Nasal Polyps Treatment - Diagnosis, Surgery & Recovery

If you are looking for the best healthcare center for safe and effective treatment of nasal polyps, then you must visit HeptaCare Health. HeptaCare Health works with expert and experienced ENT surgeons to provide reliable treatment for nasal polyps.

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What are Nasal Polyps?

Nasal polyps are common, fleshy, noncancerous, teardrop-shaped growths that form in the nose or sinuses. They are usually found around the area where the sinuses open into the nasal cavity. Matured polyps look like peeled grapes. 

They are often linked to allergies or asthma. Small-size polyps are usually asymptomatic and usually don’t require any treatment. Large-size polyps can cause various symptoms include, stuffy or blocked nose, sneezing, postnasal drip, runny nose, facial pain, etc. Large polyps can block normal drainage from the sinuses. If too much mucus builds up in the sinuses, they can become infected.

Nasal Polyps Types

There are two types of nasal polyps which include the Bilateral ethmoidal polyp, which arises from the Ethmoid sinus, and the Antrochoanal Polyp, which begins from the maxillary sinuses. They are unilateral and less common.

Nasal Polyps Treatments Options

Nasal polyps treatment option depends on the severity of the condition and the size of the polyps. Before any treatment, the patient has to undergo a thorough diagnosis to determine the treatment accordingly. A healthcare provider usually suggests nasal endoscopy, CT scans, allergy tests, blood tests, tissue cultures, etc, to determine the identify the best treatment option. Nasal polyp treatment generally focuses on reducing the size of polyps or eliminating them completely to provide the patient relief from associated breathing problems like sinusitis, asthma flare-up, etc. Generally, the first approach to treatment is medications. However, the patient may need surgical intervention if medical treatment does not work in shrinking the polyps. 

Surgical Nasal Polyps Treatment

Endoscopic surgery is the most preferred surgical treatment for nasal polyps. During endoscopic surgery, the surgeon inserts an endoscope (a small tube with a camera lens or magnifying glass) through the nasal passages and uses endoscopic instruments to remove the polyps and other nasal blockages. This improves airflow through the nasal and paranasal areas. The surgery is performed as an outpatient procedure. Since no major cuts or incisions are performed during the surgery, the recovery process is usually very quick.

The other surgical procedure for the removal of nasal polyps is polypectomy. The surgery is usually performed if the polyps are very large or the other treatment options fail to treat the condition. 

The surgery is performed under the influence of local or general anesthesia. A long, thin tube with a video camera is inserted into the patient’s nose and sinuses. Polyps are then cut out using micro-telescopes and surgical instruments. Sometimes, the surgeon may remove small pieces of bone from the nose to open up the nasal passageway.  A doctor usually prescribes a  corticosteroid nasal spray to help prevent recurrence. Sometimes doctor also recommends the use of saline rinse to help post-surgical healing.

Preparation Before Nasal Polyps Surgery

The exact recovery time after nasal polyp treatment depends on the severity of the condition, the size of the polyps, associated health conditions, the type of treatment, etc. With medical management, patients start noticing obvious improvement in their symptoms within 1-2 weeks. However, most patients are advised to take medicines for 4-6 weeks to prevent a recurrence.

If endoscopic surgery is performed, the patient can start performing light activities and return to desk work within one week; however, exercising and strenuous activities have to be delayed until at least 2-3 weeks after the surgery. Complete recovery usually takes at least 4-6 weeks.

Recovery After Nasal Polyps Treatment

The recovery period after nasal polyps treatment usually depends on the severity of the condition, the size of the polyps, the associated health condition, and the type of treatment. With medical management, patients start noticing obvious improvement in their symptoms within 1-2 weeks. However, in most cases, patients are advised to take medicine for 4-6 weeks to avoid recurrence. 

While in surgery, if endoscopic surgery is performed, the patient can start performing light activities and return to work within one week. However, you must avoid strenuous activities and exercise for 2-3 weeks after the surgery. Complete recovery usually takes at least 4-6 weeks. 

