How to completely treat nasal polyps?

Written by Li Mao Cai
Otolaryngology
Updated on April 21, 2025
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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
46sec home-news-image

What are the symptoms of nasal polyps?

Nasal polyps are a fairly common otolaryngological condition with a relatively high incidence clinically. There is significant individual variation in clinical symptoms. Some patients have few nasal polyps and might not show obvious clinical symptoms; these are often discovered only during a physical examination or a nasopharyngoscopy. Other patients may experience nasal congestion, a runny nose, reduced sense of smell, headaches, and dizziness. In cases where the polyps are particularly numerous and have been present for a long time, they may even cause deformities of the nose, such as a "frog nose" or "saddle nose." In such cases, timely surgical treatment should be considered, and regular follow-up inspections are needed to monitor for any recurrence.

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Written by Deng Bang Yu
Otolaryngology
1min 15sec home-news-image

How to check for nasal polyps

Nasal polyps are benign space-occupying lesions that occur in the nasal cavity and sinus cavities. There are several aspects to the examination of nasal polyps: Firstly, an anterior rhinoscopy examination can be performed. If the nasal polyps are large, or even protruding outside the nasal cavity, they can be directly seen. Anterior rhinoscopy enlarges the nasal cavity, allowing visualization of the middle nasal meatus and other tissues inside the nasal cavity. Secondly, a nasal endoscopy can be utilized. Nasal endoscopy is particularly effective for viewing polyps located deeper within, or at the back of the nasal passages, providing very clear visibility. Other examinations, such as electronic rhinoendoscopy, follow the same procedure. The third examination involves a sinus CT scan, which is helpful for identifying the origin of the nasal polyps, as well as the location, range, and extent of obstruction caused by the polyps. Another examination is the pathological examination after nasal polyp surgery, which aids in determining the origin and risk associated with the nasal polyps, as well as assisting in subsequent treatments.

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Written by Li Rui
Otolaryngology
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Do nasal polyps need treatment?

Most nasal polyps need to be considered for treatment. If the nasal polyps are particularly small, limited in scope, and without obvious clinical symptoms, it can be reasonable to initially opt for observation. This mainly involves monitoring whether the polyps grow or multiply over time and whether symptoms worsen progressively. If the condition remains particularly stable without significant changes, periodic reviews can be considered. However, if there are many polyps accompanied by corresponding clinical symptoms such as nasal congestion, runny nose, reduced sense of smell, headache, or dizziness, it is generally necessary to consider timely treatment. Currently, the treatment options mainly include conservative treatment or surgery. Overall, these are relatively common conditions that can usually be effectively controlled and improved with standardized treatment.

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Written by Li Rui
Otolaryngology
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Nasal polyps bleeding is a symptom.

Nasal polyps accompanied by bleeding can have various causes. It might be due to hemorrhagic polyps, bleeding from the nasal mucosa, rupture of small blood vessels due to dry nasal cavities, or potentially sinusitis associated with the nasal polyps causing the bleeding. A small number of patients may have blood disorders such as coagulation dysfunction or thrombocytopenia. In such cases, it is necessary to visit an ENT (Ear, Nose, and Throat) specialist for a nasopharyngoscope examination, complete blood count, and coagulation function tests to determine the specific causes of the condition, and then to proceed with targeted treatment. Surgery might be considered for some patients.

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Written by Li Mao Cai
Otolaryngology
1min 8sec home-news-image

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.