How is anesthesia administered for nasal polyps?

Written by Li Rui
Otolaryngology
Updated on April 10, 2025
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Nasal polyps are a relatively common ENT disorder, and if there are numerous polyps with clear clinical symptoms and conservative drug treatment is ineffective, surgery should be considered. Currently, the primary procedure is endoscopic nasal polyp removal, which is a commonly used minimally invasive surgery. Generally, the level of pain experienced by patients is not particularly significant. Therefore, in terms of anesthesia, it may be suitable to consider either general anesthesia or local anesthesia. If the nasal polyps are not particularly severe and the patient has a good tolerance, local anesthesia can be considered. However, if the condition is more severe and symptoms are clearly pronounced, it is generally advised that general anesthesia might be a better option.

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Written by Li Rui
Otolaryngology
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Is nasal polyps prone to recurrence?

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
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Does nasal polyp hypertrophy require surgery?

The treatment methods for nasal polyps are mainly divided into two categories. The first category is surgical treatment, and the second category is conservative medical treatment. If the nasal polyps are relatively small and the clinical symptoms are not very obvious, conservative medical treatment should be considered first. Common treatments include nasal spray medications and saline nasal irrigation. If accompanied by rhinitis or sinusitis, oral medications may be considered. If the extent of the nasal polyps is large and the clinical symptoms are clear, and if the results from medication are not good, surgery may need to be considered. After surgery, regular follow-ups are necessary to observe the recovery.

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Written by Deng Bang Yu
Otolaryngology
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What medication to spray for nasal polyps

Nasal polyps refer to benign space-occupying lesions in our nasal cavities. Clinically, nasal polyps are mainly associated with allergies or increased vascular and tissue permeability. Other factors, such as abnormalities in the structure of the middle nasal meatus, are also related to their formation. Therefore, in terms of treatment, clinically, we mainly use some steroids, mainly spraying corticosteroid hormones, such as mometasone furoate, budesonide nasal spray, fluticasone propionate nasal spray, etc. Additionally, if there is a significant amount of pus in the nasal discharge, we can also use saline nasal spray to clean the nasal cavity.

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Written by Xu Qing Tian
Otolaryngology
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Does everyone have nasal polyps?

Nasal polyps are not something everyone has. The main causes of nasal polyps are related to the patient's smoking, drinking, and long-term exposure to physical and chemical factors in the air, which lead to the proliferation of redundant tissue on the surface of the nasal mucosa, blocking the patient's middle nasal passage and nasal vestibule, thereby causing symptoms such as nasal congestion, runny nose, and headaches. When patients with nasal polyps experience nasal congestion and runny nose, our first approach should be anti-inflammatory and symptomatic treatment. Next, it is necessary to perform a thorough diagnosis with an electronic nasopharyngoscope and paranasal sinus CT scan. After a confirmed diagnosis, patients with nasal polyps usually need functional endoscopic sinus surgery, which involves removing the polyp tissue blocking the nasal cavity and opening the sinus openings to restore the normal physiological environment and drainage of the nasal cavity.

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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.