Will nasal polyps recur after surgery?

Written by Li Rui
Otolaryngology
Updated on May 04, 2025
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Nasal polyps are a relatively common otolaryngologic condition. In terms of treatment, some patients may consider conservative medication, while others may need to consider surgical treatment. Both medical and surgical treatments can potentially recur. Therefore, after nasal polyp surgery, long-term regular follow-ups are necessary. Generally, it is recommended to have a follow-up once a week, and if the condition recovers well, the follow-up interval can be extended to about once a month. During the follow-up, a nasopharyngoscopy can be performed to check the specific recovery status. Additionally, many patients may need to use corticosteroid nasal sprays. Also, rinsing the nasal cavity with saline is recommended. Generally, with standardized follow-ups and treatment, the chances of recurrence are relatively small. (Please use medication under the guidance of a professional physician, and do not self-medicate.)

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Written by Deng Bang Yu
Otolaryngology
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Is there a high possibility that nasal polyps are malignant?

Nasal polyps are a type of benign neoplasm in the nasal cavity, appearing as half a lychee, translucent, and either oval or ovoid in shape. They occupy the normal passages of the nasal cavity, causing symptoms such as nasal congestion, and even headaches in the head or forehead area. Nasal polyps are benign neoplasms and rarely develop into malignant lesions. Clinically, there have been no cases seen where nasal polyps have turned malignant. Some growths that look like nasal polyps may actually be nasal papillomas, which are more prone to malignancy. Therefore, it is recommended that patients with nasal polyps undergo early surgical intervention followed by a pathological examination to differentiate them from nasal papillomas and to assess the prognosis of the condition.

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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 Li Rui
Otolaryngology
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What are the treatment methods for nasal polyps besides surgery?

Nasal polyps are a relatively common otolaryngological disease. The treatment methods are mainly divided into two major categories. The first category is surgical treatment, and the second is conservative treatment. Those who prefer not to undergo surgery should undergo nasopharyngoscopic examination to assess the specific extent of the lesion. If the lesion is relatively localized and the clinical symptoms are not particularly significant, conservative pharmaceutical treatment can be considered. Common medications include nasal spray drugs, and oral medications may also be considered. It is also recommended to rinse the nasal cavity with saline solution. However, regular reviews are necessary to dynamically observe changes in the nasal polyps. If the condition is severe and the symptoms of blockage are quite apparent, surgery might be required. (Please use medication under the guidance of a doctor.)

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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.

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Written by Li Rui
Otolaryngology
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What is the cause of bleeding from nasal polyps?

Nasal polyps are a relatively common clinical disease, with various symptoms. Common symptoms include bleeding, as well as nasal congestion, runny nose, reduced sense of smell, headache, and dizziness. The bleeding caused by nasal polyps may be due to the condition of the polyps themselves, with some patients experiencing bleeding polyps that bleed repeatedly. It could also be due to inflammation associated with the polyps, or erosion of the nasal mucosa or small blood vessels in the nasal cavity rupturing and causing bleeding. Therefore, when such symptoms occur, it is necessary to visit an otolaryngology (ENT) department for tests such as a complete blood count, coagulation function tests, nasopharyngoscopy, and a sinus CT scan to determine the specific cause of the condition.