Is the recurrence rate of nasal polyps high?

Written by Li Rui
Otolaryngology
Updated on February 24, 2025
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Nasal polyps are a relatively common otolaryngological disease. Generally, the recurrence rate of nasal polyps is not particularly high. However, some patients are more likely to experience recurrences, especially those with allergic rhinitis, sinusitis, or familial genetic factors. These patients are relatively more prone to recurrence. Additionally, incomplete surgery or failure to timely visit an otolaryngology clinic for postoperative nasal cavity cleaning can also lead to recurrence. After treatment, it is necessary to have regular check-ups to monitor the recovery of the condition. If early symptoms of recurrence appear, targeted conservative medical treatment can be administered. After such treatment, many patients' conditions can be well controlled.

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Written by Deng Bang Yu
Otolaryngology
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The difference between nasal polyps and adenoids

There are fundamental differences between nasal polyps and adenoids. Nasal polyps are polypoid tissue proliferations located in the nasal cavity and sinus cavities, resembling a peeled lychee. In contrast, adenoids are located in the nasopharynx and are a normal anatomical structure of the human body, whereas nasal polyps are a new benign tumor-like growth. Furthermore, nasal polyps require surgical removal, primarily through functional endoscopic sinus surgery. Adenoids generally do not require surgical treatment unless they are enlarged, causing issues such as snoring and sleep apnea, in which case surgery might be considered.

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Written by Li Rui
Otolaryngology
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How to deal with enlarged nasal polyps?

Nasal polyps are a relatively common otolaryngological condition. First, it is necessary to assess the extent of the nasal polyps and the clinical symptoms. If the nasal polyps are few and the clinical symptoms are not particularly evident, this condition might be considered for conservative drug treatment, commonly involving nasal sprays and saline nasal irrigation. If there are many nasal polyps and more pronounced clinical symptoms, such as nasal congestion, thick nasal discharge, reduced sense of smell, headaches, and dizziness, and if standardized drug treatment is ineffective, then surgical treatment should be considered. Currently, the most commonly used procedure is endoscopic nasal polyp removal surgery, with regular follow-ups required to monitor postoperative recovery. (The use of medications should be under the guidance of a doctor.)

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Written by Li Rui
Otolaryngology
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Do nasal polyps need surgical removal?

Nasal polyps are a relatively common otolaryngological condition, and the treatment methods are generally divided into two categories. The first category is surgical treatment, and the second is conservative medical treatment. Therefore, the choice of treatment mainly depends on the severity of the patient's condition, the patient's own wishes, and their overall health. If the condition is mild and the clinical symptoms are not obvious, medical treatment can be considered first to see the effects. If the condition is severe, the nasal polyps are extensive, and the clinical symptoms are clear, and if there is no effect after standardized conservative medical treatment, surgical removal should be considered.

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

Nasal polyps can potentially heal on their own, but overall, this possibility is relatively small. Once nasal polyps form, they often progressively increase in number and spread in size. Generally, after the onset of the condition, it is necessary to take targeted treatment measures as soon as possible. If the affected area is relatively mild and the clinical symptoms are not particularly severe, conservative treatment methods may be considered initially. These usually involve the use of nasal sprays and oral medications, along with nasal irrigation. Most patients can still achieve effective control with these methods. If the area is already quite extensive and the response to medication is poor, then surgery may need to be considered. (The use of medications should be carried out under the guidance of a doctor.)

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Written by Li Rui
Otolaryngology
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Can nasal polyps be treated without surgery?

A portion of patients with nasal polyps may not require surgery. The decision to operate on nasal polyps primarily depends on the severity of the condition and the overall health of the patient. If the nasal polyps are particularly localized and the patient does not exhibit significant symptoms such as nasal congestion, purulent nasal discharge, reduced sense of smell, headaches, or dizziness, conservative treatment or regular check-ups may be considered. Conservative treatment involves the use of nasal sprays and regular examinations with a nasopharyngoscope to monitor the growth of the polyps. However, if the nasal polyps are extensive and accompanied by clinical symptoms, and conservative treatment proves ineffective, surgery may need to be considered. Currently, endoscopic surgery is commonly performed and is generally very effective with minimal trauma.