Nasal Polyps

Conditions of the Nose and Paranasal Sinuses » Nasal Polyps

Definition ≡ Edematous masses in nose (usually from ethmoid sinuses)

Nasal Polyp

Incidence

  • More common than you think
  • Adults
  • If present in child <10 y/o:  rule out cystic fibrosis

Etiology

Unknown, but associated with:

  • Allergy
  • Chronic sinusitis
  • Cystic fibrosis
  • ASA sensitivity triad – Asthma, nasal polyps, and aspirin sensitivity (leads to broncho-constriction

Clinical Findings

Symptoms

  • Nasal obstruction
  • Decreased smell sense
  • Anterior watery rhinorrhea

Signs

  • Nasal polyps
  • Hyponasal voice
  • Chronic sinusitis

Diagnosis

  • History
  • Exam- nasal speculum (+ headlight/mirror), indirect nasopharyngoscopy
  • Biopsy (rule out cancer) if unilateral or not “edematous” polyp
  • ENT referral, Sinonasal endoscopy
  • Imaging – plain sinus x-rays, CT scan

Treatment

  • Nasal saline rinses
  • Topical nasal steroid spray
  • Treat chronic sinusitis if symptoms
  • Endoscopic sinus surgery

Complications

  • Sinusitis (and it’s complications)
  • Permanent loss of smell
  • Inverting papilloma

Prognosis

“Polyps are like weeds”.  Difficult to eradicate completely.  Aim of management is, therefore, control of symptoms.

Members Only

Pay Your Dues Job Board Continuing Professional Development Journal of Otolaryngology-Head & Neck Surgery LearnENT/UGM App
Council & Committees Canadian Departments of Otolaryngology-Head and Neck Surgery Choosing Wisely Canada Join the Society

Upcoming Events: