Do you need to be hospitalized for nasal polyp surgery?

Written by Li Mao Cai
Otolaryngology
Updated on March 01, 2025
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The surgery for nasal polyps is performed under general anesthesia using endoscopic techniques to excise the polyps. The procedure places high demands on the patient's overall health, but typically yields good results. As such, hospitalization is required for nasal polyp surgery, as it often involves additional procedures such as sinus opening and correction of a deviated nasal septum. Nasal polyps are generally caused by sinusitis, rhinitis, or chronic inflammation over a long period of time. Simply removing the nasal polyps may lead to recurrence. In order to thoroughly treat nasal polyps, and address chronic inflammation, sinus issues, and anatomical abnormalities such as a deviated nasal septum, specific treatments are required during surgery. This not only effectively eradicates the nasal polyps but also helps prevent their recurrence. Therefore, hospitalization is required for this type of surgery.

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Can nasal polyps be treated with medication?

Some patients with nasal polyps can opt for medical treatment, as there are mainly two types of treatments for nasal polyps: conservative treatment and surgical removal. For cases with minimal absorption, limited scope, and shorter duration, conservative treatment is generally recommended, primarily using corticosteroid nasal sprays. Regular follow-ups and a sufficient course of medication are necessary, typically rechecking with a rhinoscope every three months, and visiting the otorhinolaryngology department every one to two weeks for a check-up. If conservative treatment is ineffective and the patient has numerous nasal polyps, surgical removal should be considered.

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Can nasal polyps be washed with saline?

Nasal polyps can be considered for saline irrigation, with the main types of saline used being physiological saline or physiological seawater. The main function is to help improve nasal ventilation and reduce swelling of the nasal mucosa. It also has some therapeutic effects for patients with poor sense of smell. However, overall, saline irrigation is still considered an auxiliary treatment method, and it is recommended to consider medication treatment. If the nasal polyps cover a wide range and the clinical symptoms are quite apparent, it could also be accompanied by sinusitis. Under such circumstances, endoscopic surgery might be necessary, which involves the removal of nasal polyps under endoscopy. Depending on the condition of sinusitis, concurrent sinus opening surgery might be required. It is advisable to visit an otolaryngology clinic for a formal diagnostic evaluation to determine the best treatment approach.

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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 Xu Qing Tian
Otolaryngology
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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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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.