Risk & Complications Associated with Nasal Polyps Surgery

Like any surgical procedure, nasal polyps surgery also carries certain risks and complications. Some  common risks and complications of surgery are as follows:

  • Bleeding
  • Spinal fluid (CSF) leakage
  • Visual problems
  • Change in smell or taste perception
  • Facial pain
  • Change in resonance or quality of voice
  • Swelling or bruising around the eyes
  • Recurrence of the condition/failure to resolve symptoms

Nasal Polyps Surgery Cost

The average cost of nasal polyps surgery in India is INR 60000. This is the estimated cost of surgery, the final price is dependent on many factors, including

  • The cost of diagnostic tests
  • Choice of the hospital (government or private)
  • Surgeons fee
  • Any pre-existing health condition
  • Cost of diagnostic tests
  • Cost of medication
  • Follow-up consultation
  • Anesthesia eye

Non-Surgical Treatments of Nasal polyps

Non-surgical treatments for nasal polyps are as follows:

  • Home remedies: Home remedies are helpful if the symptoms of nasal polyps seem to be related to an allergic reaction. You must avoid the allergen that triggers the reaction. Tea tree oil and other remedies can help in some cases. Symptoms of congestion may be eased by using a steam bath. Vitamin D may help reduce symptoms, but only in a high therapeutic dose.
  • Nasal corticosteroids: Spraying nasal steroids into the nose can help in reducing the runny nose and the sensation of blockage by shrinking the polyp. However, if you stop taking them, symptoms may quickly return. Examples of nasal steroids include fluticasone (Flonase, Veramyst), budesonide (Rhinocort), and mometasone (Nasonex).
  • Oral and injectable corticosteroids: A doctor usually prescribes oral steroids for severe symptoms for a short period of time only. These also help reduce inflammation and shrink nasal growths, but long-term use can lead to side effects.
  • Medications:A healthcare provider usually prescribes medication to help alleviate nasal polyp symptoms, such as montelukast, antibiotics, and antihistamines.

What Happens If Nasal Polyps Left Untreated?

If nasal polyps are left untreated, they ca cause the following complications:

  • In some severe cases, polyps can become so large that they can be seen simply by looking into the nose. If polyps are left untreated for an extended period, the constant pressure can cause the nose to widen and the space between the eyes to narrow.
  • Polyps can occasionally grow out of control and cause damage to nearby structures, such as your eye or brain, if left untreated.
  • Nasal polyps prevent patients from fully engaging in daily activities. Additionally, bleeding from polyps can be painful and, in rare instances, result in anemia.
  • In some cases, polyps block the part of the nose that allows them to smell. Unfortunately, even after the polyps have been removed, the sense of smell may not return.
  • If nasal polyps are left untreated, they can eventually block the nose.
  • They can make it difficult to breathe through your nose and may make sinus infections more common.

How can Nasal Polyps be Prevented?

Listed below are a few ways to prevent nasal polys:

  • Wash your hands properly to prevent infection through correct handwashing techniques.
  • Use humidifiers to prevent nasal clogging and help moisten your breathing passages.
  • Try to avoid airborne allergens or irritants that may cause irritation of the nose or nasal sinuses. 
  • Use a spray or saline nasal rinse to remove allergens or other irritants that may cause nasal polyps. 
  • Use antihistamines to control allergic reactions.
  • Quit smoking.

Questions to Ask Your Surgeon Before Nasal Polyps Treatment

Before nasal polyps treatment, you must ask the following questions to your surgeon to have a better understanding of the treatment procedure and the risks and complications associated with it:

  • Can nasal polyps result in permanent damage?
  • Can nasal polyps become cancerous?
  • What are the home remedies for nasal polyps?
  • Is nasal polyp surgery painful?
  • What are the chances of nasal polyp recurrence after the surgery?
  • What are the potential risks and complications of nasal polyps surgery?
  • What is the common cause of nasal polyps?
  • Are nasal polyps serious?
  • What are the risk factors for nasal polyps?
  • What is the best nasal spray for polyps?
  • What is the success rate of nasal polyps surgery?
  • Are nasal polyps lifelong?
  • What is the recovery period after nasal polyps surgery?
  • What precautions should I need to take to recover quickly after surgery?
  • What are the advantages of nasal polyps surgery?

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