Health Resources

Nasal Polyps

2024/06/26
Sign & Symptoms
  • Runny nose
  • Postnasal drip
  • Decreased or no sense of smell
  • Loss of sense of taste
  • Facial pain or headache
  • Snoring
  • Itching around your eyesasal polyps can develop when the mucous membrane in the nasal passages and sinuses becomes chronically inflamed. Inflammation lasting more than 12 weeks is typically considered chronic.
What Causes It

Nasal polyps can develop when the mucous membrane in the nasal passages and sinuses becomes chronically inflamed. Inflammation lasting more than 12 weeks is typically considered chronic.

About The Condition

Nasal polyps are noncancerous growths along the lining of your nasal passages or sinuses. Large polyps can obstruct nasal passages and lead to breathing challenges, anosmia (loss of smell), recurrent sinus infections and other complications.

Adults, particularly those with asthma, frequent sinus infections and allergies, are more susceptible to developing nasal polyps. Children living with cystic fibrosis also often develop nasal polyps.

Diagnosis and Treatment Options

Diagnosis is based on symptoms, physical examination and nasal inspection. Visible polyps may be detected using a lighted instrument. 

Other diagnostic tests include: 

  • Nasal endoscopy: A detailed examination of the nasal passages using a narrow tube with magnification to identify polyps.
  • Computerized tomography (CT) scan: Advanced imaging to locate polyps and distinguish them from other obstructions, like cancerous growths.
  • Allergy tests: If allergies are suspected as a contributing factor, skin prick tests may be conducted to identify specific allergens.
Medications

Treatments may involve: 

  • Corticosteroids nasal spray: To reduce inflammation, potentially shrinking or eliminating polyps. If ineffective, oral corticosteroids or a combination therapy may be prescribed for short-term use due to possible side effects. In some cases, a corticosteroid injection is considered.
  • Medications for underlying conditions contributing to chronic inflammation, such as antihistamines for allergies, antibiotics for infections, or antifungal drugs for fungal allergies.

Surgery

Should medications prove inadequate, surgery may be necessary:

  • Polypectomy:  Removal of polyps using suction or a microdebrider (an instrument that extracts soft tissue).
  • Endoscopic sinus surgery: Elimination of polyps and correction of sinus issues predisposing to polyp development and inflammation.
Post Op Care/Care Tips

To prevent polyp recurrence after surgery, a corticosteroid nasal spray is usually prescribed. Regular saline rinses can aid in the healing process.

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