Can nasal polyps heal by themselves?

Written by Li Rui
Otolaryngology
Updated on February 03, 2025
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Nasal polyps may resolve on their own in some patients, but this is mainly seen in cases where the polyps are relatively small and the clinical symptoms are mild. Generally, there is a chance for spontaneous recovery, but the probability of this happening is quite low. Overall, the proportion of patients who are cured is very small. If there are multiple nasal polyps and the clinical symptoms are more pronounced, it is advisable to seek timely treatment. Current common treatments include oral medications and nasal spray medications. If the medication is not effective, or if the nasal polyps are widespread, surgical removal should be considered. (Please use medications under the guidance of a doctor.)

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Written by Deng Bang Yu
Otolaryngology
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How is nasal polyp surgery performed?

Nasal polyps are benign neoplasms in our nasal cavities. Nasal polyps do not have a distribution of nerves and blood vessels. Once nasal polyps occur, the main treatment is surgical removal. The surgery is performed under general anesthesia. We expose the nasal polyps using an endoscope, and then remove the nasal polyps using forceps or an electric suction cutter. The surgical operation is relatively simple. However, it is important to protect the surrounding structures such as the eyes and brain during the surgery to avoid damaging these tissues. After surgery, it is common to pack the nasal cavity, and the entire procedure generally requires a hospital stay of about one week.

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Written by Deng Bang Yu
Otolaryngology
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Which nasal polyp spray is effective?

Nasal polyps are benign neoplasms in the nasal area, clinically manifesting as semi-opaque, lychee-shaped neoplasms. The main clinical treatment for nasal polyps includes comprehensive treatment primarily focused on surgery. In the early stages of nasal polyps, nasal sprays can be administered for treatment, primarily involving corticosteroid nasal hormones such as mometasone furoate nasal spray and fluticasone propionate nasal spray, among other nasal medications. These medications are all nasal corticosteroid hormones, and their effects are more or less the same. Clinically, no one medication is particularly more effective than another, so any of these treatments can be chosen. (Please use medications under the guidance of a doctor.)

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Written by Li Rui
Otolaryngology
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Symptoms of enlarged nasal polyps

Nasal polyps are a relatively common otolaryngology disease with various clinical symptoms and certain individual differences. If the nasal polyps are few, there might not be obvious clinical manifestations. They could be discovered during physical examinations or nasal endoscopy. If there are many nasal polyps, it could lead to reduced sense of smell, headaches, dizziness, nasal congestion, and runny nose. Overall, different patients exhibit different symptoms. In terms of treatment, it is first necessary to assess the specific severity of the condition, which can be evaluated comprehensively using nasopharyngoscopy and sinus CT scans. Most patients can consider medical conservative treatment, while a small number of patients with numerous polyps might need to consider surgical treatment. (The use of medications should be guided by a professional doctor.)

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Written by Li Mao Cai
Otolaryngology
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Do nasal polyps have any harm?

Nasal polyps are abnormal tissue structures and pathological in nature, thus posing several risks to human health. Firstly, they obstruct nasal airflow because nasal polyps block the normal respiratory and ventilation passages, causing the primary sensation of nasal congestion and difficulty in breathing through the nose. Secondly, they impair the sense of smell. Nasal polyps obstruct the nasal cavity, preventing odors from smoothly reaching the olfactory area, leading to diminished olfactory perception. Thirdly, if the nasal polyps persist for too long and grow excessively large, they can result in acute changes in the nose, the most common being a "frog-like nose." This condition makes the nose appear flattened and broad like a frog's, lying against the face which is cosmetically unappealing.

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Written by Li Mao Cai
Otolaryngology
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How to completely treat nasal polyps?

A thorough treatment for nasal polyps is surgical treatment; this includes a combination of post-surgical medication and regular follow-up examinations for a comprehensive treatment. First, it is important to identify the cause of the nasal polyps, which often stem from chronic inflammation in the nasal cavity or sinuses leading to mucosal polypoid changes and consequently, nasal polyps. For instance, common conditions like allergic rhinitis can also lead to nasal polyps over time. After removing the polyps through surgery, it is necessary to treat allergies as well, because without managing the allergies, the polyps might recur quickly. Additionally, after the surgery, it's important to conduct a pathological examination to check if there is an increase in eosinophil count; with more than 27% increase, the chance of recurrence is quite high. According to some reports, eosinophilic type nasal polyps have a recurrence rate of up to 90%. Therefore, regular postoperative reviews and cleanings are essential to prevent recurrence and are key to achieving a cure.