How to deal with nasal polyps?

Written by Li Rui
Otolaryngology
Updated on January 14, 2025
00:00
00:00

Nasal polyps are a relatively common otolaryngological condition. Clinically, the first step is to assess the extent of the nasal polyps. If the polyps are few and there are no obvious clinical symptoms, medical treatment can be considered, and regular re-examinations with a nasopharyngoscope are needed to monitor the recovery. If there are numerous polyps and the response to standardized medication is poor, surgical removal might be necessary. Currently, endoscopic nasal polyp removal surgery is commonly used. Regular postoperative check-ups are also required to observe the recovery. Generally, it is advisable to rinse the nasal cavity with saline solution to aid in postoperative recovery. (The use of medication should be under the guidance of a professional doctor.)

Other Voices

doctor image
home-news-image
Written by Li Rui
Otolaryngology
48sec home-news-image

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.)

doctor image
home-news-image
Written by Deng Bang Yu
Otolaryngology
48sec home-news-image

Nasal polyps CT manifestations

Nasal polyps are benign neoplasms of the nasal area. On a CT scan, they primarily appear as increased density shadows in the nasal cavity and sinus cavity. These shadows have a definite shape, which is why we see nasal polyps as oval-shaped. Secondly, the density of the nasal polyps can be distinctively differentiated from the surrounding densities; the density of the surrounding bone is very high, while the density of the nasal polyps is relatively direct, appearing as a gray density shadow. Thirdly, we observe accompanying inflammatory changes in the nasal cavity and sinus cavity on the nasal polyps, such as thickened sinus cavity mucosa and, in some cases, the presence of purulent secretions due to inflammatory infections, as seen on the CT scan.

doctor image
home-news-image
Written by Deng Bang Yu
Otolaryngology
46sec home-news-image

What should I do if nasal polyps are removed but grow back?

Nasal polyps are a common condition in otolaryngology and are benign neoplasms in the nasal cavity. After nasal polyp surgery, there is a possibility of recurrence, and the likelihood of recurrence is relatively high compared to other diseases. Currently, we surgically remove nasal polyps through functional endoscopic surgery, followed by regular post-operative outpatient follow-ups to clean the nasal cavity. Since then, the recurrence rate after this surgery has been relatively low. However, if the nasal polyps recur, we must perform surgery again to remove them, as enlarged nasal polyps can block the nasal cavity and damage the surrounding tissue structures, necessitating another surgical intervention, with no other special methods available.

doctor image
home-news-image
Written by Deng Bang Yu
Otolaryngology
50sec home-news-image

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.)

doctor image
home-news-image
Written by Deng Bang Yu
Otolaryngology
44sec home-news-image

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.