What medication to spray for nasal polyps

Written by Deng Bang Yu
Otolaryngology
Updated on September 17, 2024
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Nasal polyps refer to benign space-occupying lesions in our nasal cavities. Clinically, nasal polyps are mainly associated with allergies or increased vascular and tissue permeability. Other factors, such as abnormalities in the structure of the middle nasal meatus, are also related to their formation. Therefore, in terms of treatment, clinically, we mainly use some steroids, mainly spraying corticosteroid hormones, such as mometasone furoate, budesonide nasal spray, fluticasone propionate nasal spray, etc. Additionally, if there is a significant amount of pus in the nasal discharge, we can also use saline nasal spray to clean the nasal cavity.

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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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What are the symptoms of nasal polyps?

Nasal polyps are a fairly common otolaryngological condition with a relatively high incidence clinically. There is significant individual variation in clinical symptoms. Some patients have few nasal polyps and might not show obvious clinical symptoms; these are often discovered only during a physical examination or a nasopharyngoscopy. Other patients may experience nasal congestion, a runny nose, reduced sense of smell, headaches, and dizziness. In cases where the polyps are particularly numerous and have been present for a long time, they may even cause deformities of the nose, such as a "frog nose" or "saddle nose." In such cases, timely surgical treatment should be considered, and regular follow-up inspections are needed to monitor for any recurrence.

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Written by Li Mao Cai
Otolaryngology
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Do nasal polyps have any harm?

Nasal polyps are abnormal tissue structures and pathological in nature, thus posing several risks to human health. Firstly, they obstruct nasal airflow because nasal polyps block the normal respiratory and ventilation passages, causing the primary sensation of nasal congestion and difficulty in breathing through the nose. Secondly, they impair the sense of smell. Nasal polyps obstruct the nasal cavity, preventing odors from smoothly reaching the olfactory area, leading to diminished olfactory perception. Thirdly, if the nasal polyps persist for too long and grow excessively large, they can result in acute changes in the nose, the most common being a "frog-like nose." This condition makes the nose appear flattened and broad like a frog's, lying against the face which is cosmetically unappealing.

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Written by Li Rui
Otolaryngology
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How come there is bleeding from nasal polyps?

Patients with nasal polyps experiencing nosebleeds can have many causes. It might be due to hemorrhagic polyps, erosion of the nasal mucosa, dry nasal cavities, or rupture of small blood vessels. Some patients may have sinusitis accompanying their nasal polyps, with significant inflammatory responses that could also lead to nosebleeds. However, it's necessary to check for other conditions, such as nasopharyngeal angiofibroma, malignant tumors in the nasal cavity or sinuses, nasopharyngeal carcinoma, or blood disorders like coagulation dysfunction and thrombocytopenia. It is advisable to visit an ENT specialist and undergo nasopharyngoscopy, sinus CT scans, blood tests, and coagulation function tests to make an accurate diagnosis.

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Written by Li Rui
Otolaryngology
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Symptoms of enlarged nasal polyps

Nasal polyps are a relatively common otolaryngology disease with various clinical symptoms and certain individual differences. If the nasal polyps are few, there might not be obvious clinical manifestations. They could be discovered during physical examinations or nasal endoscopy. If there are many nasal polyps, it could lead to reduced sense of smell, headaches, dizziness, nasal congestion, and runny nose. Overall, different patients exhibit different symptoms. In terms of treatment, it is first necessary to assess the specific severity of the condition, which can be evaluated comprehensively using nasopharyngoscopy and sinus CT scans. Most patients can consider medical conservative treatment, while a small number of patients with numerous polyps might need to consider surgical treatment. (The use of medications should be guided by a professional doctor.)