Do nasal polyps need surgical removal?

Written by Li Rui
Otolaryngology
Updated on March 30, 2025
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Nasal polyps are a relatively common otolaryngological condition, and the treatment methods are generally divided into two categories. The first category is surgical treatment, and the second is conservative medical treatment. Therefore, the choice of treatment mainly depends on the severity of the patient's condition, the patient's own wishes, and their overall health. If the condition is mild and the clinical symptoms are not obvious, medical treatment can be considered first to see the effects. If the condition is severe, the nasal polyps are extensive, and the clinical symptoms are clear, and if there is no effect after standardized conservative medical treatment, surgical removal should be considered.

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Written by Li Rui
Otolaryngology
49sec home-news-image

The difference between nasal polyps and nasal cancer

Nasal polyps and nasal cancer are both relatively common otolaryngological diseases, but they belong to different types. Nasal polyps are benign lesions, which do not pose a significant risk to health, while nasal cancer is a malignant tumor, which comparatively poses a greater risk to health. In terms of examination, differentiation can be made through nasopharyngoscopy and sinus CT scans. Generally, nasal polyps tend to grow in the middle nasal passage and the olfactory area, whereas nasal cancer is more commonly found in the nasopharyngeal region or within the sinuses. Overall, these two diseases are fundamentally different, and it is advisable to visit an otolaryngologist for further examination and treatment.

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Written by Li Mao Cai
Otolaryngology
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Do you need to be hospitalized for nasal polyp surgery?

The surgery for nasal polyps is performed under general anesthesia using endoscopic techniques to excise the polyps. The procedure places high demands on the patient's overall health, but typically yields good results. As such, hospitalization is required for nasal polyp surgery, as it often involves additional procedures such as sinus opening and correction of a deviated nasal septum. Nasal polyps are generally caused by sinusitis, rhinitis, or chronic inflammation over a long period of time. Simply removing the nasal polyps may lead to recurrence. In order to thoroughly treat nasal polyps, and address chronic inflammation, sinus issues, and anatomical abnormalities such as a deviated nasal septum, specific treatments are required during surgery. This not only effectively eradicates the nasal polyps but also helps prevent their recurrence. Therefore, hospitalization is required for this type of surgery.

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Written by Li Rui
Otolaryngology
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Can nasal polyps be cured?

Nasal polyps are a common condition, but whether they can be completely cured varies from person to person. Generally, treatment is divided into two main categories: conservative treatment and surgical treatment. If the nasal polyps are few and do not cause significant clinical symptoms, most patients will consider conservative treatment, which includes the use of nasal sprays, nasal irrigation, and oral medication. Generally speaking, most patients can achieve effective control and relief. However, if conservative treatment is ineffective and the nasal polyps gradually increase or if the polyps are originally extensive, medical treatment might not be effective, which may necessitate surgical removal. Currently, the main procedure performed is endoscopic sinus surgery for nasal polyp removal, which is considered minimally invasive. However, neither medical treatment nor surgery can guarantee complete and permanent cure without recurrence, thus long-term follow-up is required.

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Written by Deng Bang Yu
Otolaryngology
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Which nasal polyp spray is effective?

Nasal polyps are benign neoplasms in the nasal area, clinically manifesting as semi-opaque, lychee-shaped neoplasms. The main clinical treatment for nasal polyps includes comprehensive treatment primarily focused on surgery. In the early stages of nasal polyps, nasal sprays can be administered for treatment, primarily involving corticosteroid nasal hormones such as mometasone furoate nasal spray and fluticasone propionate nasal spray, among other nasal medications. These medications are all nasal corticosteroid hormones, and their effects are more or less the same. Clinically, no one medication is particularly more effective than another, so any of these treatments can be chosen. (Please use medications under the guidance of a doctor.)

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Written by Deng Bang Yu
Otolaryngology
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What medication to spray for nasal polyps

Nasal polyps refer to benign space-occupying lesions in our nasal cavities. Clinically, nasal polyps are mainly associated with allergies or increased vascular and tissue permeability. Other factors, such as abnormalities in the structure of the middle nasal meatus, are also related to their formation. Therefore, in terms of treatment, clinically, we mainly use some steroids, mainly spraying corticosteroid hormones, such as mometasone furoate, budesonide nasal spray, fluticasone propionate nasal spray, etc. Additionally, if there is a significant amount of pus in the nasal discharge, we can also use saline nasal spray to clean the nasal cavity.