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 Deng Bang Yu
Otolaryngology
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Can nasal polyps be eliminated?

Nasal polyps are benign neoplasms in the nasal cavity. They are translucent, lychee-shaped neoplasms without nervous or vascular innervation. Nasal polyps can be completely removed, primarily through two methods. One method is the chemical removal with medications, mainly using corticosteroids, which is suitable for early-stage nasal polyps. Another method is via functional endoscopic sinus surgery, which involves the removal of nasal polyps. The surgery is performed under endoscopic guidance, using forceps or a snare device to excise the nasal polyps. This surgery is conducted under general anesthesia, and nasal polyps can be removed.

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Written by Xu Qing Tian
Otolaryngology
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Can nasal polyps be seen with the naked eye?

Nasal polyps can be visible to the naked eye, but this is only in cases of more severe nasal polyp patients. In some severe cases, the polyps grow into and protrude from the nasal cavity, at which point a pale white, lychee-like polyp neoplasm can usually be seen in the nostril. For patients with nasal polyps, blockage of the nasal passages can cause symptoms such as nasal congestion, headaches, and runny nose. At this time, functional endoscopic sinus surgery can be used to remove the polyps from the patient's nasal cavity, thereby restoring normal ventilation function of the nasal passages, improving symptoms of sinus obstruction, and achieving a cure.

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Written by Li Rui
Otolaryngology
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Can nasal polyps be cured?

Nasal polyps are a relatively common disease and are benign neoplasms in the nasal cavity. Overall, the treatment results are quite good. In terms of treatment, there are mainly two categories: surgical treatment and conservative medical treatment. Surgical treatment is mainly suitable for cases where nasal polyps are extensive and widespread, and where conservative treatment has been ineffective. In such cases, surgery to remove the polyps is generally recommended. Currently, endoscopic sinus surgery is commonly performed to remove nasal polyps, and if accompanied by sinusitis, concomitant sinusotomy can also be performed. Overall, the surgical outcomes are quite definitive, and the procedure involves minimal trauma and offers a faster recovery. If the extent of nasal polyps is small and localized, without significant clinical symptoms, most cases can consider a combination of medical treatment and nasal irrigation. However, both medical and surgical treatments may have ineffective results or the possibility of disease recurrence. Therefore, after treatment, long-term regular check-ups are necessary to monitor for recurrence, and further treatment will be needed promptly if recurrence occurs.

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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 Li Rui
Otolaryngology
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Nasal Polyps Symptoms and Hazards

Nasal polyp symptoms are quite varied, and these mainly relate to the number of nasal polyps, the severity of the polyps, and the subjective feelings of the patient. If the nasal polyps are small, there may not be obvious clinical symptoms, and the patient might not feel any discomfort; these polyps might only be discovered during a physical examination. If there are more significant numbers of polyps, they can cause common clinical symptoms such as nasal congestion, runny nose, headache, dizziness, reduced sense of smell, and snoring during sleep. If the nasal polyps are severe, they might even lead to changes in the external shape of the nose, such as a saddle nose or a crooked nose, and in severe cases, they could induce comprehensive sinusitis.