Can nasal polyps be operated on in the outpatient clinic?

Written by Deng Bang Yu
Otolaryngology
Updated on January 10, 2025
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Nasal polyps are benign neoplasms in the nasal cavity. Pathologically, nasal polyps are benign tumors. Clinically, the primary treatment is the surgical removal of nasal polyps followed by regular outpatient follow-ups to prevent recurrence. Currently, the surgery for nasal polyps is generally performed under general anesthesia, involving the removal of nasal polyps and sinus opening procedures, which are functional surgeries. Such surgeries require hospitalization and are conducted under endoscopy, typically under general anesthesia. Although in some regions, the surgery may be performed under local anesthesia, hospitalization is still required for the procedure, and it is generally not conducted on an outpatient basis.

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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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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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How to deal with nasal polyps?

Nasal polyps are a relatively common otolaryngological condition. Clinically, the first step is to assess the extent of the nasal polyps. If the polyps are few and there are no obvious clinical symptoms, medical treatment can be considered, and regular re-examinations with a nasopharyngoscope are needed to monitor the recovery. If there are numerous polyps and the response to standardized medication is poor, surgical removal might be necessary. Currently, endoscopic nasal polyp removal surgery is commonly used. Regular postoperative check-ups are also required to observe the recovery. Generally, it is advisable to rinse the nasal cavity with saline solution to aid in postoperative recovery. (The use of medication should be under the guidance of a professional doctor.)

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Written by Xu Qing Tian
Otolaryngology
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Symptoms of nasal polyps

Nasal polyps are mucosal proliferative tissue masses caused by chronic inflammation or physical and chemical factors. Symptoms induced by nasal polyps primarily include nasal congestion, runny nose, nasal itchiness, and sneezing. Some patients may also experience headaches, nasal bleeding, and other related symptoms. For patients with nasal polyps, initial treatment should involve medication to control the growth of the polyps. Subsequently, functional endoscopic sinus surgery can be undertaken to excise the proliferative nasal polyp tissue under endoscopy, restoring the normal physiological environment and function of the nasal cavity, thereby completely alleviating symptoms of nasal congestion.

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Written by Li Rui
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How to radically cure nasal polyps?

The treatment of nasal polyps currently mainly considers two methods. The first is conservative treatment and the second is surgical removal. If there are few polyps and the symptoms are not particularly obvious, conservative treatment can generally be considered. This usually involves nasal sprays and oral medications, along with regular check-ups to observe any changes in the nasal polyps. If the control effect of the medication on the nasal polyps is not good, or if there are originally many polyps with obvious symptoms, such as nasal congestion, runny nose, headache, dizziness, and reduced sense of smell, drug treatment may be insufficient, and endoscopic nasal surgery may need to be considered. Nasal endoscopic surgery can completely remove the nasal polyps, but regular check-ups are also necessary. Whether it is drug treatment or surgical treatment, there is a possibility of recurrence, and a complete cure cannot be guaranteed, therefore, long-term and regular check-ups are essential.