Do nasal polyps need surgery?

Written by Li Rui
Otolaryngology
Updated on April 09, 2025
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Some nasal polyps require surgery, mainly due to the extensive area they cover. For instance, if the nasal polyps have invaded the nasal cavity, middle nasal meatus, and lower nasal meatus, they can cause corresponding clinical symptoms. These symptoms include repeated nasal congestion, thick nasal discharge, reduced sense of smell, headache, dizziness, snoring during sleep, and mouth breathing. When there are many nasal polyps, conservative treatment usually does not yield particularly good results, therefore, surgical removal must be considered. Currently, the main surgical approach is minimally invasive endoscopic nasal polyp removal. Generally, this type of surgery causes minimal harm, has a quicker recovery time, and the overall outcomes are quite clear.

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Written by Li Rui
Otolaryngology
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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.

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Written by Li Rui
Otolaryngology
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Is the nasal polyps spray effective?

Some patients find nasal polyps effectively treated with sprays, and this largely depends on the extent of the specific lesion. If the nasal polyps are relatively mild, localized, and the clinical symptoms are not particularly severe, most patients could consider using conservative treatments first to see the results. The common conservative treatment is nasal sprays, generally corticosteroid sprays. Their main function is to reduce nasal polyps and alleviate inflammatory responses. Overall, many patients find effective results following standardized medication treatment. If the conservative medication treatment is ineffective and the nasal polyps are extensive, surgery might be considered as a necessity. (Please use medication under the guidance of a doctor.)

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Written by Xu Qing Tian
Otolaryngology
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Symptoms of nasal polyps

Nasal polyps are mucosal proliferative tissue masses caused by chronic inflammation or physical and chemical factors. Symptoms induced by nasal polyps primarily include nasal congestion, runny nose, nasal itchiness, and sneezing. Some patients may also experience headaches, nasal bleeding, and other related symptoms. For patients with nasal polyps, initial treatment should involve medication to control the growth of the polyps. Subsequently, functional endoscopic sinus surgery can be undertaken to excise the proliferative nasal polyp tissue under endoscopy, restoring the normal physiological environment and function of the nasal cavity, thereby completely alleviating symptoms of nasal congestion.

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Written by Li Rui
Otolaryngology
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Do small nasal polyps need surgery?

Nasal polyps are a relatively common nasal disease. In terms of treatment, if the nasal polyps are minimal, surgery may not be necessary initially. The first consideration can be conservative drug treatment. After timely medication, most patients may find their nasal polyps gradually shrink and might even disappear. However, regular follow-ups are required to monitor changes in the condition. If the nasal polyps do not improve with conservative drug treatment, surgical removal should be considered. Currently, endoscopic surgery is commonly used, which is a minimally invasive procedure with relatively mild damage, shorter recovery time, and generally good treatment outcomes. (Please use medication under the guidance of a professional physician.)

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Written by Deng Bang Yu
Otolaryngology
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Is there a high possibility that nasal polyps are malignant?

Nasal polyps are a type of benign neoplasm in the nasal cavity, appearing as half a lychee, translucent, and either oval or ovoid in shape. They occupy the normal passages of the nasal cavity, causing symptoms such as nasal congestion, and even headaches in the head or forehead area. Nasal polyps are benign neoplasms and rarely develop into malignant lesions. Clinically, there have been no cases seen where nasal polyps have turned malignant. Some growths that look like nasal polyps may actually be nasal papillomas, which are more prone to malignancy. Therefore, it is recommended that patients with nasal polyps undergo early surgical intervention followed by a pathological examination to differentiate them from nasal papillomas and to assess the prognosis of the condition.