How to deal with nasal polyps?

Written by Li Rui
Otolaryngology
Updated on January 14, 2025
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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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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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What are the symptoms of recurrent nasal polyps?

Nasal polyps are a common disease in otolaryngology. The occurrence of nasal polyps is due to chronic inflammation of the nasal cavity and stimulation by physical and chemical factors, leading to proliferative lesions of the nasal mucosa and the formation of nasal polyps. The most effective treatment for patients with nasal polyps is functional endoscopic sinus surgery. After surgery, it is important to change dressings in a timely manner and perform regular follow-ups to prevent recurrence of the nasal polyps. Patients with recurrent nasal polyps usually exhibit significant symptoms such as nasal congestion, purulent nasal discharge, headaches, and nasal obstruction. Recurrence can be confirmed through follow-up examinations such as a CT scan of the paranasal sinuses or electronic frontier inspection.

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Will nasal polyps grow back after being removed?

Nasal polyps are a common and frequently occurring clinical condition, representing benign neoplasms of the nasal cavity. Currently, the primary treatment for nasal polyps is their removal via endoscopic surgery, generally accompanied by surgery to open the sinus cavities. After nasal polyp surgery, there is a certain rate of recurrence, so measures must be taken to reduce this recurrence, such as regular post-operative clinic visits to clean the nasal and sinus cavities. Additionally, aggressive medication treatments are required after surgery, such as the use of budesonide nasal spray, along with other supportive medications. During surgery, it is crucial to remove the roots of the nasal polyps as thoroughly as possible and also to remove the diseased mucosal tissues as much as feasible. (Medication should be used under the guidance of a clinical doctor, based on the specific circumstances.)

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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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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.