Can nasal polyps heal by themselves?

Written by Li Rui
Otolaryngology
Updated on February 13, 2025
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Nasal polyps can potentially heal on their own, but overall, this possibility is relatively small. Once nasal polyps form, they often progressively increase in number and spread in size. Generally, after the onset of the condition, it is necessary to take targeted treatment measures as soon as possible.

If the affected area is relatively mild and the clinical symptoms are not particularly severe, conservative treatment methods may be considered initially. These usually involve the use of nasal sprays and oral medications, along with nasal irrigation. Most patients can still achieve effective control with these methods. If the area is already quite extensive and the response to medication is poor, then surgery may need to be considered.

(The use of medications should be carried out under the guidance of a doctor.)

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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 medicine is good for nasal polyps to heal quickly?

Nasal polyps are benign neoplasms in the nasal cavity, sometimes originating from the sinuses, characterized as translucent, colorless, lychee-like neoplasms without blood vessels or nerve distribution. Clinically, nasal polyps are primarily diagnosed and removed during nasal endoscopic surgery. Certain medications can be used early in the development of nasal polyps, including corticosteroid drugs such as nasal sprays, nasal corticosteroids, and oral corticosteroids. These can control, and in some very small cases, even eliminate nasal polyps. However, this possibility is extremely rare in clinical practice because by the time patients seek treatment for nasal polyps at a hospital, the polyps are usually relatively large, and these medications are no longer effective for fundamental treatment. Therefore, nasal polyps are generally treated surgically. (The use of medications should be under the guidance of a doctor.)

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Is it safe to have a second surgery for nasal polyps?

The surgery for nasal polyps is primarily performed under general anesthesia, involving the removal of the nasal polyps and functional endoscopic sinus surgery. All surgeries carry certain risks, thus secondary surgeries for nasal polyps also entail risks. Moreover, since the initial surgery alters the normal anatomical structure of the nasal polyps and their surroundings, the difficulty of the surgery increases, thereby slightly raising the risk of a secondary procedure. The third point is that the surgery is now performed under direct endoscopic vision. Although this type of surgery carries risks—and indeed, all surgeries do—the likelihood of these risks is relatively small, so there is no need for excessive worry.

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Can nasal polyps be seen with the naked eye?

Nasal polyps are a relatively common otolaryngological disease with a high incidence rate clinically. The symptoms are numerous and may include nasal congestion, runny nose, reduced sense of smell, headache, and dizziness. For some patients, the polyps can be seen with the naked eye during examination, especially if there are many polyps or if they are located near the front of the nose. Generally, after using an anterior rhinoscope to widen the nostrils, the polyps can be seen. However, in some cases, the polyps grow in hidden areas, such as in the olfactory region or within the sinuses, making them difficult to detect with the naked eye. In such cases, a nasopharyngoscopy or sinus CT scan can be performed for more accurate diagnosis.

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Does massaging nasal polyps have any effect?

Nasal polyps cannot be effectively treated through massage, as they grow inside the nasal cavity, mainly around the middle nasal meatus, and may also be found in the olfactory area or the general nasal passages. In severe cases, they can spread throughout the entire nasal cavity and even into the sinuses. In terms of treatment, massage does not play a significant role, as it does not directly affect the nasal polyps themselves. Treatment primarily involves medication and surgical procedures. For cases where the nasal polyps are particularly numerous and symptoms are pronounced, surgery is generally recommended. For smaller polyps with less noticeable symptoms, nasal spray medications may be considered, but regular follow-up examinations are necessary to monitor changes.