptoms; these are often discovered only during a physical examination or a nasopharyngoscopy. Other patients may experience nasal congestion, a runny nose, reduced sense of smell, headaches, and dizziness. In cases where the polyps are particularly numerous and have been present for a long time, they may even cause deformities of the nose, such as a "frog nose" or "saddle nose." In such cases, timely surgical treatment should be considered, and regular follow-up inspections are needed to monitor for any recurrence.