Nasal polyps are located in the nose.

Written by Deng Bang Yu
Otolaryngology
Updated on September 16, 2024
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Nasal polyps are growths located in our nasal area, which is divided into the external nose, nasal cavity, and sinuses. Nasal polyps primarily develop within our nasal cavity. For some polyps that originate from the sinuses, such as those from the ethmoid sinus or the maxillary sinus, they may initially grow within a sinus cavity. As they increase in size, they can protrude into our nasal cavity and even extend outside it, becoming directly visible. Therefore, nasal polyps mainly grow in our nasal cavity or sinus cavities. They do not develop on our external nose or in our nasopharyngeal region. The most common locations for them are in the nasal cavity and sinus cavities.

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What should I do if nasal polyps are bleeding?

Nasal polyps accompanied by nasal bleeding can be caused by various reasons. It could possibly be hemorrhagic nasal polyps, or there might be dryness and erosion bleeding of the nasal mucosa, or bleeding due to rupture of small blood vessels, or inflammation-induced bleeding. Therefore, in such cases, it is necessary to promptly visit an otolaryngology department. Consider conducting a nasal endoscopy, routine blood tests, and coagulation function tests, which can help determine the severity of the nasal polyps and the cause of the nasal bleeding. If the extent of nasal bleeding is severe and the nasal polyps are widespread, surgical removal might be considered necessary. After surgery, regular follow-up checks are essential to monitor the recovery process.

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Is minimally invasive surgery for nasal polyps painful?

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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Can nasal polyps sinusitis be cured completely?

Sinusitis refers to the inflammation of one or more groups of nasal sinuses, often accompanied by nasal polyps. Nasal polyps are lychee-like, semitransparent, grayish-white growths that are soft in texture and visible inside the nasal cavity. In such cases, it is advisable to consider functional endoscopic sinus surgery under general anesthesia and nasal endoscopy to remove the polyps and ethmoid sinuses. After the surgery, it is essential to perform regular cleaning, reduce inflammation, and provide antihistamine treatment, as sinusitis often leads to the recurrence of nasal polyps. Furthermore, allergens can also trigger the recurrence of nasal polyps. Therefore, after surgery, regular follow-ups, anti-inflammatory, and antihistamine treatments are necessary. Generally, with such management, nasal polyps and sinusitis can be effectively cured.

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What causes nasal polyps?

Nasal polyps are a common otolaryngological condition, primarily formed due to chronic inflammation of the nasal cavity in patients, or stimulation from smoking, drinking, and physicochemical factors of air pollution, leading to the proliferation of tissues in the nasal cavity and sinuses. The main symptoms caused by nasal polyps include nasal congestion, runny nose, headaches, and nasal bleeding. The most effective treatment for nasal polyps is functional endoscopic sinus surgery, which involves the removal of the proliferative polyp tissues, thereby restoring normal ventilation and physiological functions to the nasal cavity and improving the patient's symptoms.

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Do nasal polyps definitely have to be removed?

Nasal polyps are benign glandular tissues that occur in the nasal cavity. The presence of nasal polyps can block the nasal passage, leading to secondary infections, and as nasal polyps gradually increase in size, they can damage the local tissue structure. Therefore, once nasal polyps appear, they are primarily removed through surgery, making surgical removal necessary. However, in the early stages of nasal polyps, when they have just developed and are still small, they can be treated with medications such as methylprednisolone or prednisone. These drugs are mainly corticosteroids and can cause the polyps to gradually shrink and disappear in a minority of patients, a process referred to as chemical resection through medication. Nonetheless, the chance of detecting nasal polyps in their early stages is very small, and they are often only discovered when they have grown large enough to obstruct the nasal passage and affect breathing, meaning that they typically require surgical removal after they are found.