How to deal with nasal polyps?

Written by Li Rui
Otolaryngology
Updated on January 14, 2025
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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.)

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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 Li Rui
Otolaryngology
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How come there is bleeding from nasal polyps?

Patients with nasal polyps experiencing nosebleeds can have many causes. It might be due to hemorrhagic polyps, erosion of the nasal mucosa, dry nasal cavities, or rupture of small blood vessels. Some patients may have sinusitis accompanying their nasal polyps, with significant inflammatory responses that could also lead to nosebleeds. However, it's necessary to check for other conditions, such as nasopharyngeal angiofibroma, malignant tumors in the nasal cavity or sinuses, nasopharyngeal carcinoma, or blood disorders like coagulation dysfunction and thrombocytopenia. It is advisable to visit an ENT specialist and undergo nasopharyngoscopy, sinus CT scans, blood tests, and coagulation function tests to make an accurate diagnosis.

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Written by Xu Qing Tian
Otolaryngology
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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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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 Deng Bang Yu
Otolaryngology
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How is nasal polyps treated?

Nasal polyps are a common clinical condition, prevalent in the nasal and sinus cavities as benign space-occupying lesions. Clinically, these polyps appear as translucent, lychee-like neoplasms. The primary clinical treatment for nasal polyps is surgical, typically performed with an endoscope to remove the polyps, mainly using a powered system. After nasal polyp surgery, the treatment is not completely finished; regular outpatient follow-ups are necessary to infiltrate the nasal and sinus cavities and remove some of the swollen mucosal tissue, thus preventing the recurrence of nasal polyps.