What is the best treatment for nasal polyps?

Written by Li Rui
Otolaryngology
Updated on May 20, 2025
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The treatment of nasal polyps largely depends on the size of the polyps. For very small polyps that do not present significant clinical symptoms, it is possible to consider observation and treatment using nasal spray medications. Some patients may find that the polyps gradually shrink after treatment. However, if the nasal polyps are large and accompanied by clear clinical symptoms such as nasal congestion, runny nose, and reduced sense of smell, medication treatment can be attempted to see its effectiveness. Yet, many patients do not achieve satisfactory results with medication alone and may need to consider surgical removal. Currently, the main approach is endoscopic nasal polyp removal. Regular follow-ups are also necessary to monitor recovery and check for any recurrence.

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Written by Li Rui
Otolaryngology
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Are nasal polyps serious?

Nasal polyps are a relatively common otolaryngologic disease, and for the most part, most patients are not too serious; only a small number of patients have more severe nasal polyps with more obvious symptoms. In terms of treatment, if the nasal polyps are few and the clinical symptoms are not particularly pronounced, conservative medical treatment can be considered. Commonly used are corticosteroid nasal sprays, and physiological saline can be used to rinse the nasal cavity to help improve clinical symptoms; if there are many nasal polyps and the clinical symptoms are very pronounced, and standard medication treatment is ineffective, surgery may be considered. A common procedure is endoscopic nasal polyp removal. (Medication should be used under the guidance of a doctor according to specific circumstances.)

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Written by Li Rui
Otolaryngology
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How to deal with enlarged nasal polyps?

Nasal polyps are a relatively common otolaryngological condition. First, it is necessary to assess the extent of the nasal polyps and the clinical symptoms. If the nasal polyps are few and the clinical symptoms are not particularly evident, this condition might be considered for conservative drug treatment, commonly involving nasal sprays and saline nasal irrigation. If there are many nasal polyps and more pronounced clinical symptoms, such as nasal congestion, thick nasal discharge, reduced sense of smell, headaches, and dizziness, and if standardized drug treatment is ineffective, then surgical treatment should be considered. Currently, the most commonly used procedure is endoscopic nasal polyp removal surgery, with regular follow-ups required to monitor postoperative recovery. (The use of medications should be under the guidance of a doctor.)

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Written by Li Rui
Otolaryngology
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What are the symptoms of nasal polyps?

Nasal polyps currently exhibit a variety of symptoms, which should be considered comprehensively based on individual reactions and the condition itself. If the polyps are localized and small, they might not show any clinical symptoms. In such cases, a nasopharyngoscope examination can be used for diagnosis. If there are multiple polyps or if the polyps are located in special positions, they might cause clinical symptoms such as poor nasal ventilation, runny nose, reduced sense of smell, headache, and dizziness. Some patients might experience changes in vision or facial swelling, numbness, and headaches due to accompanying sinusitis or other sinonasal disorders. Overall, it is advisable to visit an otolaryngology clinic for a nasopharyngoscope examination to make a comprehensive assessment and diagnosis.

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Written by Li Rui
Otolaryngology
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Do nasal polyps need treatment?

Most nasal polyps need to be considered for treatment. If the nasal polyps are particularly small, limited in scope, and without obvious clinical symptoms, it can be reasonable to initially opt for observation. This mainly involves monitoring whether the polyps grow or multiply over time and whether symptoms worsen progressively. If the condition remains particularly stable without significant changes, periodic reviews can be considered. However, if there are many polyps accompanied by corresponding clinical symptoms such as nasal congestion, runny nose, reduced sense of smell, headache, or dizziness, it is generally necessary to consider timely treatment. Currently, the treatment options mainly include conservative treatment or surgery. Overall, these are relatively common conditions that can usually be effectively controlled and improved with standardized treatment.

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Written by Li Rui
Otolaryngology
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How to treat nasal polyps?

The treatment of nasal polyps is mainly divided into two categories. First, it is recommended to perform some nasal endoscopy and sinus CT scans. The main purpose is to determine the extent and severity of the nasal polyps, and to check for any sinusitis. If there are few nasal polyps and the sinus inflammation is mild, the clinical symptoms will generally not be particularly obvious in such cases. The first consideration is conservative treatment, mainly involving oral medications and nasal sprays, along with rinsing the nasal cavity with saline. Most patients can achieve effective control and relief. If nasal endoscopy and sinus CT scans confirm that the sinus inflammation is significant and the nasal polyps are extensive, surgery may be considered. Currently, the main procedure performed is endoscopic nasal polyp removal, which is a minimally invasive surgery and generally has precise effects. However, regular follow-ups are still needed to monitor for any recurrence of the condition. (Specific medication usage should be conducted under the guidance of a doctor.)