Are nasal polyps serious?

Written by Li Rui
Otolaryngology
Updated on April 05, 2025
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Overall, it is generally not very severe. Most patients with nasal polyps have localized conditions, which may be accompanied by clinical symptoms such as nasal congestion, runny nose, reduced sense of smell, headaches, and dizziness. Initially, a nasopharyngoscopy is required to determine the specific range of the polyps and clarify if there are any other pathologic conditions. If the diseased area is extensive, further nasal sinus CT scans may be needed to determine if there are any abnormalities in the sinuses.

In terms of treatment, conservative treatment is recommended for patients with small polyps and non-significant symptoms. However, if the polyps are numerous and there are notable clinical symptoms, surgical removal should be considered. After surgery, regular follow-ups are necessary to monitor the recovery situation.

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Written by Li Rui
Otolaryngology
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Can nasal polyps be treated with medication?

Some patients with nasal polyps can opt for medical treatment, as there are mainly two types of treatments for nasal polyps: conservative treatment and surgical removal. For cases with minimal absorption, limited scope, and shorter duration, conservative treatment is generally recommended, primarily using corticosteroid nasal sprays. Regular follow-ups and a sufficient course of medication are necessary, typically rechecking with a rhinoscope every three months, and visiting the otorhinolaryngology department every one to two weeks for a check-up. If conservative treatment is ineffective and the patient has numerous nasal polyps, surgical removal should be considered.

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Written by Deng Bang Yu
Otolaryngology
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Can nasal polyps turn into nasal cancer?

Nasal polyps are benign neoplasms in the nasal cavity or sinus cavity, appearing as translucent, lychee-like formations without the distribution of nerves and blood vessels. Generally, nasal polyps cannot become cancerous unless they are long affected by other factors, such as possible concurrent conditions like papillomas or mucosal lesions, which could then transform into malignant tumors. However, the likelihood of nasal polyps directly transforming into malignant tumors is extremely rare, and such clinical cases are almost nonexistent. Therefore, from the perspective of pathology or clinical studies, the possibility of nasal polyps turning into nasal cancer is exceedingly small.

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Written by Xu Qing Tian
Otolaryngology
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symptoms of malignant nasal polyps

The symptoms caused by the malignant transformation of nasal polyps mainly involve significant destruction and invasion of the surrounding bone, leading to the destruction of the skull base and orbital tissues. Patients may experience eye pain, decreased vision, headaches, and bleeding. For patients with malignant transformation of nasal polyps, diagnosis is primarily made through an electronic nasopharyngoscopy biopsy, taking a portion of the pathological tissue for confirmation. Typically, after confirming malignancy, functional endoscopic sinus surgery should be performed promptly to remove the malignant nasal polyp tissue and extend the resection to the invaded bone. This is usually complemented by radiation therapy or chemotherapy to prevent recurrence of the malignant nasal polyps.

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Written by Deng Bang Yu
Otolaryngology
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What should I do if nasal polyps are removed but grow back?

Nasal polyps are a common condition in otolaryngology and are benign neoplasms in the nasal cavity. After nasal polyp surgery, there is a possibility of recurrence, and the likelihood of recurrence is relatively high compared to other diseases. Currently, we surgically remove nasal polyps through functional endoscopic surgery, followed by regular post-operative outpatient follow-ups to clean the nasal cavity. Since then, the recurrence rate after this surgery has been relatively low. However, if the nasal polyps recur, we must perform surgery again to remove them, as enlarged nasal polyps can block the nasal cavity and damage the surrounding tissue structures, necessitating another surgical intervention, with no other special methods available.

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Written by Li Rui
Otolaryngology
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Can nasal polyps heal by themselves?

Nasal polyps can potentially heal on their own, but overall, this possibility is relatively small. Once nasal polyps form, they often progressively increase in number and spread in size. Generally, after the onset of the condition, it is necessary to take targeted treatment measures as soon as possible. If the affected area is relatively mild and the clinical symptoms are not particularly severe, conservative treatment methods may be considered initially. These usually involve the use of nasal sprays and oral medications, along with nasal irrigation. Most patients can still achieve effective control with these methods. If the area is already quite extensive and the response to medication is poor, then surgery may need to be considered. (The use of medications should be carried out under the guidance of a doctor.)