What should I do if nasal polyps are removed but grow back?

Written by Deng Bang Yu
Otolaryngology
Updated on September 09, 2024
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Nasal polyps are a common condition in otolaryngology and are benign neoplasms in the nasal cavity. After nasal polyp surgery, there is a possibility of recurrence, and the likelihood of recurrence is relatively high compared to other diseases. Currently, we surgically remove nasal polyps through functional endoscopic surgery, followed by regular post-operative outpatient follow-ups to clean the nasal cavity. Since then, the recurrence rate after this surgery has been relatively low. However, if the nasal polyps recur, we must perform surgery again to remove them, as enlarged nasal polyps can block the nasal cavity and damage the surrounding tissue structures, necessitating another surgical intervention, with no other special methods available.

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Written by Li Rui
Otolaryngology
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Can nasal polyps be eradicated by medication?

Nasal polyps are a relatively common type of nasal disease. In terms of treatment, some patients can opt for medication, commonly using corticosteroid nasal sprays. After medical treatment, nasal polyps may gradually recede in some patients, but for others, the treatment might not be effective, especially in severe cases accompanied by symptoms such as nasal congestion, reduced sense of smell, headache, and dizziness. In such cases, surgical removal may be considered. Currently, the common procedure is endoscopic nasal polyp surgery, which is a minimally invasive surgery with generally good outcomes and minimal damage. (Please use medications under the guidance of a doctor to avoid misuse.)

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Written by Li Rui
Otolaryngology
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Is nasal polyp fungus contagious?

Nasal polyps accompanied by fungal infection generally are not contagious to each other. This disease is not infectious and does not have direct contagion. However, it is necessary to visit an ENT (Ear, Nose, and Throat) specialist promptly after symptoms appear. The patient will need to undergo a nasal endoscopy and a sinus CT scan to assess the severity of the condition. Most patients may need to consider surgical treatment, and after surgery, regular follow-up visits are required to monitor the effectiveness of the procedure. One to two weeks after surgery, nasal irrigation should be performed, which can be done using saline or physiological seawater to help reduce the retention of nasal secretions.

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Written by Li Rui
Otolaryngology
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Do small nasal polyps need surgery?

Nasal polyps are a relatively common nasal disease. In terms of treatment, if the nasal polyps are minimal, surgery may not be necessary initially. The first consideration can be conservative drug treatment. After timely medication, most patients may find their nasal polyps gradually shrink and might even disappear. However, regular follow-ups are required to monitor changes in the condition. If the nasal polyps do not improve with conservative drug treatment, surgical removal should be considered. Currently, endoscopic surgery is commonly used, which is a minimally invasive procedure with relatively mild damage, shorter recovery time, and generally good treatment outcomes. (Please use medication under the guidance of a professional physician.)

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Written by Li Rui
Otolaryngology
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Will nasal polyps recur after surgery?

Nasal polyps are a relatively common otolaryngologic condition. In terms of treatment, some patients may consider conservative medication, while others may need to consider surgical treatment. Both medical and surgical treatments can potentially recur. Therefore, after nasal polyp surgery, long-term regular follow-ups are necessary. Generally, it is recommended to have a follow-up once a week, and if the condition recovers well, the follow-up interval can be extended to about once a month. During the follow-up, a nasopharyngoscopy can be performed to check the specific recovery status. Additionally, many patients may need to use corticosteroid nasal sprays. Also, rinsing the nasal cavity with saline is recommended. Generally, with standardized follow-ups and treatment, the chances of recurrence are relatively small. (Please use medication under the guidance of a professional physician, and do not self-medicate.)

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Written by Li Rui
Otolaryngology
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The difference between nasal polyps and nasal cancer

Nasal polyps and nasal cancer are both relatively common otolaryngological diseases, but they belong to different types. Nasal polyps are benign lesions, which do not pose a significant risk to health, while nasal cancer is a malignant tumor, which comparatively poses a greater risk to health. In terms of examination, differentiation can be made through nasopharyngoscopy and sinus CT scans. Generally, nasal polyps tend to grow in the middle nasal passage and the olfactory area, whereas nasal cancer is more commonly found in the nasopharyngeal region or within the sinuses. Overall, these two diseases are fundamentally different, and it is advisable to visit an otolaryngologist for further examination and treatment.