How to radically cure nasal polyps?

Written by Li Rui
Otolaryngology
Updated on October 27, 2024
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The treatment of nasal polyps currently mainly considers two methods. The first is conservative treatment and the second is surgical removal. If there are few polyps and the symptoms are not particularly obvious, conservative treatment can generally be considered. This usually involves nasal sprays and oral medications, along with regular check-ups to observe any changes in the nasal polyps. If the control effect of the medication on the nasal polyps is not good, or if there are originally many polyps with obvious symptoms, such as nasal congestion, runny nose, headache, dizziness, and reduced sense of smell, drug treatment may be insufficient, and endoscopic nasal surgery may need to be considered. Nasal endoscopic surgery can completely remove the nasal polyps, but regular check-ups are also necessary. Whether it is drug treatment or surgical treatment, there is a possibility of recurrence, and a complete cure cannot be guaranteed, therefore, long-term and regular check-ups are essential.

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symptoms of malignant nasal polyps

The symptoms caused by the malignant transformation of nasal polyps mainly involve significant destruction and invasion of the surrounding bone, leading to the destruction of the skull base and orbital tissues. Patients may experience eye pain, decreased vision, headaches, and bleeding. For patients with malignant transformation of nasal polyps, diagnosis is primarily made through an electronic nasopharyngoscopy biopsy, taking a portion of the pathological tissue for confirmation. Typically, after confirming malignancy, functional endoscopic sinus surgery should be performed promptly to remove the malignant nasal polyp tissue and extend the resection to the invaded bone. This is usually complemented by radiation therapy or chemotherapy to prevent recurrence of the malignant nasal polyps.

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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 Zhang Jun
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Can nasal polyps be cured?

Nasal polyps are curable, and patients can be cured through localized surgical treatment. The cause of nasal polyps is unknown, generally due to chronic inflammatory stimulation, leading to bilateral nasal turbinate mucosal diffuse congestion, edema, proliferation, and prolapse, resulting in nasal polyps. They are also often secondary to allergic rhinitis. Nasal polyps generally occur bilaterally, causing the patient to have persistent nasal congestion that progressively worsens. In addition, patients may experience facial swelling, headache, and yellow nasal discharge, among other symptoms. During an examination with an electronic nasoscope, pale lychee-like masses can be observed in the nasal passages on both sides. These are soft, painless, and not prone to bleeding. In terms of treatment, nasal polyps require endoscopic nasal polyp removal surgery and sinus opening surgery for a cure.

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Written by Deng Bang Yu
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How is nasal polyp surgery performed?

Nasal polyps are benign neoplasms in our nasal cavities. Nasal polyps do not have a distribution of nerves and blood vessels. Once nasal polyps occur, the main treatment is surgical removal. The surgery is performed under general anesthesia. We expose the nasal polyps using an endoscope, and then remove the nasal polyps using forceps or an electric suction cutter. The surgical operation is relatively simple. However, it is important to protect the surrounding structures such as the eyes and brain during the surgery to avoid damaging these tissues. After surgery, it is common to pack the nasal cavity, and the entire procedure generally requires a hospital stay of about one week.

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Is nasal polyp surgery painful?

Nasal polyps are space-occupying lesions that occur in the nasal cavity and sinus cavity. After the discovery of nasal polyps, they are usually removed surgically. Currently, the surgery for nasal polyps is performed under general anesthesia using functional endoscopic sinus surgery, which involves removing the nasal polyps and opening the sinus ostia. There is no significant pain during the surgery, as it is conducted under general anesthesia. After the surgery, the nasal cavity is packed with some hemostatic materials. There is discomfort when this nasal packing material is removed on the second day after the surgery, but this discomfort is only significant during the removal and subsides afterward. Therefore, there is some pain associated with nasal polyp surgery, but the pain is not very severe.