Nasal polyps minimally invasive surgery how long

Written by Xu Qing Tian
Otolaryngology
Updated on November 24, 2024
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Minimally invasive surgery for nasal polyps usually refers to functional endoscopic sinus surgery. In patients with nasal polyps obstructing the nasal passages, the polyps are removed under visualization using a nasal endoscope. For patients with bilateral nasal polyps, the surgery generally lasts about one to one and a half hours. Patients with nasal polyps typically experience significant symptoms such as nasal congestion, runny nose, and headaches. These polyps block the sinus openings, affecting sinus drainage, thus surgery is usually necessary. After undergoing functional endoscopic sinus surgery, patients should avoid hot baths, foot baths, and vigorous exercise to prevent post-operative bleeding due to increased blood circulation.

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Written by Li Rui
Otolaryngology
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Is the nasal polyps spray effective?

Some patients find nasal polyps effectively treated with sprays, and this largely depends on the extent of the specific lesion. If the nasal polyps are relatively mild, localized, and the clinical symptoms are not particularly severe, most patients could consider using conservative treatments first to see the results. The common conservative treatment is nasal sprays, generally corticosteroid sprays. Their main function is to reduce nasal polyps and alleviate inflammatory responses. Overall, many patients find effective results following standardized medication treatment. If the conservative medication treatment is ineffective and the nasal polyps are extensive, surgery might be considered as a necessity. (Please use medication under the guidance of a doctor.)

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Written by Li Rui
Otolaryngology
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What should I do if nasal polyps cause nosebleeds?

Patients with nasal polyps who experience nosebleeds should visit an ENT (Ear, Nose, and Throat) department to identify the specific cause of the bleeding. Some patients have bleeding caused by nasal polyps, while others may bleed due to erosion of the nasal mucosa or rupture of small blood vessels. A small number of patients might have bleeding due to tumorous lesions. Therefore, after seeing an ENT specialist, it is necessary to undergo a nasal endoscopy, complete blood count, and coagulation function tests to clarify the specific cause of the condition. Some patients might choose conservative medical treatment, some may require nasal packing to stop the bleeding, and others, if conservative treatment is ineffective, may need to consider surgical treatment.

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Written by Li Rui
Otolaryngology
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Can nasal polyps heal by themselves?

There is a possibility of spontaneous healing for nasal polyps, but this possibility is relatively low. For cases with fewer polyps, conservative treatment with medication is generally recommended, commonly involving spray medications, along with saline nasal irrigation. However, it is necessary to regularly re-examine and observe the treatment results. If there are many polyps and the results of conservative treatment are not satisfactory, then surgical removal may be required. Currently, the common practice is to remove nasal polyps via endoscopic surgery, which is a minimally invasive procedure with generally good overall results, less damage, and shorter recovery time. However, regular follow-up is required as some patients may experience recurrence after the surgery.

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Written by Li Mao Cai
Otolaryngology
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How to treat nasal polyps?

The treatment of nasal polyps mainly centers on surgical intervention as part of a comprehensive treatment strategy, due to the variety of causes and factors leading to the condition. Moreover, some nasal polyps are prone to recurrence. The first choice is surgical treatment, which involves thoroughly clearing the nasal polyps and then addressing any anatomical and inflammatory factors that may cause them. For example, correcting a deviated nasal septum, opening the sinuses, and relieving chronic sinus inflammation. Postoperatively, it is crucial to actively provide hormonal treatment, including nasal and oral steroids, tailored to the individual's needs. Concurrently, it is important to maintain nasal irrigation and regular follow-up cleanings. Postoperative pathological results help assess the likelihood of recurrence, and for types prone to recurrence, intensified follow-up measures are necessary.

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Written by Deng Bang Yu
Otolaryngology
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What does it mean when nasal polyps bleed?

Nasal polyp bleeding mainly has three causes. One reason is that the nasal polyp damages the structure of the nose. Since nasal polyps are a space-occupying lesion, they gradually enlarge, compress the nasal structures, and damage the mucosa and blood vessels of the nose, which can lead to nasal bleeding. The second reason is that the nasal polyp itself may be a bleeding necrotic nasal polyp. This type of bleeding necrotic nasal polyp is very prone to bleeding, and even minor injuries or damage can lead to bleeding. The third reason is that bleeding necrotic nasal polyps might be a manifestation of the disease. As the nasal polyp enlarges, if such an enlarged polyp becomes lodged in a sinus opening or in the nasal cavity, it can lead to ischemic necrosis, which after occurring, can cause bleeding. In summary, these are the three main cases.