When is Surgery Needed for Nasal Polyps ? ( Must Read )


Nasal polyps can develop in all the paranasal sinuses, but the region of middle meatus/osteomeatal complex lateral to the middle turbinate is of great importance. The patient may require surgical intervention if severe symptoms of obstruction and infection prove refractory to medical treatment.

Medical therapies include treatment for underlying chronic allergic rhinitis using antihistamines and topical nasal steroid sprays. For severe nasal polyposis causing severe nasal obstruction, treatment with short-term steroids may be beneficial. Topical use of cromolyn spray has also been found to be helpful to some patients in reducing the severity and size of the nasal polyps.

Within the nasal and sinus region, polyps originate from the middle meatus/ostiomeatal complex. With surgical removal of diseased tissues (polyps), future recurrence of polyp formation is still possible. In endoscopic sinus surgery, the goal is to remove diseased tissue and provide adequate sinus aeration in order to prevent recurrence.

**Severe pulmonary or cardiac problems may be contraindications to surgical treatment. Relative contraindications to surgical treatment include bleeding diathesis (which can be medically treated before surgery), acute asthma exacerbation, and the patient's inability or unwillingness to obtain appropriate postoperative follow-up care and treatment.

Read more : How to Cure Nasal Polyps Permanently and Naturally at Home

 

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What are Causes of Nasal Polyps ?

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  Chronic rhinosinusitis with nasal polyps (CRSwNP) affects about 4% of the European population.1 It is characterized by nasal obstruction, loss of smell, nasal secretions, and facial pressure. About 50% of these patients have comorbid asthma, aspirin-exacerbated respiratory disease, hypereosinophilia, or Churg-Strauss syndrome. Recurrence of the disease after surgery is high despite treatment with topical and oral glucocorticosteroids. A growing amount of evidence linking local IgE production to inflammation in patients with Nasal Polyps can be seen in the literature. Previous studies showed that specific and total IgE concentrations are increased in nasal polyps compared with those in serum or nonpolyp mucosa, illustrating an association between increased total IgE level and eosinophilic inflammation.Further studies from  independent groups also showed increased specific IgE levels in sinus tissue of patients with Nasal Polyps and greater IgE concentrations in the sinus mucosa of pat
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Is Surgery Necessary for Nasal Polyps ?

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What is Nasal Polyps ?   Nasal polyposis results from chronic inflammation of the nasal and sinus mucous membranes. Chronic inflammation causes a reactive hyperplasia of the intranasal mucosal membrane, which results in the formation of polyps. The precise mechanism of polyp formation is incompletely understood. In 1990, Tos reported 10 pathogenic theories of nasal polyp formation. Multiple chemical mediators have been identified in nasal polyps but their significance has not been completely elucidated. Some of these mediators may be released by the polyps themselves and others by the eosinophils found in certain subsets of polyps. Cysteinyl leukotriene receptors and interleukin-5 (IL-5) appear to be the most well studied. Patients with chronic allergic rhinitis; chronic sinusitis; and, less frequently, underlying disease, such as cystic fibrosis, may be at risk for the development of nasal polyps. Common presenting symptoms include nasal obstruction; chronic rh
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How to Cure Nasal Polyps without Surgery ?

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Nasal polyposis is an inflammatory condition of unknown etiology. Nasal polyps are the most common tumors of the nasal cavity. Approximately 30% of patients with nasal polyps test positive for environmental allergies.  Patients with massive nasal polyposis typically present with increasing nasal congestion, hyposmia to anosmia, changes in sense of taste, and persistent postnasal drainage. Headaches and facial pain and discomfort are not uncommon and are found in the periorbital and maxillary regions. On occasion, a patient with completely obstructing nasal polyposis presents with symptoms of obstructive sleep apnea.  Patients with solitary polyps frequently present with only symptoms of nasal obstruction, which may change with a shift in position. Coronal sinus CT scanning is the imaging study of choice in the evaluation of patients with nasal polyposis. Endoscopy in an office setting can sometimes be helpful in the diagnosis and evaluation o
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