Is nasal polyps prone to recurrence?

Written by Li Rui
Otolaryngology
Updated on December 21, 2024
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Some patients have nasal polyps that tend to recur. Clinically speaking, nasal polyps are a relatively common nasal disease. If the nasal polyps are more extensive, have been present for a longer time, or are characterized by abundant eosinophilic granulocytes, the likelihood of recurrence is relatively higher.

If the duration of nasal polyps is relatively short, the lesions are more localized, and there are no accompanying pathological changes or inflammatory reactions, the probability of recurrence is relatively lower. In such cases, it is generally necessary to have regular follow-up examinations after treatment, and then to make a comprehensive assessment based on the doctor's empirical judgment.

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Written by Li Rui
Otolaryngology
1min 2sec home-news-image

What medicine is effective for nasal polyps?

The treatment of nasal polyps currently mainly includes two types: conservative treatment and surgical treatment. For smaller, localized nasal polyps with relatively mild clinical symptoms, conservative drug treatment is primarily considered. Currently, corticosteroid nasal sprays are predominantly used, mainly to improve nasal ventilation, reduce mucosal edema, and shrink the nasal polyps. Some patients may even see the polyps disappear completely. However, there are also patients who do not respond well to this treatment, or have relatively large polyps. In these cases, conservative treatment may be less effective, and surgery might be considered. Presently, minimally invasive surgery under endoscopic guidance is commonly performed to remove nasal polyps, and generally, the outcomes are quite definite. (Answer for reference only, medications should be taken under the guidance of a professional physician and not self-administered.)

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Written by Li Rui
Otolaryngology
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Can nasal polyps be seen with the naked eye?

Nasal polyps are a relatively common otolaryngological disease with a high incidence rate clinically. The symptoms are numerous and may include nasal congestion, runny nose, reduced sense of smell, headache, and dizziness. For some patients, the polyps can be seen with the naked eye during examination, especially if there are many polyps or if they are located near the front of the nose. Generally, after using an anterior rhinoscope to widen the nostrils, the polyps can be seen. However, in some cases, the polyps grow in hidden areas, such as in the olfactory region or within the sinuses, making them difficult to detect with the naked eye. In such cases, a nasopharyngoscopy or sinus CT scan can be performed for more accurate diagnosis.

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Written by Li Rui
Otolaryngology
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Are nasal polyps likely to be malignant?

Nasal polyps generally have a low chance of being malignant, as they are typically considered benign lesions and are a relatively common condition in otolaryngology. The main consideration is the specific number of polyps; if there are fewer polyps and they are localized, and the clinical symptoms are not particularly severe, this situation generally can be managed with medication treatment and regular follow-up. However, if the nasal polyps are extensive and accompanied by clinical symptoms such as nasal congestion, runny nose, headaches, and dizziness, surgery is generally considered. After the surgery, a pathological biopsy will be necessary to accurately determine whether the polyps are benign or malignant based on the biopsy results.

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Written by Li Rui
Otolaryngology
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Is the nasal polyps spray effective?

Some patients find nasal polyps effectively treated with sprays, and this largely depends on the extent of the specific lesion. If the nasal polyps are relatively mild, localized, and the clinical symptoms are not particularly severe, most patients could consider using conservative treatments first to see the results. The common conservative treatment is nasal sprays, generally corticosteroid sprays. Their main function is to reduce nasal polyps and alleviate inflammatory responses. Overall, many patients find effective results following standardized medication treatment. If the conservative medication treatment is ineffective and the nasal polyps are extensive, surgery might be considered as a necessity. (Please use medication under the guidance of a doctor.)

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Written by Deng Bang Yu
Otolaryngology
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Do nasal polyps definitely have to be removed?

Nasal polyps are benign glandular tissues that occur in the nasal cavity. The presence of nasal polyps can block the nasal passage, leading to secondary infections, and as nasal polyps gradually increase in size, they can damage the local tissue structure. Therefore, once nasal polyps appear, they are primarily removed through surgery, making surgical removal necessary. However, in the early stages of nasal polyps, when they have just developed and are still small, they can be treated with medications such as methylprednisolone or prednisone. These drugs are mainly corticosteroids and can cause the polyps to gradually shrink and disappear in a minority of patients, a process referred to as chemical resection through medication. Nonetheless, the chance of detecting nasal polyps in their early stages is very small, and they are often only discovered when they have grown large enough to obstruct the nasal passage and affect breathing, meaning that they typically require surgical removal after they are found.