Is minimally invasive surgery for nasal polyps painful?

Written by Zhang Jun
Otolaryngology
Updated on March 30, 2025
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Nasal polyp surgery is performed using endoscopic nasal polypectomy and sinusotomy. It is a minimally invasive surgery that requires general anesthesia and is painless. The cause of nasal polyps is unclear, generally, they are due to repeated chronic inflammation, which can cause diffuse congestion, edema, hyperplasia, and prolapse of the nasal turbinate mucosa. They are also often secondary to allergic rhinitis. Nasal polyps usually occur bilaterally and cause persistent nasal congestion that progressively worsens. During an endoscopic examination, pale, lychee-like fresh tumors can be seen in the nasal cavity, which are soft and painless. In terms of treatment, medication is ineffective for nasal polyps; patients need to undergo local surgical treatment for cure.

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Written by Zhang Jun
Otolaryngology
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Can nasal polyps cause breathing difficulties?

Nasal polyps can cause breathing difficulties in patients. They primarily lead to persistent nasal congestion, which in turn causes breathing difficulties. Nasal polyps are benign tumors in the nasal cavity. They are directly related to prolonged chronic inflammation, recurrent episodes of allergic rhinitis, and are manifestations of congested, edematous, and proliferative nasal turbinates mucosa that eventually prolapse. This condition causes persistent bilateral nasal congestion in patients, who may also experience facial swelling, pain, and headaches. If a local infection and rupture occur, it could lead to nasal bleeding, necessitating a detailed examination at a hospital. Diagnoses can be confirmed through an endoscopic nasal examination and sinus CT scans. For treatment, nasal polyps require surgical removal, which can be curative. Additionally, regular follow-up examinations are necessary after surgery to prevent recurrence.

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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 Rui
Otolaryngology
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Can nasal polyps be cured?

Nasal polyps are a common condition, but whether they can be completely cured varies from person to person. Generally, treatment is divided into two main categories: conservative treatment and surgical treatment. If the nasal polyps are few and do not cause significant clinical symptoms, most patients will consider conservative treatment, which includes the use of nasal sprays, nasal irrigation, and oral medication. Generally speaking, most patients can achieve effective control and relief. However, if conservative treatment is ineffective and the nasal polyps gradually increase or if the polyps are originally extensive, medical treatment might not be effective, which may necessitate surgical removal. Currently, the main procedure performed is endoscopic sinus surgery for nasal polyp removal, which is considered minimally invasive. However, neither medical treatment nor surgery can guarantee complete and permanent cure without recurrence, thus long-term follow-up is required.

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Written by Xu Qing Tian
Otolaryngology
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Nasal polyps and adenoids are what kind of disease?

Nasal polyps and adenoids are two different diseases, and they are common conditions in otolaryngology. Patients with nasal polyps usually experience growths on the surface of the nasal mucosa, which primarily cause symptoms such as nasal congestion, runny nose, headaches, and sinus blockages. On the other hand, adenoid hypertrophy mainly occurs in infants and young children, with a high incidence in the 5-7 year age group. Patients with adenoid hypertrophy often experience symptoms like breath-holding, lack of oxygen, and sleep apnea during the night, which can be definitively diagnosed through sleep monitoring tests. Currently, the main treatment for patients with nasal polyps and adenoid hypertrophy involves surgical removal of the nasal polyp tissue and ablation of the adenoid tissue to restore normal physiological functions of the entire nasopharyngeal cavity.

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Written by Deng Bang Yu
Otolaryngology
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How to check for nasal polyps?

Nasal polyps are common and frequently occurring clinical conditions. They are benign neoplasms found in the nasal cavity or sinus cavity. Visually, they appear as semi-translucent, half-peeled lychee-shaped tumors. For their examination, initially, an anterior rhinoscopy is carried out to observe the nasal polyps. Following that, an endoscopic examination of the nose is performed. Additionally, a sinus CT scan can be used to assess the extent and origin of the nasal polyps. Post-surgery, the nasal polyp tissue can be sent for pathological biopsy to examine the cell types. These are the main methods of examination for nasal polyps.