Nasal polyps: Information & nasal polyp specialists

24.11.2023
Leading Medicine Guide Editors
Author
Leading Medicine Guide Editors

Nasal polyps are also called polyposis nasi. In most cases, they are caused by the polyps growing into the olfactory cleft and the nasal cavity. The symptoms of nasal polyps are often manifested by a gradual loss of the ability to smell.

Below you will find further information and selected specialist sites for nasal polyps.

ICD codes for this diseases: J33

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Brief overview:

  • What are nasal polyps? Benign tissue growths on the nasal mucosa that lead to a gradual loss of the ability to smell.
  • Causes: The exact origin is unknown. Many patients suffer from ASA intolerance, which leads to nasal obstruction when taking aspirin. Nasal polyps are often associated with a crooked nasal septum and enlarged turbinates.
  • Symptoms: A gradual loss of smell and increasing difficulty in nasal breathing.
  • Treatment: Initially, treatment with medication is sufficient. Cortisone therapy can reduce nasal polyps. If the therapy does not help, surgery is necessary to remove the polyps.
  • Risks of surgery: Complications are very rare, but still possible. These include wound healing disorders, infections, bleeding, temporary odor disorders and numbness of the upper teeth. The eyes and meninges may also be injured.
  • Post-operative treatment: Blowing your nose, hot baths, exertion and strong sunlight are taboo for two weeks.

Article overview

Causes and symptoms of nasal polyps

The causes and the exact development of nasal polyps are still not clearly understood. Nasal polyps often occur in connection with an ASA intolerance. If these patients take aspirin or ASA, nasal breathing becomes obstructed.

The symptoms of nasal polyps are usually manifested by

  • a slow loss of the ability to smell and
  • an increasing nasal obstruction.

Nasal polyps can be accompanied by a crooked nasal septum and enlarged turbinates.

Treatment of nasal polyps

Nasal polyps are initially treated with medication. Local cortisone therapy in the form of a nasal spray can reduce nasal polyps. The nasal spray should be used regularly over a period of at least 3 to 4 weeks. Unfortunately, this treatment is not always successful.

If drug therapy does not have the desired effect, surgical treatment is necessary. The nasal polyps are completely removed from the nasal cavity and paranasal sinuses and examined histologically.

Surgical procedure and hospital stay

In some cases, access to the paranasal sinuses requires surgery on the nasal septum. To prevent post-operative bleeding, the surgeon inserts nasal tamponades into the nostrils.

The procedure is performed either under general anesthesia or as an outpatient procedure under local anesthesia.

The patient is admitted to hospital one day before the operation. All examinations and consultations required for the operation take place on this day. The preliminary examinations always include a blood sample. The doctor will also discuss the type of anesthesia and the course of the operation with you.

You should be fasting on the day of the operation. This means that you should not eat or drink from 0:00 on the day of admission.

  • not eat or drink,
  • not smoke,
  • chew gum and
  • suck any sweets.

The nasal tampons are removed on the first day after the operation.

In the days that follow, the nose is cleaned twice a day to remove incrustations and wound secretions are suctioned out. The nurses will give you helpful tips on how to care for your nose.

Due to the possible risk of secondary bleeding, inpatient monitoring is necessary. The length of the inpatient stay depends on the healing of the wound. You can usually expect to stay in hospital for four to five days.

On the day of discharge, the wound conditions will be checked again and you will receive a doctor's letter for the ear, nose and throat specialist.

Nasenpolypen
Nasal polyps can lead to loss of sense of smell © freshidea | AdobeStock

Risks of surgery for nasal polyps

As with any operation, there can generally be

  • Wound healing disorders,
  • infection or
  • bleeding

can occur.

Specifically, there is a risk of temporary odor disturbances and numbness of the upper row of teeth. This is usually caused by swelling or old blood in the nose.

In very rare cases, these symptoms persist.

The paranasal sinuses are adjacent to the eye and the base of the skull. This can therefore lead to

  • Injuries to the eye with double vision and blindness, as well as
  • injuries to the meninges with cerebrospinal fluid flow and meningitis.

can occur. These complications are extremely rare.

Follow-up treatment after nasal polyp surgery

After discharge, the ear, nose and throat specialist will usually take over further treatment. For up to two weeks after the operation, you should not blow your nose and avoid

  • hot baths,
  • strong sunlight and
  • exertion (e.g. sport)

as there is still a risk of secondary bleeding.

It usually takes about two to three weeks for the nose to heal completely.

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