What are the symptoms of nasal polyps?

Written by Li Rui
Otolaryngology
Updated on November 19, 2024
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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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Nasal polyps CT manifestations

Nasal polyps are benign neoplasms of the nasal area. On a CT scan, they primarily appear as increased density shadows in the nasal cavity and sinus cavity. These shadows have a definite shape, which is why we see nasal polyps as oval-shaped. Secondly, the density of the nasal polyps can be distinctively differentiated from the surrounding densities; the density of the surrounding bone is very high, while the density of the nasal polyps is relatively direct, appearing as a gray density shadow. Thirdly, we observe accompanying inflammatory changes in the nasal cavity and sinus cavity on the nasal polyps, such as thickened sinus cavity mucosa and, in some cases, the presence of purulent secretions due to inflammatory infections, as seen on the CT scan.

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Written by Li Rui
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Will nasal polyps grow back after they are removed?

Nasal polyps are a relatively common otolaryngological condition. In terms of treatment, one can consider medication or surgical intervention. If there are numerous polyps and the clinical symptoms are severe, and standardized medication does not yield good results, then surgical treatment should be considered. However, there is still a possibility of recurrence in some patients after surgical removal. The main surgical procedure currently used is endoscopic nasal polyp removal surgery, which is minimally invasive and generally yields good results for most patients. However, regular follow-ups are necessary because there is a possibility of recurrence, particularly in patients with eosinophilic polyps, who tend to have a higher chance of recurrence.

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Written by Li Rui
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What should I do if the nasal polyps are inflamed?

Nasal polyps accompanied by infection and inflammation are relatively common. This situation generally pertains to nasal polyps, rhinitis, and sinusitis. If the inflammatory response is particularly severe, it may be considered an acute bacterial infection, and generally, the use of antibiotics should be considered, along with nasal sprays and saline nasal irrigation. Some patients can achieve effective control and relief after standardized medication treatment. If the nasal polyps are widespread and the inflammatory response is severe, surgery might be necessary to remove them. Post-surgery, regular follow-ups are needed because both nasal polyps and inflammation can recur.

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Written by Li Rui
Otolaryngology
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How is anesthesia administered for nasal polyps?

Nasal polyps are a relatively common ENT disorder, and if there are numerous polyps with clear clinical symptoms and conservative drug treatment is ineffective, surgery should be considered. Currently, the primary procedure is endoscopic nasal polyp removal, which is a commonly used minimally invasive surgery. Generally, the level of pain experienced by patients is not particularly significant. Therefore, in terms of anesthesia, it may be suitable to consider either general anesthesia or local anesthesia. If the nasal polyps are not particularly severe and the patient has a good tolerance, local anesthesia can be considered. However, if the condition is more severe and symptoms are clearly pronounced, it is generally advised that general anesthesia might be a better option.

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Written by Li Rui
Otolaryngology
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What are the treatment methods for nasal polyps besides surgery?

Nasal polyps are a relatively common otolaryngological disease. The treatment methods are mainly divided into two major categories. The first category is surgical treatment, and the second is conservative treatment. Those who prefer not to undergo surgery should undergo nasopharyngoscopic examination to assess the specific extent of the lesion. If the lesion is relatively localized and the clinical symptoms are not particularly significant, conservative pharmaceutical treatment can be considered. Common medications include nasal spray drugs, and oral medications may also be considered. It is also recommended to rinse the nasal cavity with saline solution. However, regular reviews are necessary to dynamically observe changes in the nasal polyps. If the condition is severe and the symptoms of blockage are quite apparent, surgery might be required. (Please use medication under the guidance of a doctor.)