Is nasal polyps prone to recurrence?

Written by Li Rui
Otolaryngology
Updated on December 21, 2024
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Some patients have nasal polyps that tend to recur. Clinically speaking, nasal polyps are a relatively common nasal disease. If the nasal polyps are more extensive, have been present for a longer time, or are characterized by abundant eosinophilic granulocytes, the likelihood of recurrence is relatively higher.

If the duration of nasal polyps is relatively short, the lesions are more localized, and there are no accompanying pathological changes or inflammatory reactions, the probability of recurrence is relatively lower. In such cases, it is generally necessary to have regular follow-up examinations after treatment, and then to make a comprehensive assessment based on the doctor's empirical judgment.

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Written by Li Rui
Otolaryngology
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Can nasal polyps be treated with medication?

Nasal polyps can be considered for drug treatment, primarily depending on the severity of the nasal polyps. If the condition of the nasal polyps is not particularly severe, most patients can consider conservative drug treatment. Common treatments include nasal spray medications, and the nasal cavity can also be rinsed with saline. If the patient also has rhinitis or sinusitis, oral medication may need to be considered. However, during the treatment process, regular follow-up examinations are necessary to observe the treatment effects. If the effects of medication are not satisfactory and the condition of the nasal polyps is more severe, surgical removal may need to be considered. After surgery, regular follow-up examinations are still necessary to monitor the effects of the surgery.

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Written by Deng Bang Yu
Otolaryngology
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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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Written by Deng Bang Yu
Otolaryngology
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Is surgery necessary for nasal polyps?

Nasal polyps are benign neoplasms that occupy the spaces of the nasal cavity and sinuses. Clinically, once nasal polyps appear, they are generally removed through surgery. Currently, the main clinical approach is functional endoscopic sinus surgery. For some early-stage small nasal polyps, medications such as corticosteroids, methylprednisolone, and prednisone can be used for treatment, which can cause the gradual disappearance of very small polyps, a process known as chemical resection. In clinical practice, when nasal polyps are detected, they are usually relatively large, so once polyps are discovered during a hospital visit, treatment is typically conducted through surgery.

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Written by Li Rui
Otolaryngology
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Does nasal polyp hypertrophy require surgery?

The treatment methods for nasal polyps are mainly divided into two categories. The first category is surgical treatment, and the second category is conservative medical treatment. If the nasal polyps are relatively small and the clinical symptoms are not very obvious, conservative medical treatment should be considered first. Common treatments include nasal spray medications and saline nasal irrigation. If accompanied by rhinitis or sinusitis, oral medications may be considered. If the extent of the nasal polyps is large and the clinical symptoms are clear, and if the results from medication are not good, surgery may need to be considered. After surgery, regular follow-ups are necessary to observe the recovery.

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Written by Li Mao Cai
Otolaryngology
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What will happen if nasal polyps are not operated on?

Nasal polyps are a common pathological change in otolaryngology, mainly caused by chronic inflammatory stimuli such as rhinitis and sinusitis, leading to changes in the nasal mucosa. Nasal polyps are an abnormal structural change. Once nasal polyps occur, emergency surgical treatment is recommended. If surgery is not performed, the polyps will continue to grow larger, altering some of the anatomical structures of the nasal cavity and occupying space, which can impair nasal function. This may lead to nasal congestion, a decrease in the sense of smell, and changes in the external nose, such as a "frog-like" nose; the nose becomes swollen and large, resembling a frog. Over time, due to poor nasal ventilation, this can cause headaches, a heavy head, and other uncomfortable symptoms, therefore urgent surgical treatment is advised.