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Nose Polyps Surgery

Nose polyps or sinus cysts are reasonably common and easy to diagnose.  It is harder, however, to diagnose the cause of the polyps and undergoing any kind of treatment – including nose polyps surgery – without known the cause of the problem is a pointless exercise.  This is because nose polyps are usually chronic.

How Are Nose Polyps Detected?

Generally, nose polyps will be detected by your medical professional after they have asked you a number of questions and completed a physical examination.  You should then be referred to an ENT (Ear, Nose & Throat) specialist who will carry out further investigations and treat the root cause of the polyps.  This is done through:
  • A CT scan whereby a very clear picture of your nose will be created to determine where the polyps are and what size they are, as well as any other underlying problems in your nasal cavities, such as tumours or objects that should not be in your nose.
  • Allergy tests through blood tests to determine whether you may have an allergy that causes your nose to react badly.
  • Blood tests to check whether your body is fighting a specific infection that could be related to polyps.
  • In extreme cases a test for cystic fibrosis, as this can be a cause of nose polyps.  This test will almost always be offered if children present with polyps.

Treatment of Nose Polyps

Nose polyps surgery is one way of treating nose polyps, although many medical professionals will try a range of other avenues first.  These will mainly involve medication and could be any of the following:
  • A corticosteroid nasal spray that has very few side effects.  This reduces inflammation and sometimes removes the polyps completely
  • A corticosteroid oral spray, which does have possible side effects and is therefore rarely recommended
  • Anti-inflammatory medication to reduce the swelling of the polyps
  • Anti fungal medication if the cause of the polyps is a fungus infection
  • Antibiotics if an infection is detected.

Nose Polyps Surgery is a Last Resort

Nose polyps surgery will generally be offered if the above treatments and other available treatments – including natural treatments – do not work.  There are two main types of nose polyps surgery:
  • Endoscopic sinus surgery, whereby the sinuses will be drained and the septum can be straightened if this is an underlying cause of the polyps.  Any remaining polyps will also be removed.
  • Polypectomy, whereby a microdebrider is used in order to remove clusters of polyps that may still be present in isolated places.  A microdebrider is a small medical instrument designed for suction.  This type of nose polyps surgery is quick and patients are usually admitted as outpatients, meaning they can leave the same day.
Following nose polyps surgery, a patient is likely to receive one or several of the medications described above to ensure the nasal passages have time to heal without the polyps returning.  As surgical procedures should always be seen as a last resort only, it is very unlikely that a patient will be immediately referred for nose polyps surgery, with medical professionals preferring a range of non invasive treatments first.

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Nose Polyps Surgery

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