Is minimally invasive surgery for nasal polyps painful?

Written by Li Mao Cai
Otolaryngology
Updated on September 03, 2024
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We often talk about the minimally invasive surgery for nasal polyps, which is the most common procedure of endoscopic nasal polyp removal that we use today. This type of surgery does not only remove the nasal polyps, but also the root of the polyps and even opens up the sinuses. This is crucial for eliminating the cause of the nasal polyps and is very important for preventing their recurrence. Although it is a minimally invasive surgery, it can still be quite painful. After the surgery, both nostrils need to be packed. If the packing material is absorbable, such as Nasopore, the discomfort might be less because after the surgery, one just needs to wait for the packing to gradually dissolve into a mucus-like substance and get expelled. However, if expandable sponges or even gauze strips are used, these materials need to be removed after several days. Removing these materials can cause significant pain for the patient. During the period of packing, the patient can also experience a lot of discomforts such as headaches, dry throat, discomfort in the eyes, tearing, and even some might feel foggy in their ears and uncomfortable while eating and drinking, along with other painful symptoms. Additionally, after the minimally invasive surgery for nasal polyps, regular follow-up cleanings are necessary. The purpose of these follow-up cleanings is to timely clear out any blood clots or secretions from the nasal cavity and sinuses, aiding the recovery of the mucous membranes in these areas and also preventing the short-term recurrence of the nasal polyps, which is a very important part of ensuring the effectiveness of the surgery. Thus, these procedures can induce a certain amount of fear and pain for the patients, but before performing these surgeries and examinations, doctors generally engage in thorough discussions and provide comfort to the patients, advising them not to be too nervous. The actual discomfort is temporary and will pass after enduring it for just a few days post-surgery.

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Written by Li Rui
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The causes of nasal polyps formation

Nasal polyps are a relatively common ENT (Ear, Nose, and Throat) disorder, with various causes. Common causes include genetic factors and may also be due to chronic allergic rhinitis or sinusitis. Some patients develop nasal polyps because of frequent exposure to dust or other chemical substances. There are significant individual differences in the specific causes of the disease. After the onset of the disease, it is necessary to visit an ENT specialist. Procedures like a nasal endoscopy or a sinus CT scan can be performed to assess the severity of the condition, which will assist in determining targeted treatments. During the treatment process, regular check-ups are needed to observe the recovery progress of the condition.

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Written by Xu Qing Tian
Otolaryngology
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Does everyone have nasal polyps?

Nasal polyps are not something everyone has. The main causes of nasal polyps are related to the patient's smoking, drinking, and long-term exposure to physical and chemical factors in the air, which lead to the proliferation of redundant tissue on the surface of the nasal mucosa, blocking the patient's middle nasal passage and nasal vestibule, thereby causing symptoms such as nasal congestion, runny nose, and headaches. When patients with nasal polyps experience nasal congestion and runny nose, our first approach should be anti-inflammatory and symptomatic treatment. Next, it is necessary to perform a thorough diagnosis with an electronic nasopharyngoscope and paranasal sinus CT scan. After a confirmed diagnosis, patients with nasal polyps usually need functional endoscopic sinus surgery, which involves removing the polyp tissue blocking the nasal cavity and opening the sinus openings to restore the normal physiological environment and drainage of the nasal cavity.

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Written by Li Rui
Otolaryngology
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What are the symptoms of nasal polyps?

Nasal polyps currently exhibit a variety of symptoms, which should be considered comprehensively based on individual reactions and the condition itself. If the polyps are localized and small, they might not show any clinical symptoms. In such cases, a nasopharyngoscope examination can be used for diagnosis. If there are multiple polyps or if the polyps are located in special positions, they might cause clinical symptoms such as poor nasal ventilation, runny nose, reduced sense of smell, headache, and dizziness. Some patients might experience changes in vision or facial swelling, numbness, and headaches due to accompanying sinusitis or other sinonasal disorders. Overall, it is advisable to visit an otolaryngology clinic for a nasopharyngoscope examination to make a comprehensive assessment and diagnosis.

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Written by Li Rui
Otolaryngology
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Can nasal polyps be seen on an X-ray?

Nasal polyps are a relatively common otolaryngology disease, which can be comprehensively assessed through nasal endoscopy or sinus CT scan. Generally speaking, nasal endoscopy is more intuitive, allowing direct observation of the extent and severity of polyps within the nasal cavity. If a sinus CT scan is performed, it has diagnostic and reference value for multiple nasal polyps, but it might not be very clear if there are only a few polyps. In terms of treatment, if there are numerous nasal polyps and medication is ineffective, surgical treatment should be considered. If the nasal polyps are limited and the clinical symptoms are mild, medical conservative treatment is recommended, but regular follow-up examinations are necessary to monitor the effect. (Specific medications should be used under the guidance of a doctor.)

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Written by Li Rui
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Is nasal polyps prone to recurrence?

Some patients have nasal polyps that tend to recur. Clinically speaking, nasal polyps are a relatively common nasal disease. If the nasal polyps are more extensive, have been present for a longer time, or are characterized by abundant eosinophilic granulocytes, the likelihood of recurrence is relatively higher. If the duration of nasal polyps is relatively short, the lesions are more localized, and there are no accompanying pathological changes or inflammatory reactions, the probability of recurrence is relatively lower. In such cases, it is generally necessary to have regular follow-up examinations after treatment, and then to make a comprehensive assessment based on the doctor's empirical judgment.